CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2017; 38(02): 236-239
DOI: 10.4103/ijmpo.ijmpo_46_16
Case Report

Hepatic Amyloidosis: Something That Can camouflage and Deceive our Perception!

Anirudh V Nair
Department of Radiodiagnosis and Interventional Radiology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
Manish Kumar Yadav
Department of Radiodiagnosis and Interventional Radiology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
Madhavan N Unni
Department of Radiodiagnosis and Interventional Radiology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
CM Simi
Department of Pathology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
KA Biji
Department of Pathology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
KS Manoj
Department of Radiodiagnosis and Interventional Radiology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
Shabeer Ali
Department of Hepatobiliary, Pancreatic and Liver Transplant Surgery, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
,
Ajith K Nair
Department of Gastroenterology, Kerala Institute of Medical Science and Research Centre, Trivandrum, Kerala, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Amyloidosis is a multi-systemic diffusely infiltrating disease due to extracellular deposition of protein-mucopolysaccharide complexes. The type of protein deposited determines the subgroup of amyloid. Hepatic amyloidosis is a rare infiltrating disease affecting the hepatic parenchyma. A wide range of clinical presentation and atypical imaging findings delay the diagnosis of amyloidosis, while tissue biopsy demonstrating amyloid deposits is vital for a definitive diagnosis.



Publication History

Article published online:
06 July 2021

© 2017. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Falk RH, Comenzo RL, Skinner M. The systemic amyloidoses. N Engl J Med 1997;337:898-909.
  • 2 Rajkumar SV, Dispenzieri A, Kyle RA. Monoclonal gammopathy of undetermined significance, Waldenström macroglobulinemia, AL amyloidosis, and related plasma cell disorders: Diagnosis and treatment. Mayo Clin Proc 2006;81:693-703.
  • 3 Urban BA, Fishman EK, Goldman SM, Scott WW Jr., Jones B, Humphrey RL, et al. CT evaluation of amyloidosis: Spectrum of disease. Radiographics 1993;13:1295-308.
  • 4 Georgiades CS, Neyman EG, Barish MA, Fishman EK. Amyloidosis: Review and CT manifestations. Radiographics 2004;24:405-16.
  • 5 Gertz MA, Kyle RA, Noel P. Primary systemic amyloidosis: A rare complication of immunoglobulin M monoclonal gammopathies and Waldenström's macroglobulinemia. J Clin Oncol 1993;11:914-20.
  • 6 Tirzaman O, Wahner-Roedler DL, Malek RS, Sebo TJ, Li CY, Kyle RA. Primary localized amyloidosis of the urinary bladder: A case series of 31 patients. Mayo Clin Proc 2000;75:1264-8.
  • 7 Scott PP, Scott WW Jr., Siegelman SS. Amyloidosis: An overview. Semin Roentgenol 1986;21:103-12.
  • 8 Kawashima A, Alleman WG, Takahashi N, Kim B, King BF Jr., LeRoy AJ. Imaging evaluation of amyloidosis of the urinary tract and retroperitoneum. Radiographics 2011;31:1569-82.
  • 9 Monzawa S, Tsukamoto T, Omata K, Hosoda K, Araki T, Sugimura K. A case with primary amyloidosis of the liver and spleen: Radiologic findings. Eur J Radiol 2002;41:237-41.
  • 10 Kim SH, Han JK, Lee KH, Won HJ, Kim KW, Kim JS, et al. Abdominal amyloidosis: Spectrum of radiological findings. Clin Radiol 2003;58:610-20.
  • 11 Gertz MA, Kyle RA. Hepatic amyloidosis: Clinical appraisal in 77 patients. Hepatology 1997;25:118-21.
  • 12 Gastineau DA, Gertz MA, Rosen CB, Kyle RA. Computed tomography for diagnosis of hepatic rupture in primary systemic amyloidosis. Am J Hematol 1991;37:194-6.
  • 13 Shin YM. Hepatic amyloidosis. Korean J Hepatol 2011;17:80-3.
  • 14 Gertz MA, Kyle RA. Hepatic amyloidosis (primary [AL], immunoglobulin light chain): The natural history in 80 patients. Am J Med 1988;85:73-80.
  • 15 Park MA, Mueller PS, Kyle RA, Larson DR, Plevak MF, Gertz MA. Primary (AL) hepatic amyloidosis: Clinical features and natural history in 98 patients. Medicine (Baltimore) 2003;82:291-8.
  • 16 Mainenti PP, D'Agostino L, Soscia E, Romano M, Salvatore M. Hepatic and splenic amyloidosis: Dual-phase spiral CT findings. Abdom Imaging 2003;28:688-90.
  • 17 Møller JM, Santoni-Rugiu E, Chabanova E, Løgager V, Hansen AB, Thomsen HS. Magnetic resonance imaging with liver-specific contrast agent in primary amyloidosis and intrahepatic cholestasis. Acta Radiol 2007;48:145-9.
  • 18 Glenner GG. Amyloid deposits and amyloidosis. The beta-fibrilloses ( first of two parts). N Engl J Med 1980;302:1283-92.