Severe hand pain as an extracardiac manifestation of transthyretin amyloidosis

Sneha N. Patel, Sai Krishna Koyoda, Daniel Schwartz, Bibi Ayesha

Research output: Contribution to journalArticle

Abstract

Transthyretin amyloidosis is a multisystemic disease caused by the aggregation of amyloid fibrils, resulting in high morbidity and mortality in the presence of cardiac involvement. Patients often experience vague symptoms that make amyloidosis difficult to diagnose. Differential diagnosis for hand pain in a patient with systemic amyloidosis is broad. We present a patient with severe hand cramping and inability to perform activities of daily living. This preceded a new diagnosis of familial amyloid cardiomyopathy. The patient was a poor responder to systemic corticosteroids, anti-inflammatories and anticonvulsant therapy. Her unique presentation gives insight into a rare but debilitating disorder and the potential link between amyloidosis and other disease processes.

Original languageEnglish (US)
Article numbere229677
JournalBMJ case reports
Volume12
Issue number10
DOIs
StatePublished - Oct 1 2019

Fingerprint

Amyloidosis
Hand
Pain
Amyloid
Activities of Daily Living
Cardiomyopathies
Anticonvulsants
Adrenal Cortex Hormones
Differential Diagnosis
Anti-Inflammatory Agents
Morbidity
Mortality
Amyloidosis, Hereditary, Transthyretin-Related
Therapeutics

Keywords

  • arrhythmias
  • heart failure
  • musculoskeletal syndromes
  • peripheral nerve disease
  • rheumatology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Severe hand pain as an extracardiac manifestation of transthyretin amyloidosis. / Patel, Sneha N.; Koyoda, Sai Krishna; Schwartz, Daniel; Ayesha, Bibi.

In: BMJ case reports, Vol. 12, No. 10, e229677, 01.10.2019.

Research output: Contribution to journalArticle

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