Diagnostic tools for amyloidosis.

Abstract:

:Demonstration of amyloid deposits in biopsy specimens is the only means of confirming the diagnosis of amyloidosis. In experienced hands, nonsurgical biopsies of the rectal mucosa or, preferably, of the abdominal fat pad or labial salivary glands provide the diagnosis in 80 to 85% of cases. Immunolabeling studies help to determine the histological type of amyloidosis but are not performed routinely in everyday practice. In patients with a family history of amyloidosis, studies of the genome and amyloid protein can identify the protein variants capable of causing systemic amyloidosis. Once the diagnosis of amyloidosis is established, the extent of systemic involvement with amyloid should be evaluated by performing renal and hepatic function tests, a proteinuria assay, and an echocardiogram. Scintigraphy with radiolabeled serum amyloid P (SAP) component is a rapid and specific investigation that provides a map of the amyloid deposits. Deposits are usually seen in the liver and spleen. SAP component scintigraphy can provide support for the diagnosis of amyloidosis in patients with negative histological studies. Tissue retention of radioactivity predicts survival.

journal_name

Joint Bone Spine

journal_title

Joint bone spine

authors

Hachulla E,Grateau G

doi

10.1016/s1297-319x(02)00449-9

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

538-45

issue

6

eissn

1297-319X

issn

1778-7254

pii

S1297319X02004499

journal_volume

69

pub_type

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