Primary amyloidosis presenting with massive generalized lymphadenopathy.
Systemic amyloidosis is an unusual cause of generalized massive lymphadenopathy. In such cases the clinical picture may mimic lymphoma. We report a case of generalized massive lymphadenopathy caused by amyloidosis. The 55-year old female patient was admitted to our hospital with dyspnea and edema in the lower extremities. These were diminished breath sounds with bilateral basal congestion hepatosplenomegaly and generalized massive lymphadenopathy in axillary, cervical, and inguinal areas. The diagnosis was made by excisional biopsy of one of the involved lymph nodes. Amyloidosis (AL type) was shown and treatment with melphalan and prednisone was initiated. Unfortunately the patient died after 51 days in hospital.
Kutlay
Sim
S
skutlay@hotmail.com
Hasan
Taner
T
Keven
Kenan
K
Nergizoglu
Gokhan
G
Ates
Kenan
K
Karatan
Oktay
O
D000686:Amyloidosis / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008223:Lymphoma / Q000175:diagnosis; D008875:Middle Aged; D010265:Paraproteinemias / Q000150:complications