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Journal of Education, Health and Sport

Diagnostic problems of rare diseases - amyloidosis. A case report
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Diagnostic problems of rare diseases - amyloidosis. A case report

Authors

  • Hanna Senat Faculty of Medicine, Wroclaw Medical University, Wybrzeże L. Pasteura 1, 50-367 Wroclaw, Poland https://orcid.org/0009-0009-3862-5827
  • Patrycja Grabowska Faculty of Medicine, Wroclaw Medical University, Wybrzeże L. Pasteura 1, 50-367 Wroclaw, Poland https://orcid.org/0009-0000-3171-2746
  • Aleksandra Senat Student Scientific Circle of Neurology, Faculty of Medicine, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland https://orcid.org/0009-0000-2523-4370
  • Patrycja Bolla Faculty of Medicine, Wroclaw Medical University, Wybrzeże L. Pasteura 1, 50-367 Wroclaw, Poland https://orcid.org/0009-0009-6118-2104
  • Aleksandra Madej University hospital, Zyty 26, 65-046 Zielona Gora, Poland https://orcid.org/0009-0006-7757-8363
  • Iwona Matus Faculty of Medicine, Wroclaw Medical University, Wybrzeże L. Pasteura 1, 50-367 Wroclaw, Poland https://orcid.org/0009-0008-5052-7202
  • Natalia Janicka Departament of Neurology, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland https://orcid.org/0009-0002-1097-2287
  • Zuzanna Marczynska Jan Mikulicz-Radecki University Teaching Hospital, Borowska 213, 50-556 Wrocław, Poland https://orcid.org/0009-0007-5162-9836

DOI:

https://doi.org/10.12775/JEHS.2024.56.003

Keywords

cardiac amyloidosis, amyloid, heart failure, brain failure, amyloidosis AL, amyloidosis treatment

Abstract

The presented case study focuses on the complexities and challenges in diagnosing
one of the forms of amyloidosis, where abnormal protein (amyloid) deposits in various
organs and tissues lead to affection of many organs, especially the heart, kidneys, liver,spleen, and occasionally the central nervous system. Its aetiology remains largely unknown,
making diagnosis and treatment particularly challenging.
This report details the case of an 88-year-old patient, disabled for months (with a
modified Rankin Scale score of 4), who presented to the Neurology Department with sudden
right limb paresis and speech disorders. Initial assessments indicated suggested ischemic
stroke, and patients received thrombolysis. Further laboratory tests and imaging, including
serum protein electrophoresis and computer tomograph (CT) scans, suggested transthyretin
amyloidosis (ATTR), which was later confirmed through genetic testing.
This case underscores the rapid, multi-organ progression of amyloidosis and its
devastating impact, highlighting the necessity for early diagnosis and a multidisciplinary
treatment approach.
Despite ongoing research, the pathogenesis of amyloidosis remains elusive, and
current treatment options are primarily symptomatic. This study aims to shed light on the
diagnostic difficulties and the urgent need for timely intervention in amyloidosis cases.

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Published

2024-02-01

How to Cite

1.
SENAT, Hanna, GRABOWSKA, Patrycja, SENAT, Aleksandra, BOLLA, Patrycja, MADEJ, Aleksandra, MATUS, Iwona, JANICKA, Natalia and MARCZYNSKA, Zuzanna. Diagnostic problems of rare diseases - amyloidosis. A case report. Journal of Education, Health and Sport. Online. 1 February 2024. Vol. 56, pp. 37-53. [Accessed 4 July 2025]. DOI 10.12775/JEHS.2024.56.003.
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Vol. 56 (2024)

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Medical Sciences

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Copyright (c) 2024 Hanna Senat, Patrycja Grabowska, Aleksandra Senat, Patrycja Bolla, Aleksandra Madej, Iwona Matus, Natalia Janicka, Zuzanna Marczynska

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