Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient

The DNA analysis revealed a transthyretin amyloidosis with a rare Phe53Leu mutation in a woman of 62 y.o. with the late onset progressive generalized axonal sensomotor neuropathy, dry eye syndrome, and an episode of severe unintentionally weight loss. The same mutation was found in her healthy 34 y....

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Main Authors: E. S. Naumova, S. S. Nikitin, T. A. Adyan, D. S. Druzhinin, V. A. Varshavskiy
Format: Article
Language:Russian
Published: ABV-press 2018-04-01
Series:Нервно-мышечные болезни
Subjects:
Online Access:https://nmb.abvpress.ru/jour/article/view/263
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author E. S. Naumova
S. S. Nikitin
T. A. Adyan
D. S. Druzhinin
V. A. Varshavskiy
author_facet E. S. Naumova
S. S. Nikitin
T. A. Adyan
D. S. Druzhinin
V. A. Varshavskiy
author_sort E. S. Naumova
collection DOAJ
description The DNA analysis revealed a transthyretin amyloidosis with a rare Phe53Leu mutation in a woman of 62 y.o. with the late onset progressive generalized axonal sensomotor neuropathy, dry eye syndrome, and an episode of severe unintentionally weight loss. The same mutation was found in her healthy 34 y.o. son, but not in a 42 y.o. daughter. The Congo red staining were negative in nerve and salivar gland biopsies samples. The reassessment of the transthyretin amyloidosis “red flags” showed that the patient fulfilled the criteria of the disease and the absence of amyloid deposition was not the ground to reject the hereditary cause of the condition. The reasons of the misdiagnosis are discussed.
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spelling doaj.art-2dbd9420a3ae4eb0a4105f26d13fe8e82023-09-03T09:28:56ZrusABV-pressНервно-мышечные болезни2222-87212413-04432018-04-0181465210.17650/2222-8721-2018-8-1-46-52198Misdiagnosed case of transthyretin amyloidosis in a fully investigated patientE. S. Naumova0S. S. Nikitin1T. A. Adyan2D. S. Druzhinin3V. A. Varshavskiy4Медицинский центр «Практическая неврология»Медицинский центр «Практическая неврология»ФБГНУ «Медико-генетический научный центр»; ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава РоссииФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава РоссииThe DNA analysis revealed a transthyretin amyloidosis with a rare Phe53Leu mutation in a woman of 62 y.o. with the late onset progressive generalized axonal sensomotor neuropathy, dry eye syndrome, and an episode of severe unintentionally weight loss. The same mutation was found in her healthy 34 y.o. son, but not in a 42 y.o. daughter. The Congo red staining were negative in nerve and salivar gland biopsies samples. The reassessment of the transthyretin amyloidosis “red flags” showed that the patient fulfilled the criteria of the disease and the absence of amyloid deposition was not the ground to reject the hereditary cause of the condition. The reasons of the misdiagnosis are discussed.https://nmb.abvpress.ru/jour/article/view/263амилоидозтранстиретиновый амилоидозphe53leuбиопсия нервасиндром сухого глазасенсомоторная нейропатия
spellingShingle E. S. Naumova
S. S. Nikitin
T. A. Adyan
D. S. Druzhinin
V. A. Varshavskiy
Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
Нервно-мышечные болезни
амилоидоз
транстиретиновый амилоидоз
phe53leu
биопсия нерва
синдром сухого глаза
сенсомоторная нейропатия
title Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
title_full Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
title_fullStr Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
title_full_unstemmed Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
title_short Misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
title_sort misdiagnosed case of transthyretin amyloidosis in a fully investigated patient
topic амилоидоз
транстиретиновый амилоидоз
phe53leu
биопсия нерва
синдром сухого глаза
сенсомоторная нейропатия
url https://nmb.abvpress.ru/jour/article/view/263
work_keys_str_mv AT esnaumova misdiagnosedcaseoftransthyretinamyloidosisinafullyinvestigatedpatient
AT ssnikitin misdiagnosedcaseoftransthyretinamyloidosisinafullyinvestigatedpatient
AT taadyan misdiagnosedcaseoftransthyretinamyloidosisinafullyinvestigatedpatient
AT dsdruzhinin misdiagnosedcaseoftransthyretinamyloidosisinafullyinvestigatedpatient
AT vavarshavskiy misdiagnosedcaseoftransthyretinamyloidosisinafullyinvestigatedpatient