[Pleural amyloidosis attesting to generalised amyloidosis].
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.
Aichaouia
C
C
Service de pneumologie-allergologie , hôpital militaire principal d'instruction de Tunis, 1008 Tunis, Tunisie. chirazaichaouia@yahoo.fr
Ben Meftah
M R
MR
M'hamdi
S
S
Laabidi
J
J
Moatamri
Z
Z
Haddaoui
A
A
Khadhraoui
M
M
Cheikh
R
R
D000686:Amyloidosis / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010995:Pleural Diseases / Q000209:etiology*