| Home | E-Submission | Sitemap | Contact Us |  
The Korean Journal of Medicine 2009;77(4): 531-535.
만성 통풍결절 환자에서 발생한 위장관 아밀로이드증 1예
김세현, 윤규현, 한우진, 한재준, 최효진, 백한주
Gastrointestinal amyloidosis secondary to chronic tophaceous gout
Sei-Hyun Kim, Kyu-Hyun Yoon, Woo-Jin Han, Jae-Jun Han, Hyo-Jin Choi, Han-Joo Baek
Secondary amyloidosis is associated with infectious, inflammatory, or neoplastic disorders. Gouty arthritis, unlike other forms of chronic inflammatory arthritis, is not usually associated with amyloidosis. A 70‐year‐old man was admitted because of generalized edema, anorexia, and diarrhea. He had been diagnosed with gouty arthritis 12 years earlier and took over-the-counter medication during acute attacks. The physical examination revealed multiple tophi on his ears, right hand, and right foot. No evidence of amyloidosis involving the heart or bone marrow was detected. Biopsy of the antrum, duodenum, ileum, and descending colon showed green birefringence with Congo red stain. Immunohistochemistry was strongly positive for amyloid A. We diagnosed him as having secondary gastrointestinal amyloidosis AA with chronic tophaceous gouty arthritis. Allopurinol was administered and oral prednisolone was increased. However, he died from septic shock 25 days after admission. (Korean J Med 77:531-535, 2009)
Keywords: Gout; Amyloidosis
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Supplementary Material  Supplementary Material
Differential diagnosis and treatment of chronic cough  2010 November;79(5)
Editorial Office
101-2501, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-2271-6791   Fax: +82-2-790-0993    E-mail: kaim@kams.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © The Korean Association of Internal Medicine. All rights reserved.                powerd by m2community