Multiple Myeloma Light Chain Amyloidosis Presenting as Hepatic Failure.

S D Med 2018 Mar;71(3):112-115

Department of Family Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.

Amyloidosis is characterized by abnormal deposition of aggregations of amyloid fibril proteins. Systemic amyloidosis usually involves multiple organs, with kidneys being the most common organ involved, followed by the heart. In general, the presentation of hepatic amyloidosis varies with minimal or no symptoms commonly seen. Hepatic amyloidosis is rarely associated with multiple myeloma. We report here a case of portal hypertension, ascites, and severe intrahepatic cholestasis as the initial presentation of hepatic amyloidosis and multiple myeloma, which followed a rapidly progressive clinical course.

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March 2018

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