title: Spontaneous rupture of the amyloid spleen in a case of usual interstitial pneumonia.
abstract: We describe a rare case of secondary amyloidosis associated with usual interstitial pneumonia (UIP), who died from spontaneous rupture of the amyloid spleen. A 68-year-old man was admitted to evaluate to his interstital lung disease. Chest radiography showed reticular shadow in bilateral lower lung fields. Two years later, he suddenly felt severe abdominal pain. In spite of maximum therapy, he died from hypovolemic shock. Postmortem examination revealed massive intraabdominal hemorrhage. The diagnosis of lung disease was UIP and amyloid A type deposits were observed in various organs including the ruptured spleen.
authors.affiliation: First Department of Medicine, Asahikawa Medical College.
authors.forename: S
authors.initials: S
authors.lastname: Tanno
authors.forename: Y
authors.initials: Y
authors.lastname: Ohsaki
authors.forename: S
authors.initials: S
authors.lastname: Osanai
authors.forename: Y
authors.initials: Y
authors.lastname: Akiba
authors.forename: T
authors.initials: T
authors.lastname: Takeuchi
authors.forename: Y
authors.initials: Y
authors.lastname: Nishigaki
authors.forename: H
authors.initials: H
authors.lastname: Ide
authors.forename: H
authors.initials: H
authors.lastname: Nakano
authors.forename: N
authors.initials: N
authors.lastname: Miyokawa
authors.forename: K
authors.initials: K
authors.lastname: Kikuchi
mesh_terms: D000368:Aged; D000686:Amyloidosis / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology*; D017809:Fatal Outcome; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D012422:Rupture, Spontaneous; D013154:Spleen / Q000473:pathology / Q000503:physiopathology*; D014057:Tomography, X-Ray Computed