title: [Pleural amyloidosis attesting to generalised amyloidosis].
abstract: During the course of generalised amyloidosis, pulmonary diseases are mainly represented by tracheobronchial involvement and diffuse or nodular parenchymal localizations. The authors report the case of a 61-year-old woman presenting exudative pleural effusion. The diagnosis of generalised amyloidosis in association with multiple myeloma with cardiac and renal involvement was established. A thoracoscopy performed during the investigation of the pleural effusion and the biopsy revealed amyloid deposits in the pleura. The patient died although melphalan/prednisone treatment was initiated. Pleural involvement in amyloidosis is without doubt under-estimated and plays a central role in the creation and persistence of pleural effusion.
authors.affiliation: Service de pneumologie-allergologie , hôpital militaire principal d'instruction de Tunis, 1008 Tunis, Tunisie. chirazaichaouia@yahoo.fr
authors.forename: C
authors.initials: C
authors.lastname: Aichaouia
authors.forename: M R
authors.initials: MR
authors.lastname: Ben Meftah
authors.forename: S
authors.initials: S
authors.lastname: M'hamdi
authors.forename: J
authors.initials: J
authors.lastname: Laabidi
authors.forename: Z
authors.initials: Z
authors.lastname: Moatamri
authors.forename: A
authors.initials: A
authors.lastname: Haddaoui
authors.forename: M
authors.initials: M
authors.lastname: Khadhraoui
authors.forename: R
authors.initials: R
authors.lastname: Cheikh
mesh_terms: D000686:Amyloidosis / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology*