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Amyloidosis with recurrent oral and peptic ulcers mimicking Behcet's syndrome: A case report

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收录情况: ◇ ESCI ◇ 中华系列

机构: [1]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China [2]Beijing Tongren Hosp, Dept Rheumatol & Immunol, Beijing, Peoples R China
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关键词: amyloidosis Behcet's syndrome ulcer

摘要:
Introduction: Amyloidosis and Behcet's syndrome (BS) are systemic diseases that affect multiple systems. Similar mucocutaneous damage occurs in amyloidosis and BS, thus causing a delayed or incorrect diagnosis. The prognosis of patients with amyloidosis is poor. Therefore, exclusion of other diagnoses is important before confirming the presence of BS. Case Report: We report a case of a 43-year-old woman who initially presented with peptic ulcers, recurrent oral ulcers, and suspicious genital ulcers resembling BS. She was treated with systemic steroids at the local hospital for approximately 2 years. However, her symptoms were not relieved, and the gradual presence of macroglossia, hoarseness, periorbital purpura, proteinuria, and cardiac involvement strongly suggested amyloidosis. She was diagnosed with immunoglobulin light chain amyloidosis (lambda type) after extensive examinations, including an elevated monoclonal protein concentration, Congo red staining, and immunohistochemical staining of abdominal fat. She was then treated with a chemotherapy regimen (melphalan and dexamethasone). Conclusion: Recurrent oral ulcers can be the first manifestation of amyloidosis. The diagnosis of BS requires the exclusion of other diseases, and amyloidosis should be considered as a differential diagnosis.

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大类 | 4 区 医学
小类 | 4 区 免疫学 4 区 风湿病学
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最新[2023]版:
Q4 IMMUNOLOGY Q4 RHEUMATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版]

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第一作者机构: [1]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China [2]Beijing Tongren Hosp, Dept Rheumatol & Immunol, Beijing, Peoples R China
通讯作者:
通讯机构: [1]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China [*1]Department of Rheumatology andImmunology, Peking University People'sHospital, Beijing 100044, China.
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