Two forms of amyloidosis presentation in ENT

Authors

  • Maria Inês Silva Interna do Internato Complementar do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal
  • Hugo Rodrigues Interno do Internato Complementar do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal
  • Sara Tavares Interna do Internato Complementar do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal
  • Carla André Assistente Hospitalar do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal
  • Maria Helena Rosa Assistente Hospitalar Graduada do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal
  • Mário Santos Assistente Hospitalar Graduado do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal
  • Luís Antunes Director do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial do Hospital Garcia de Orta, Portugal

DOI:

https://doi.org/10.34631/sporl.94

Keywords:

systemic amyloidosis, localized amyloidosis, macroglossia, larynx

Abstract

Objective: To report two cases of amyloidosis with clinical
presentation in Otolaryngology, as well as a theoretical review
about its pathology, including clinical presentation, diagnosis
and therapeutic options.

Methods: A retrospective study was made with two cases of
amyloidosis diagnosed in our department between 2003 and
2010. We present a case of primary systemic amyloidosis
associated with Multiple Myeloma, with presentation in
Otolaryngology, and a second case of localized amyloidosis in
the larynx.

Results: Amyloidosis, either in its localized or systemic form, is
relatively rare in Otolaryngology. However, macroglossia is a
common symptom of systemic amyloidosis, occurring in up to
20% of patients. The localized amyloidosis primarily affects the
larynx, thus being of great importance to the otolaryngologist.

Conclusions: Amyloidosis should be part of the differential
diagnosis in head and neck lesions, with mandatory exclusion
of its systemic form.

References

Dhodapkar M, Bellotti V, Merlini G. Amyloidosis. In: Churchill Livingstone (Eds.) Hematology: Basic Principles and Practice, Philadelphia 3rd edition; 2000:pp1416-32.

Sipe J, Cohen A. Amiloidose. In: McGraw-Hill (Eds.) Harrison Medicina Interna, Volume II, 16ª edição, Rio de Janeiro; 2006:pp. 2123-28.

Lobato L. Classificação das Amiloidoses, Sinapse. Volume 6, n.º 1, 2006:pp. 68-73.

Kumar V, Cotran R, Robbins S. Amyloidosis. In: Saunders (Eds.), Robbins Basic Pathology, 7th edition, Philadelphia, 2003:pp.158-64.

Lachmann HJ, Goodman HJB, Gilbertson JA, Gallimore JR, Sabin CA, Gillmore JD, Hawkins PN. Natural History and Outcome in Systemic AA Amyloidosis. N Engl J Med. 2007Jun;356:2361-72.

Moorhead JC. Head and neck manifestations of amyloidosis, the Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences www.bcm.tmc.edu/oto/grand/4992. Acedido em Março 10, 2003

Valera FCP, Fomin DS, Maggioni GS, Grellet M. Amiloidose localizada laríngea: relato de caso e revisão de literatura. Rev Bras Otorrinolaringol. 2004 jun;70(3):423-6

Tas E., Sahin E., Localizes Amyloidosis of the upper Respiratory System: Our experience of three cases and review of article. The Internet Journal of Head and Neck Surgery 2001: Volume 1 Number 1.

www.ispub.com/journal/the_internet_journal_of_head_and_neck_surgery Acedido em Nov 06, 2010

Thompson LDR, Derringer GA, Wenig BM. Amyloidosis of the Larynx: A Clinicopathologic Study of 11 cases. The United States and Canadian Academy of Pathology. 2000 13(5): 528-34.

Passerotti GU, Caniello M, Hachiya A, Santoro PP, Imamura R, Tsuyi DH. Multiple-sited amyloidosis in the upper aerodigestive tract: case report and literature review. Rev Bras Otorrinolaringol 2008;74(3):462-6

Kennedy TL, Patel NM. Surgical management of localized amyloidosis. Laryngoscope 2000; 110: 918-23

Lewis JE, Olsen KD, Kurtin PJ, Kyle RA. Laryngeal amyloidosis: a clinicopathologic and immunohistochemical review. Otolaryng. Head and Neck Surg 1992; 106: 372-7

How to Cite

Silva, M. I., Rodrigues, H., Tavares, S., André, C., Rosa, M. H., Santos, M., & Antunes, L. (2012). Two forms of amyloidosis presentation in ENT. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 50(2), 159–164. https://doi.org/10.34631/sporl.94

Issue

Section

Case Report