Hepatic Failure in a Case of Multiple Myeloma-associated Amyloidosis (kappa-AL)
Overview
Authors
Affiliations
We report a case of kappa-AL amyloidosis which rapidly developed hepatic failure in a 79-year-old Japanese female who was admitted to our hospital because of abdominal distension and loss of appetite. Laboratory examination revealed a marked deterioration of liver function with cholestasis and monoclonal gammapathy. At the time that the diagnosis of IgG-kappa type multiple myeloma was made, jaundice was advanced, with continuous gastrointestinal bleeding. The patient died of hepatic failure 2 weeks after admission. Needle biopsy of the liver revealed a diffuse, massive deposition of amyloid protein.
Tan J, Liu J, Yao X, Xu Z, Wu Y, Shi X Transl Cancer Res. 2024; 13(7):3328-3337.
PMID: 39145085 PMC: 11319959. DOI: 10.21037/tcr-24-330.
Amyloidosis: A Rare Cause of Severe Cholestasis and Acute Liver Failure.
Kim H, Tomaszewski M, Lam E, Xiong W, Moosavi S ACG Case Rep J. 2021; 7(12):e00479.
PMID: 34604435 PMC: 8483873. DOI: 10.14309/crj.0000000000000479.
Liver failure due to relapsed myeloma and hepatic iron overload.
Chaulagain C, Gonzalez A, Goldszer I, Caraballo L, Hoffman J, Elson L Ecancermedicalscience. 2020; 14:1028.
PMID: 32368253 PMC: 7192399. DOI: 10.3332/ecancer.2020.1028.
Khan M, Rashid M, Ullah W, Hussain I, Hurairah A BMJ Case Rep. 2020; 13(1).
PMID: 31996385 PMC: 7021185. DOI: 10.1136/bcr-2019-231563.
A Rare Presentation of Multiple Myeloma: A Case Report of Hepatic Amyloidosis.
Sadeghi A, Nejati M, Moghaddas A Iran J Med Sci. 2019; 44(4):342-346.
PMID: 31439978 PMC: 6661521. DOI: 10.30476/IJMS.2019.44953.