Abstract
Amyloidosis combines diseases that are characterized by extracellular deposition of a specific insoluble fibrillar amyloid protein. The prevalence of amyloidosis is an average of 10 cases per 100 thousand people. The clinic of the disease is polymorphic and depends on the organ with amyloid deposition. The article discusses the clinical case of systemic amyloidosis with damage to the stomach, liver and other organs. The differential diagnosis was carried out with tuberculosis, cancer, cirrhosis. The final diagnosis was made by histological examination of biopsy samples of the liver and stomach. Difficulties in diagnosing primary amyloidosis are due to the attrition and non‑specificity of the clinical picture of the disease. Amyloidosis is diagnosed based on organ biopsy data.
Highlights
Amyloidosis combines diseases that are characterized by extracellular deposition of a specific insoluble fibrillar amyloid protein
The prevalence of amyloidosis is an average of 10 cases per 100 thousand people
The article discusses the clinical case of systemic amyloidosis with damage
Summary
По поводу данного состояния находилась на стационарном лечении с диагнозом «гипертоническая болезнь, легочная гипертензия неуточненного генеза». Заключение: реактивный плеврит; при клиническом анализе крови – легкая гиперхромная макроцитарная анемия ретикулоциты; КТ головного мозга: признаки сосудистой энцефалопатии; МРТ брюшной полости: гепатомегалия, наличие жидкости в плевральных полостях, полости малого таза и в скудном количестве в брюшной полости; КТ органов грудной клетки: застой в малом круге кровообращения, двусторонний малый гидроторакс, дисателектазы в задне-базальных сегментах, минимальный гидроперикард, 46 Медицинский алфавит No 2 / 2020. Находилась на лечении 2 недели, выписана с диагнозом «гипертоническая болезнь II стадии, 1-й степени, риск – 3 ССО.
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