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Article

Amyloid Myopathy: A Diagnostic Challenge

1
Department of Neurology, University of Oulu, Oulu, Finland
2
Clinical Research Center, Oulu University Hospital, Finland
3
Department of Pathology, University of Oulu, Oulu, Finland
*
Author to whom correspondence should be addressed.
Neurol. Int. 2009, 1(1), e7; https://doi.org/10.4081/ni.2009.e7
Submission received: 26 February 2009 / Revised: 8 June 2009 / Accepted: 11 June 2009 / Published: 3 August 2009

Abstract

Amyloid myopathy (AM) is a rare manifestation of primary systemic amyloidosis (AL). Like inflammatory myopathies, it presents with proximal muscle weakness and an increased creatine kinase level. We describe a case of AL with severe, rapidly progressive myopathy as the initial symptom. The clinical manifestation and muscle biopsy were suggestive of inclusion body myositis. AM was not suspected until amyloidosis was seen in the gastric mucosal biopsy. The muscle biopsy was then re-examined more specifically, and Congo red staining eventually showed vascular and interstitial amyloid accumulation, which led to a diagnosis of AM. The present case illustrates the fact that the clinical picture of AM can mimic that of inclusion body myositis.
Keywords: amyloid myopathy; amyloidosis; congo red; magnetic resonance imaging; myopathy amyloid myopathy; amyloidosis; congo red; magnetic resonance imaging; myopathy

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MDPI and ACS Style

Tuomaala, H.; Kärppä, M.; Tuominen, H.; Remes, A.M. Amyloid Myopathy: A Diagnostic Challenge. Neurol. Int. 2009, 1, e7. https://doi.org/10.4081/ni.2009.e7

AMA Style

Tuomaala H, Kärppä M, Tuominen H, Remes AM. Amyloid Myopathy: A Diagnostic Challenge. Neurology International. 2009; 1(1):e7. https://doi.org/10.4081/ni.2009.e7

Chicago/Turabian Style

Tuomaala, Heli, Mikko Kärppä, Hannu Tuominen, and Anne M. Remes. 2009. "Amyloid Myopathy: A Diagnostic Challenge" Neurology International 1, no. 1: e7. https://doi.org/10.4081/ni.2009.e7

APA Style

Tuomaala, H., Kärppä, M., Tuominen, H., & Remes, A. M. (2009). Amyloid Myopathy: A Diagnostic Challenge. Neurology International, 1(1), e7. https://doi.org/10.4081/ni.2009.e7

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