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Biopsy Evidence of Sequential Transthyretin and Immunoglobulin Light-Chain Cardiac Amyloidosis in the Same Patient.


ABSTRACT: Currently adopted diagnostic flow charts consider transthyretin and light-chain cardiac amyloidosis as mutually exclusive. Here, we report for the first time, to our knowledge, the demonstration of a biopsy-proven dual pathology in an 80-year-old man with sequential development of both wild-type transthyretin amyloidosis and light-chain cardiac amyloidosis cardiomyopathy over a 3-year timespan. (Level of Difficulty: Intermediate.).

SUBMITTER: Vergaro G 

PROVIDER: S-EPMC8311035 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Biopsy Evidence of Sequential Transthyretin and Immunoglobulin Light-Chain Cardiac Amyloidosis in the Same Patient.

Vergaro Giuseppe G   Castiglione Vincenzo V   Poletti Roberta R   Buda Gabriele G   Pucci Angela A   Musetti Veronica V   Genovesi Dario D   Aimo Alberto A   Passino Claudio C   Emdin Michele M  

JACC. Case reports 20210317 3


Currently adopted diagnostic flow charts consider transthyretin and light-chain cardiac amyloidosis as mutually exclusive. Here, we report for the first time, to our knowledge, the demonstration of a biopsy-proven dual pathology in an 80-year-old man with sequential development of both wild-type transthyretin amyloidosis and light-chain cardiac amyloidosis cardiomyopathy over a 3-year timespan. (<b>Level of Difficulty: Intermediate.</b>). ...[more]

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