Identificou-se que raramente ocorre em pacientes abaixo dos 70 anos. Diante disso propomos um fluxograma norteador para o manejo destes pacientes Figuras 2 e 3. TTR: transtirretina. A medida da espessura do septo interventricular pode sugerir o tipo de amiloidose presente no paciente, sendo frequentemente maior nos casos de amiloidose por TTR do que a forma AL, podendo em muitos casos ser superior a 20 mm. Trends in prevalence and outcome of heart failure with preserved ejection fraction. N Engl J Med.
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Arthritis Rheum. Rapid and complete resolution of proteinuria due to renal amyloidosis in a patient with rheumatoid arthritis treated with infliximab. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
Services on Demand Journal. Av Brigadeiro Luiz Antonio, - Cj How to cite this article.
Isolated Primary Amyloidosis of the Inferior Rectus Muscle Mimicking Graves' Orbitopathy
The diagnosis of Graves' orbitopathy is usually straightforward. However, orbital diseases that mimick some clinical signs of Graves' orbitopathy may cause diagnostic confusion, particularly when associated to some form of thyroid dysfunction. This report describes the rare occurrence of localized inferior rectus muscle amyloidosis in a patient with autoimmune hypothyroidism, who was misdiagnosed as Graves' orbitopathy. A year-old man complained of painless progressive proptosis on the left side and intermittent vertical diplopia for 6 months. The diagnosis of Graves' orbitopathy was entertained after magnetic resonance imaging revealing a markedly enlarged, tendon-sparing inferior rectus enlargement on the left side, and an autoimmune hypothyroidism was disclosed on systemic medical workup. After no clinical improvement with treatment, the patient was referred to an ophthalmologist and further investigation was performed.
Mueller OS. Kyle RA. Amyloidosis: a convoluted story. Br J Haematol.