Korean J Gastroenterol.  2018 Jul;72(1):42-45. 10.4166/kjg.2018.72.1.42.

Duodenal Amyloidosis

Affiliations
  • 1Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. HJPARK21@yuhs.ac
  • 2Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

Amyloidosis*

Figure

  • Fig. 1. Esophagogastroduodenoscopic finding. (A) Numerous reddish, erosive lesions at duodenal bulb. (B-D) Numerous reddish, polypoid lesions at duodenal 2nd–3rd portion.

  • Fig. 2. Abdominal pevic CT. CT images show unusual fold thickening of the duodenal 2nd and 3rd portion. CT, computed tomography.

  • Fig. 3. (A, B) Histologic examination of duodenal mucosa. Amorphous pinkish material deposition in lamina propria of duodenal mucosa (A: hematoxylin and eosin stain [H&E], ×100; B: H&E, ×200). (C) Congo red stain shows the amorphous material with pale pink color (congo red stain, ×200) and (D) birefringence is not detected under polarized light (congo red stain, ×200).

  • Fig. 4. Follow up esophagogastroduodenoscopic finding, 3 months later. (A) Polypoid and friable mucosa with hematin at duodenal bulb. (B-D) Numerous friable and polypoid mucosal lesion at duodenal 2nd–3rd portion.

  • Fig. 5. High-power view of fibrils. The fibrils (between arrow heads) are randomly arranged in the loose background. The fibril size is ranged 7–13 nm (transmission electron microscopy ×80,000).


Reference

References

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