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Tongue Amyloidosis
Amyloidosis of Tongue

Presentation

RESULTS: Six cases of localized tongue amyloidosis presented to the Mayo Clinic between 1969 and 2011. Mean patient age was 69 years (range, 43-90). Patients presented with asymptomatic tongue mass(es). [ncbi.nlm.nih.gov]

A case of localized deposition of systemic amyloidosis secondary to multiple myeloma is reported in a 63-year-old female presenting with restricted tongue movement in the dental setting. [dental-update.co.uk]

Non specific presentation delays 1-2 years in reaching the diagnosis. In our case, the presenting symptoms are fatigue, weight loss, breathlessness, reduced taste perception and mucocutaneous presentations. [edoj.org.eg]

The other two patients without myeloma presented with typical waxy lesions on the face. [8] Our case also presented with typical purpuric patches and waxy nodules around the eyes, nose, and mouth. [jdrntruhs.org]

Jaw & Teeth

  • Macroglossia

    Dent Update 2016; 43: 641-647 Read article Oral medicine: Amyloidosis Presenting as Macroglossia and Restricted Tongue Movement CPD : 0:24 (closed) Self assess Feedback : 0 comments, 0 ratings Abstract: Amyloidosis (AL) is a well recognized cause of macroglossia [dental-update.co.uk]

    Discussion: While macroglossia is thought to be pathognomonic of AL amyloidosis, we report a case of macroglossia with fibrillar ATTR amyloid deposits diagnosed by immuno-electron microscopy. [bloodjournal.org]

    Macroglossia means an enlarged tongue. It may be absolute (greater than the 95 th centile) or relative (enlarged compared with oral cavity). [radiopaedia.org]

    Of course, amyloidosis should not be the first consideration in a case of macroglossia. [the-medical-dictionary.com]

    Pale skin, sparse hair, periorbital puffiness, and macroglossia may sometimes progress to a stuporous state and generalized edema. [aafp.org]

  • Lesion of the Tongue

    Incisional biopsy was done from one of the nodular lesions in the tongue with the diagnostic possibilities of carcinoma tongue/myeloma infiltration. [jomfp.in]

    The biopsy of the excised lesion of the tongue revealed subepithelial accumulation of an amorphous, nodular, fibrillar material positive for Congo red. [link.springer.com]

    Purpuric lesions were the only presenting symptom of the patient with myeloma, and only on investigations multiple myeloma was detected. [jdrntruhs.org]

    The diagnosis was established on the basis of classical cutaneous lesions. Diagnosis was confirmed by tongue biopsy using Haematoxylin and Eosin staining and crystal violet staining. Polarized microscopy was not done because of unavailability. [edoj.org.eg]

Workup

An extensive workup to differentiate systemic and localized amyloidosis required to treat underlying pathology and to prevent organ damage. [saudijos.org]

Treatment

Comprehensive amyloidosis treatment Team-based care is essential if amyloidosis affects tissues and organs throughout your body, as it often does. [seattlecca.org]

What is the treatment for amyloidosis? There is no cure for amyloidosis. The treatment of amyloidosis depends on the type of amyloidosis involved. [medicinenet.com]

Treatment for amyloidosis The aims of treatment are to prevent further deposits of amyloid proteins and ease the symptoms. Treatment options depend on the form of amyloidosis, what organs are affected and the associated symptoms. [betterhealth.vic.gov.au]

The genetic testing is required as the course of treatment is completely different for these two forms of the disease. Treatment of Amyloidosis The treatments for each type of amyloidosis differ. [chipmiller.org]

Liver transplantation has been used most successfully for treatment of FAP. [intelligentdental.com]

Prognosis

Objective: To assist GDPs in the detection of early warning signs of multiple myeloma and amyloidosis to help improve the prognosis of patients with these conditions. [dental-update.co.uk]

The prognosis is uncertain, owing to the rarity of the condition, requiring regular follow-up and monitoring. [ncbi.nlm.nih.gov]

The presence of myeloma yields a poor prognosis for the patient. [intelligentdental.com]

