| Gastrointestinal amyloidosis secondary to hypersensitivity vasculitis presenting with intestinal pseudoobstruction. | |
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MedLine Citation:
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PMID: 9724175 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 22-year-old woman developed sudden hepatic encephalopathy and severe intestinal bleeding. She was diagnosed with acute fatty liver and hypersensitivity vasculitis and was successfully treated with whole plasma exchange, methylprednisolone pulse therapy, and transcatheter arterial embolization. Twenty-seven months later, she began complaining of lower abdominal fullness, tenderness, and nausea and vomiting. Histologic examination showed that she had developed gastrointestinal and renal amyloidosis with intestinal pseudoobstruction and proteinuria. The immunohistochemical study of the stomach, rectum, and kidney with anti-amyloid A fluorescent antibody showed that the systemic amyloid deposit was secondary to her underlying disease. This is the first report of amyloidosis occurring secondary to hypersensitivity vasculitis. |
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Authors:
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K Hiramatsu; S Kaneko; Y Shirota; M Matsuda; K Kaji; Y Kitano; N Ikeda; S Terasaki; H Kawai; A Shimoda; H Yokoyama; E Matsushita; T Urabe; K Kobayashi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Digestive diseases and sciences Volume: 43 ISSN: 0163-2116 ISO Abbreviation: Dig. Dis. Sci. Publication Date: 1998 Aug |
Date Detail:
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Created Date: 1998-09-16 Completed Date: 1998-09-16 Revised Date: 2009-11-19 |
Medline Journal Info:
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Nlm Unique ID: 7902782 Medline TA: Dig Dis Sci Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1824-30 Citation Subset: AIM; IM |
Affiliation:
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First Department of Internal Medicine, Kanazawa University School of Medicine, Ishikawa, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Amyloidosis / diagnosis, etiology* Female Gastrointestinal Diseases / diagnosis, etiology* Humans Intestinal Pseudo-Obstruction / etiology* Vasculitis, Leukocytoclastic, Cutaneous / complications*, diagnosis |
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