title: [Hepatic amyloidosis as cause of severe intrahepatic cholestasis].
abstract: The liver is frequently involved by amyloidosis, but hyperbilirubinemia and liver failure are uncommon features. A mild elevation of the serum alkaline phosphatase value and, less frequently, hepatomegaly are the most common findings. Usually the patients have no symptoms related with the liver involvement; the clinical manifestation and the long term prognosis depends on the renal and cardiac disease. We report an unusual clinical presentation of primary amyloidosis in a previously asymptomatic 65 years old woman who was admitted to the hospital because of ictericia and ascitis mimicking a drug induced acute hepatic failure.
authors.affiliation: Servicio de Medicina Interna, Hospital Universitario Virgen de la Victoria, Campus de Teatinos, 29017 Málaga.
authors.forename: J C
authors.initials: JC
authors.lastname: Gavilán
authors.forename: F J
authors.initials: FJ
authors.lastname: Bermúdez
authors.forename: A
authors.initials: A
authors.lastname: Márquez
authors.forename: J J
authors.initials: JJ
authors.lastname: Sánchez-Carrillo
authors.forename: P
authors.initials: P
authors.lastname: González-Santos
mesh_terms: D000368:Aged; D000686:Amyloidosis / Q000150:complications*; D002780:Cholestasis, Intrahepatic / Q000209:etiology*; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D017114:Liver Failure, Acute / Q000209:etiology*; D012720:Severity of Illness Index