amyloidosis
Explanation
The most common type of amyloidosis
Primary amyloidosis: Usually together with Multiple Myeloma and Monoclonal gammopathy of plasma cell disorders.
Secondary Amyloidosis: Rheumatoid arthritis, osteomyelitis; Malaria is with a variety of chronic inflammatory illnesses such as tuberculosis and leprosy.
Familial amyloidosis: Familial Mediterranean Fever (FMF) is associated with.
Hemodialysis amyloidosis: It is with renal hemodialysis.
What are the symptoms?
Which varies depending on what level of organ involvement.
Weakness
Weight Loss
gastroparesis
the pSEUDOOBSTRUCTION
malabsorption
Diarrhea
macroglossia
Peripheral Neuropathy
Carpal Tunnel Syndrome
ascites
hepatomegaly
dyspnea
Interstitial Lung Disease
Congestive Heart Failure
arrhythmia
Sudden death
Hiler Adenopathy
Mediastinal Adenopathy
symmetric Polyarthritis
Periarticular soft tissue swelling (consistency rubber)
Papules on the skin (translucent, waxy)
Purpura (periorbital)
Edema
Renal Failure
nephrotic Syndrome
Dementia (may play a role in the development of Alzheimer's Disease)
What are the reasons?
Primary Amyloidosis
Diseases such as plasma, light chain (AL) is associated with excess immunoglobulin production.
Secondary Amyloidosis
in chronic inflammatory condition amyloid fibrillar proteins (A) is carried out in excess, and the degradation products of serum amyloid protein (SAA) phases occurs.
Familial amyloidosis
Familial Mediterranean fever, occur with excessive amyloid fibrillar amyloid protein made.
Hemodialysis Amyloidosis
Normally excreted by the kidneys, but can not consist of amyloid beta-2-microglobulin containing discarded by hemodialysis.
What are the care and advice?
If heart failure develops or serious complications such as renal failure are hospitalized.
beta2-microglobulin should start to clear in Hemodialysis Peritoneal Dialysis amyloidosis.
protein and salt are restricted in renal failure.
In heart failure, salt restriction.
What are the ways of treatment?
Primary Amyloidosis
Treatment of the underlying plasma cell disease
Melphalan and prednisone are the drugs of choice for the plasma cell disease. Colchicine; It can slow amyloid deposition.
Secondary Amyloidosis
Underlying inflammatory disease treatment
Tacrine, mild to moderate dementia caused by Alzheimer's disease.
Familial amyloidosis
Colchicine 0.6 mg 2-3 times a day
Hemodialysis amyloidosis
Primary Amyloidosis
monitoring of monoclonal protein levels to assess response to treatment
is necessary. monitoring of renal function to assess response to treatment.
Hemodialysis and Secondary Amyloidosis
Monitoring of renal function, underlying disease control and for evaluating the impairment,
makes.
What are the ways of treatment?
Primary Amyloidosis
Treatment of the underlying plasma cell disease
Melphalan and prednisone are the drugs of choice for the plasma cell disease. Colchicine; It can slow amyloid deposition.
Secondary Amyloidosis
Underlying inflammatory disease treatment
Tacrine, mild to moderate dementia caused by Alzheimer's disease.
Familial amyloidosis
Colchicine 0.6 mg 2-3 times a day
Hemodialysis amyloidosis
Primary Amyloidosis
monitoring of monoclonal protein levels to assess response to treatment
is necessary. monitoring of renal function to assess response to treatment.
Hemodialysis and Secondary Amyloidosis
Monitoring of renal function, underlying disease control and for evaluating the impairment,
makes.
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