Amyloidosis associated by multiple myeloma usually has a poor prognosis. Most patients with both diseases die within one to two years. Prevention Genetic couseling may be helpful for patients with hereditary amyloidosis and their families. [encyclopedia.com]

The prognosis depends on the type of amyloidosis and the organ system that is affected. Involvement of the heart is the most dangerous form and can have a bleak prognosis. [merckmanuals.com]

Etiology

Etiology The etiology of BMS is unknown. Although a variety of causes have been mentioned in the literature, the most common one being an underlying psychiatric disorder, there is no proven causative etiological factor. [pocketdentistry.com]

Our patient's weight loss and the presence of the submandibular mass initially led us to consider a malignant etiology, but this theory was not supported by imaging and laboratory findings. [the-medical-dictionary.com]

He underwent extensive tests to identify the etiologies associated with systemic amyloidosis. [jmedicalcasereports.biomedcentral.com]

It is a plasma cell dyscrasia of unknown etiology with the production of monoclonal chains. [saudijos.org]

[…] least common form, with few previously reported cases. 8 Notably, central nervous system amyloidomas are a different entity from systemic amyloidosis or from the more common congophilic amyloid angiopathy. 27 They occur in isolation and have no known etiologic [ajnr.org]

Epidemiology

Epidemiology The estimated prevalence is approximately 1 %. Geographic tongue may occur on all ages, even in young children. [pocketdentistry.com]

Systemic complications of acromegaly: epidemiology, pathogenesis, and management. Endocr Rev. 2004;25(1):102–152. 5. Xavier SD, Bussoloti IF, Müller H. Macroglossia secondary to systemic amyloidosis: case report and literature review. [aafp.org]

Epidemiology of multiple myeloma. In Wiernik P H, Canellos G P, Kyle P A, Schiffer C A (Eds) Neoplastic diseases of the blood. Vol 1, 2 nd ed. pp 347–372. [nature.com]

Epidemiology United States Annually, one to five cases of immunoglobulin-related amyloidosis per 100,000 people occur. [emedicine.medscape.com]

[…] concentration of serum amyloid A protein. [7] People with ATTR have better prognosis and may survive for over a decade. [6] Senile systemic amyloidosis was determined to be the primary cause of death for 70% of people over 110 who have been autopsied. [20] [21] Epidemiology [en.wikipedia.org]

Pathophysiology

Amyloidosis: a clinic-pathophysiological synopsis. Semin Cell Develop Biol. 2004;15:39–44. CrossRef Google Scholar 3. Westermark P, Benson MD, Buxbaum JN, et al. A primer of amyloid nomeclature. Amyloid. 2007;14:179–83. [link.springer.com]

"Leukocyte Cell-Derived Chemotaxin-2: It's Role in Pathophysiology and Future in Clinical Medicine". Clinical and Translational Science. 10 (4): 249–259. doi : 10.1111/cts.12469. PMC 5504477. [en.wikipedia.org]

Pathophysiology The most common light chain–type amyloidosis precursor proteins are L chains of the lambda (l) class. [emedicine.medscape.com]

Islet amyloid and type 2 diabetes; from molecular misfolding to islet pathophysiology. Biochim Biophys Acta. 2001;1537:179-203. Sanchorawala V, Wright DG, Seldin DC, et al. [rarediseases.org]

Prevention

Prevention Because no one knows what causes amyloidosis, there is no way to prevent primary amyloidosis. Secondary amyloidosis can be prevented only by preventing or promptly treating the inflammatory disease that can trigger amyloidosis. [drugs.com]

These treatments can give your body time to gradually clear the deposits before they build up again, and can help prevent organ damage. In most cases, the treatment will involve having chemotherapy. [nhs.uk]

Is it possible to prevent amyloidosis? There is no prevention for amyloidosis. However, the secondary forms of amyloidosis can be prevented by treating the underlying diseases that are associated with inflammation. [medicinenet.com]

The aims of treatment are to prevent further deposits of amyloid proteins and ease the symptoms. [betterhealth.vic.gov.au]

NCI comprehensive cancer center We are a comprehensive cancer center, a designation from the National Cancer Institute that reflects our scientific leadership and the depth and breadth of our research to prevent, diagnose and treat cancer. [seattlecca.org]

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