Primary amyloidosis presenting with predominant lymphnodal masses.
A 50 year young farmer presented with clinical features of bilateral carpal tunnel syndrome and generalized lymphadenopathy including paratracheal and retroperitoneal lymphodes. The histological diagnosis confirmed primary amyloidosis of lymphnodes. Presentation of primary amyloidosis as lymphnodal mass with deposition of amyloid in carpal tunnel is extremely rare and can only be diagnosed by histochemistry. The clinical response to drugs is variable and needs surgical intervention for decompressive therapy which can improve the symptoms of carpal tunnel syndrome.
Department of Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221 005.
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D
Kumar
A C
AC
Singh
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P
Neehar
Usha
R
R
Tandon
K
K
Tripathi
D000686:Amyloidosis / Q000175:diagnosis* / Q000473:pathology; D002349:Carpal Tunnel Syndrome / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged