Sarcoid, amyloid and heart failure.
We report the case of an adult West Indian patient who presented with heart failure 20 years after an initial diagnosis of pulmonary sarcoidosis. Endomyocardial biopsy revealed AL type amyloid which was later found to be secondary to an underlying multiple myeloma.
Rakhit
R D
RD
Department of Clinical Cardiology, Hammersmith Hospital, London, UK.
Clesham
G J
GJ
Cleland
J G
JG
D000682:Amyloid / Q000032:analysis; D000686:Amyloidosis / Q000175:diagnosis* / Q000473:pathology; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000473:pathology; D004452:Echocardiography; D004562:Electrocardiography; D004699:Endocardium / Q000473:pathology; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000175:diagnosis* / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000473:pathology
D000682:Amyloid; C035222:amyloid protein AL