Amyloidosis in a patient with confusing RA and PsA manifestation: a case report

A. Ahmadzadeh, S. Basiri
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Abstract

Amyloidosis is a rare condition that develops when an irregular protein called amyloid accumulates in the organs and interferes with their normal function. In conjunction with other disorders such as rheumatoid arthritis (RA) and psoriasis, amyloidosis may occur due to a chronic inflammatory process. With treatment of the underlying disease, amyloidosis can be addressed. Certain forms of amyloidosis can lead to life-threatening organ failure. In fact, it can involve the heart, kidneys, and nervous system. As the signs and symptoms can imitate those of more common illnesses, amyloidosis is sometimes ignored. Early diagnosis may help minimize additional injury to organs. Precise diagnosis is important because based on the individual case, care differs greatly. Herein, we present a patient who was referred to our hospital with some manifestations of RA and psoriatic arthritis (PsA) that were compatible with amyloidosis and discuss the treatment of this patient.
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混淆RA和PsA表现的淀粉样变1例报告
淀粉样变性是一种罕见的疾病,当一种叫做淀粉样蛋白的不规则蛋白质在器官中积累并干扰其正常功能时,就会发展成淀粉样变性。与其他疾病如类风湿关节炎(RA)和牛皮癣一起,淀粉样变可能由于慢性炎症过程而发生。通过治疗基础疾病,淀粉样变性可以得到解决。某些形式的淀粉样变可导致危及生命的器官衰竭。事实上,它可以涉及心脏、肾脏和神经系统。淀粉样变的体征和症状与其他常见疾病相似,因此有时会被忽视。早期诊断可能有助于减少对器官的额外损伤。准确的诊断很重要,因为根据个别病例,治疗方法差别很大。在此,我们报告一位转诊至我院的患者,其RA和银屑病关节炎(PsA)的一些表现与淀粉样变相一致,并讨论该患者的治疗。
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