Hereditary Gelsolin Amyloidosis Mimicking Sjögren's Syndrome

Overview

Journal Clin Rheumatol

Publisher Springer

Specialty Rheumatology

Date 2009 Aug 25

PMID 19701715

Citations 4

Authors

Pirjo Juusela

Maarit Tanskanen

Anja Nieminen

Veli-Jukka Uitto

Harri Blafield

Sari Kiuru-Enari

Affiliations

Soon will be listed here.

Abstract

Hereditary gelsolin amyloidosis (AGel amyloidosis) belongs to the wide group of amyloidotic diseases, which comprise various hereditary but also sporadic forms, such as inflammation-associated AA amyloidosis, primary or myeloma-associated AL amyloidosis and common Alzheimer's disease and type II diabetes-associated local amyloidoses. AGel amyloidosis caused by a gelsolin G654A gene mutation is autosomally dominantly inherited and presents typically in the 30s with progressive corneal lattice dystrophy, followed by cutis laxa and cranial polyneuropathy. Here, we present a case of sicca syndrome, originally diagnosed as primary Sjögren's syndrome (SS) but later found to represent an initial disease manifestation of AGel amyloidosis, not recognised earlier. This case emphasises both the importance of specific amyloid stainings and comprehensive salivary gland histopathology as well as family history in SS differential diagnostics.

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