Recurrent Gastric Hemorrhaging with Large Submucosal Hematomas in a Patient with Primary AL Systemic Amyloidosis : Endoscopic and Histopathological Findings
スポンサーリンク
概要
- 論文の詳細を見る
A 64-year-old woman who suffered intractable gastric ulcers with hemorrhaging showed huge submucosal hematomas in her stomach on the endoscopic examination. Since gastric mucosal biopsy revealed amyloid deposition and IgG λ type M protein was detectable in her serum, she was diagnosed as having primary AL systemic amyloidosis. The gastric hemorrhages did not improve despite intensive medication, so total gastrectomy was performed, resulting in an unfavorable outcome. Massive deposition of amyloid with A λ immunoreactivity was seen on the submucosal vessels in her stomach. This is a rare primary AL systemic amyloidosis case showing recurrent and fatal gastric submucosal hematomas.
- 社団法人 日本内科学会の論文
- 2004-06-01
著者
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Ishikawa Sho-zou
The Department Of Medicine Suwa Red Cross Hospital
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Ikeda Shu-ichi
The Third Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine
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Shinji Akihiro
The Department Of Medicine Suwa Red Cross Hospital
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Shimizu Toshiki
The Department Of Medicine Suwa Red Cross Hospital
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Iijima (dohi)
The Department Of Medicine Suwa Red Cross Hospital
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Hoshii Yoshinobu
The Department Of Pathology Yamaguchi University School Of Medicine
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Ikeda Shu-ichi
The Third Department Of Medicine Shinshu University School Of Medicine
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Ikeda Shu-ichi
The Third Department Of Internal Medicine Shinshu University School Of Medicine
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MUKAWA Kenji
the Department of Medicine, Suwa Red Cross Hospital
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NAKAMURA Tomotugu
the Department of Pathology, Suwa Red Cross Hospital
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MARUYAMA Keiko
the Department of Medicine, Suwa Red Cross Hospital
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Mukawa Kenji
The Department Of Medicine Suwa Red Cross Hospital
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Nakamura Tomotugu
The Department Of Pathology Suwa Red Cross Hospital
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Maruyama Keiko
The Department Of Medicine Suwa Red Cross Hospital
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Iijima-Dohi Naoko
the Department of Medicine, Suwa Red Cross Hospital
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SHIMIZU Toshiki
the Department of Internal Medicine, Iiyama Red Cross Hospital
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