Splenic Rupture Secondary to Amyloidosis: A Case Report and Review of the Literature.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Hisham F Bahmad, Samantha Gogola, Lorena Burton, Ferial Alloush, Mike Cusnir, Michael Schwartz, Lydia Howard, Vathany Sriganeshan
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引用次数: 0

Abstract

Amyloidosis is a term describing the extracellular deposit of fibrils composed of subunits of several different normal serum proteins in various tissues. Amyloid light chain (AL) amyloidosis contains fibrils that are composed of fragments of monoclonal light chains. Many different disorders and conditions can lead to spontaneous splenic rupture, including AL amyloidosis. We present a case of a 64-year-old woman with spontaneous splenic rupture and hemorrhage. A final diagnosis of systemic amyloidosis secondary to plasma cell myeloma was made with infiltrative cardiomyopathy and possible diastolic congestive heart failure exacerbation. We also provide a narrative review of all documented cases of splenic rupture associated with amyloidosis from the year 2000 until January 2023, along with the main clinical findings and management strategies.

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淀粉样变性继发脾破裂1例并文献复习。
淀粉样变性是一个术语,描述由几种不同的正常血清蛋白亚基组成的原纤维在各种组织中的细胞外沉积。淀粉样蛋白轻链(AL)淀粉样变性含有由单克隆轻链片段组成的原纤维。许多不同的疾病和条件可导致自发性脾破裂,包括AL淀粉样变。我们报告一位64岁女性自发性脾破裂出血的病例。最终诊断为继发于浆细胞骨髓瘤的系统性淀粉样变性伴浸润性心肌病和可能的舒张期充血性心力衰竭加重。我们还提供了从2000年到2023年1月所有记录的与淀粉样变相关的脾破裂病例的叙述性回顾,以及主要的临床表现和管理策略。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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