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Case 3/2014--81-year-old patient hospitalized for decompensated heart failure.

Madaloso BA, Gutierrez PS - Arq. Bras. Cardiol. (2014)

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

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JJSA is an 81-year-old male patient hospitalized for decompensated heart failure... arterial pressure of 90/70 mmHg... Chest auscultation revealed decreased breath sounds at the The patient underwent cardioversion and sinus rhythm was maintained (Figure 4) with amiodarone (600 mg daily)... The dyspnea ameliorated and the patient remained hemodynamically stable... The patient always experienced dyspnea on moderate exertion and there were several episodes 66 mg/dL, glucose 78 mg/dL, and PT-INR 1.6... The urinalysis results were as follows: density An 81-year-old man hospitalized for worsening dyspnea... scintigraphy has an important role as it diagnoses 30%-50% cases, although it may have a high rate of inconclusive results... Amyloid deposition was very significant in vessel walls... The bone marrow sample analyzed during autopsy did not exhibit plasmocyte proliferation; however, we cannot

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Histological section adjacent to that of Figure6, with immunoperoxidase labeling for lambda light chain, showingpositivity in the same areas of the amyloid deposition. Objective magnification:10×.
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f08: Histological section adjacent to that of Figure6, with immunoperoxidase labeling for lambda light chain, showingpositivity in the same areas of the amyloid deposition. Objective magnification:10×.

Mentions: To investigate amyloidosis, we performed immunohistochemical analysis of immunoglobulinlight chains. Kappa light-chain staining was negative and lambda light-chain stainingwas positive (Figure 8), indicating that thepatient probably had multiple myeloma. Supporting this was the fact that he hadpancytopenia and systemic signs compatible with neoplasia. In the bone marrow sampleobtained at autopsy (rib, Figure 9), there was noplasmacytic proliferation or amyloid deposition; however, we cannot completely rule outthe possibility that the disease was present in other locations.


Case 3/2014--81-year-old patient hospitalized for decompensated heart failure.

Madaloso BA, Gutierrez PS - Arq. Bras. Cardiol. (2014)

Histological section adjacent to that of Figure6, with immunoperoxidase labeling for lambda light chain, showingpositivity in the same areas of the amyloid deposition. Objective magnification:10×.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126765&req=5

f08: Histological section adjacent to that of Figure6, with immunoperoxidase labeling for lambda light chain, showingpositivity in the same areas of the amyloid deposition. Objective magnification:10×.
Mentions: To investigate amyloidosis, we performed immunohistochemical analysis of immunoglobulinlight chains. Kappa light-chain staining was negative and lambda light-chain stainingwas positive (Figure 8), indicating that thepatient probably had multiple myeloma. Supporting this was the fact that he hadpancytopenia and systemic signs compatible with neoplasia. In the bone marrow sampleobtained at autopsy (rib, Figure 9), there was noplasmacytic proliferation or amyloid deposition; however, we cannot completely rule outthe possibility that the disease was present in other locations.

View Article: PubMed Central - PubMed

Affiliation: Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

JJSA is an 81-year-old male patient hospitalized for decompensated heart failure... arterial pressure of 90/70 mmHg... Chest auscultation revealed decreased breath sounds at the The patient underwent cardioversion and sinus rhythm was maintained (Figure 4) with amiodarone (600 mg daily)... The dyspnea ameliorated and the patient remained hemodynamically stable... The patient always experienced dyspnea on moderate exertion and there were several episodes 66 mg/dL, glucose 78 mg/dL, and PT-INR 1.6... The urinalysis results were as follows: density An 81-year-old man hospitalized for worsening dyspnea... scintigraphy has an important role as it diagnoses 30%-50% cases, although it may have a high rate of inconclusive results... Amyloid deposition was very significant in vessel walls... The bone marrow sample analyzed during autopsy did not exhibit plasmocyte proliferation; however, we cannot

Show MeSH
Related in: MedlinePlus