Light chain myeloma with oro-pharyngeal amyloidosis presenting as bulbar paralysis.

Abstract:

:A 53-year old woman developed slowly progressive dysarthria, mild enlargement of the tongue and dysphagia since 1 year ago. All neurological differential diagnoses that could have explained the bulbar symptoms were excluded. The swallowing sequence was pathologic and immunoglobulins were markedly reduced. A bone marrow biopsy revealed light chain myeloma grade III. Amyloid deposits were found in the tongue but not in the kidneys. Oro-pharyngeal amyloidosis was held responsible for the described complaints. It is concluded that multiple myeloma must be considered in the differential diagnosis of bulbar paralysis and that biopsy of specific lesions is necessary to confirm local amyloidosis.

journal_name

J Neurol Sci

authors

Finsterer J,Wogritsch C,Pokieser P,Vesely M,Ulrich W,Grisold W,Mamoli B

doi

10.1016/s0022-510x(96)05326-9

subject

Has Abstract

pub_date

1997-04-15 00:00:00

pages

205-8

issue

2

eissn

0022-510X

issn

1878-5883

pii

S0022510X96053269

journal_volume

147

pub_type

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