AL amyloidosis mimicking a preferentially autonomic chronic Guillain-Barré syndrome.
We report a case history of a patient whose diagnosis of AL amyloidosis remained elusive until postmortem examination. Exhaustive autonomic neuropathy mimicking a chronic Guillain-Barré syndrome dominated the clinical picture. The problems in establishing the definitive diagnosis of AL amyloidosis even in the face of strong clinical evidence are discussed.
Lingenfelser
T
T
Medizinische Klinik, Eberhard-Karls Universität Tübingen.
Linke
R P
RP
Dette
S
S
Roggendorf
W
W
Wiethölter
H
H
D000682:Amyloid / Q000032:analysis*; D000686:Amyloidosis / Q000473:pathology*; D001342:Autonomic Nervous System Diseases / Q000473:pathology*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005267:Femoral Nerve / Q000473:pathology; D005727:Ganglia, Spinal / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D011129:Polyradiculoneuropathy / Q000473:pathology*; D012077:Renal Artery / Q000473:pathology; D014630:Vagus Nerve / Q000473:pathology
D000682:Amyloid; C035222:amyloid protein AL