Myocardial amyloidosis following multiple myeloma in a 38-year-old female patient: A case report

Author:

Zhang Qisi1,Qiao Yingli1,Yan Dongmei2,Deng Yuhui1,Zhang Mengyang3,Xu Poshi1

Affiliation:

1. Department of Clinical Laboratory, Henan Provincial People’s Hospital, Department of Clinical Laboratory of Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, 450003, China

2. Department of Clinical Laboratory, Affiliated Yancheng Hospital, School of Medicine, Southeast University, Jiangsu, Yancheng, 224001, People’s Republic of China

3. Department of Pathology Laboratory, Henan Province People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, Henan 450000, China

Abstract

AbstractMultiple myeloma (MM) is an immunoglobulin-producing tumor of plasma cells, which occurs commonly in the elderly. The incidence of myocardial amyloidosis with MM is extremely low and early clinical manifestations are nonspecific. The diversity of clinical manifestations and first episode symptoms often cause misdiagnosis in young patients with myocardial amyloidosis following MM. In this study, we analyzed the clinical data of a young woman with MM and impaired cardiac function combined with echocardiography, electrocardiography (ECG), laboratory data, cell Congo Red staining, and other manifestations to diagnose amyloidosis. Considering the rapid progression, short survival, and poor prognosis in most patients, a clear, definitive, and timely diagnosis is essential for the treatment of patients with MM complicated with myocardial amyloidosis.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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