Clinical Case Reports (Jun 2019)

Light chain lambda myeloma with fatal AL cardiac amyloidosis in a 21‐year‐old patient: A case report and review

  • Vincent Camus,
  • Sydney Dubois,
  • Pierre‐Alain Thiébaut,
  • Stéphane Lepretre,
  • Pascal Lenain,
  • Jean‐Michel Picquenot,
  • Elena‐Liana Veresezan,
  • Arnaud François,
  • Dominique Penther,
  • Fabrice Bauer,
  • Arnaud Jaccard,
  • Fabrice Jardin

DOI
https://doi.org/10.1002/ccr3.2165
Journal volume & issue
Vol. 7, no. 6
pp. 1171 – 1177

Abstract

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Abstract Multi‐organ AL amyloidosis is a therapeutic challenge because of light chain deposits severely damaging the function of concerned organs. Cardiac involvement, which leads to concentric hypertrophy of both ventricles, is particularly severe and leads to poor prognosis regardless of combination chemotherapy. This case pinpoints the relevance of combining clinical, histological, and echocardiographic information in the management of this complex and life‐threatening disease.

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