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Inicio Acta Otorrinolaringológica Española Primary Systemic Amyloidosis With Exclusive Involvement of the Tongue as an Exce...
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Vol. 59. Issue 9.
Pages 469-471 (January 2008)
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Vol. 59. Issue 9.
Pages 469-471 (January 2008)
Primary Systemic Amyloidosis With Exclusive Involvement of the Tongue as an Exceptional Cause of Dysphagia
Amiloidosis primaria AL con afección exclusiva de la lengua como causa excepcional de disfagia
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Fernando Mera Menéndeza,
Corresponding author
fermera@yahoo.com

Correspondence: Alción, 29, 2.° A. 28019 Madrid. España.
, Solssiree Álvarez Carrilloa, Adolfo Hinojar Gutiérreza, Santiago Nietob, Eduardo Raboso García-Baqueroa
a Servicio de Otorrinolaringología, Hospital Universitario de La Princesa, Madrid, Spain
b Servicio de Anatomía Patológica, Hospital Universitario de La Princesa, Madrid, Spain
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We present a 73-year-old woman with progressive dysphagia and dysarthria over 2 years associated with systemic symptoms including weight loss, asthenia, and dyspnoea. Biopsy of the tongue demonstrated amyloid AL deposits. The immunohistochemical study showed a notable positivity to antibodies for L-kappa chains. The patient died 6 months after diagnosis.

Key words:
Primary systemic amyloidosis
Amyloidosis diagnosis
Amyloidosis treatment

Se presenta el caso de una mujer de 73 años de edad con disfagia progresiva asociada a disartria de 2 años de evolución, con síntomas sistémicos que incluían disnea, astenia y pérdida de peso. Se realizó biopsia de la lengua que mostró amiloidosis primaria AL. En el estudio inmunohistoquímico se obtuvo una marcada positividad con anticuerpos frente a cadenas ligeras kappa. La paciente falleció a los 6 meses del diagnóstico.

Palabras clave:
Amiloidosis primaria sistémica
Amiloidosis, diagnóstico
Amiloidosis, tratamiento

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