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Primary Amyloidosis Presenting as Sjögren's Syndrome
Howard K. Gogel, MD;
Robert P. Searles, MD;
Nicholas A. Volpicelli, MD;
Gibbons G. Cornwell III, MD
Arch Intern Med. 1983;143(12):2325-2326.
Abstract
• A patient had severe sicca complex. Histopathologic and immunologic examination of the salivary glands showed amyloid fibril infiltration, type A VI. To our knowledge, this is the first documentation of immunologically characterized primary amyloidosis causing the sicca complex. The sicca complex is usually associated with Sjögren's syndrome and the presence of autoantibodies to SSA and SSB. These antibodies were absent in our patient, despite the severity of the sicca syndrome. The clinician should consider more unusual causes of the sicca complex, eg, amyloidosis, particularly if the serologic markers of antibodies to SSA and SSB are absent. Tissue typing the amyloid protein diagnosed primary amyloidosis, obviating the need to search for underlying disease.
(Arch Intern Med 1983;143:2325-2326)
Author Affiliations
From the Department of Medicine, University of New Mexico School of Medicine (Drs Gogel and Volpicelli), and the Research Division, Lovelace Medical Foundation (Dr Searles), Albuquerque; and the Department of Medicine, Dartmouth Medical School, Hanover, NH (Dr Cornwell).
Footnotes
Accepted for publication April 25, 1983.
Reprint requests to the Department of Medicine, Division of Gastroenterology, University of New Mexico School of Medicine, Albuquerque, NM 87131 (Dr Gogel).
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