Changes of the gastrointestinal mucosa in 4 cases of systemic amyloidosis

Masaya Iwamuro, Hideaki Takahashi, Junichi Kubota, Takeyuki Ohta, Shouichi Tanaka, Ichiro Murakami

Research output: Contribution to journalArticle

Abstract

We detected amyloid in the alimentary tract of four cases from July, 1990 to October, 2005. Mucosal changes such as redness, erosion, ulcer, or bleeding were seen in these cases, although amyloid was detected even from normal mucosa. Typical endoscopic features of massive amyloid deposition in AA amyloidosis was a fine granular appearance or an oedema-like mucosa, while that in AL amyloidosis was multiple polypoid protrusions or a thickening of the mucosal fold. However, the amyloid deposition in many cases was not extensive and the mucosal changes were slight. We conclude that, in order to diagnose amyloidosis at early stage, an endoscopic biopsy should be performed when a slight mucosal change or even normal mucosa, such as our cases, is observed.

Original languageEnglish
Pages (from-to)539-545
Number of pages7
JournalIRYO - Japanese Journal of National Medical Services
Volume61
Issue number8
Publication statusPublished - Aug 1 2007
Externally publishedYes

Keywords

  • Endoscopic features
  • Gastrointestinal amyloidosis

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Iwamuro, M., Takahashi, H., Kubota, J., Ohta, T., Tanaka, S., & Murakami, I. (2007). Changes of the gastrointestinal mucosa in 4 cases of systemic amyloidosis. IRYO - Japanese Journal of National Medical Services, 61(8), 539-545.