Mystery in the mediastinum: Rare case of indolent primary thoracic amyloids
| Autor: | Jayanth Keshavamurthy, Arjun N. Bhatt, Varsha Taskar, Pranjal Mishra, Atul Lodh, Dhairya Shukla, Rohit Munagala |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
amyloidosis medicine.medical_specialty medicine.diagnostic_test RC705-779 business.industry Pleural effusion Amyloidosis Mediastinum Case Report medicine.disease Malignancy Mediastinoscopy multiple myeloma Diseases of the respiratory system medicine.anatomical_structure Serum protein electrophoresis medicine Acute pancreatitis Radiology business mediastinoscopy Multiple myeloma |
| Zdroj: | Lung India, Vol 38, Iss 4, Pp 374-376 (2021) Lung India : Official Organ of Indian Chest Society |
| ISSN: | 0970-2113 |
| Popis: | A 53-year-old African American male smoker presented with epigastric pain, tarry stools, and laboratory results indicative of acute pancreatitis. Chest X-ray showed a right perihilar mass with pleural effusion. Computed tomography scan showed multiple large right paratracheal and hilar nodes with internal calcification. The patient underwent a fiberoptic bronchoscopy with biopsies which were negative for malignancy. Mediastinoscopy was performed and revealed amyloidosis. Evaluation for multiple myeloma showed elevated kappa and lambda light chains and diffuse polyclonal gammopathy, but there was no monoclonal spike on serum protein electrophoresis. Bone marrow and abdominal fat pad were negative for amyloid, and the patient continues to lack chronic underlying systemic disease with no symptoms on cardiac or pulmonary examination. |
| Databáze: | OpenAIRE |
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