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Expert consensus re...
Expert consensus recommendations to improve diagnosis of ATTR amyloidosis with polyneuropathy
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- Adams, David (författare)
- Department of Neurology, French National Reference Centre for Familial Amyloidotic Polyneuropathy, CHU Bicêtre, Université Paris-Saclay APHP, INSERM U1195, Le Kremlin-Bicêtre, France
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- Ando, Yukio (författare)
- Department of Neurology, Graduate School of Medical Sciences, Kumamoto, Japan
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- Beirão, João Melo (författare)
- Ophthalmology Service, Hospital de Santo António, Porto, Portugal
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- Coelho, Teresa (författare)
- Centro Hospitalar Do Porto, Porto, Portugal
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- Gertz, Morie A. (författare)
- Mayo Clinic, Rochester, MN, United States
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- Gillmore, Julian D. (författare)
- National Amyloidosis Centre, University College London, London, United Kingdom
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- Hawkins, Philip N. (författare)
- National Amyloidosis Centre, University College London, London, United Kingdom
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- Lousada, Isabelle (författare)
- Amyloidosis Research Consortium, Boston, MA, United States
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- Suhr, Ole B. (författare)
- Umeå universitet,Avdelningen för medicin
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- Merlini, Giampaolo (författare)
- Amyloidosis Center Foundation, IRCCS Policlinico San Matteo, San Matteo, Italy; Department of Molecular Medicine, University of Pavia, Pavia, Italy
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(creator_code:org_t)
- 2020-01-06
- 2021
- Engelska.
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Ingår i: Journal of Neurology. - : Springer Berlin/Heidelberg. - 0340-5354 .- 1432-1459. ; 268:6, s. 2109-2122
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Abstract
Ämnesord
Stäng
- Amyloid transthyretin (ATTR) amyloidosis with polyneuropathy (PN) is a progressive, debilitating, systemic disease wherein transthyretin protein misfolds to form amyloid, which is deposited in the endoneurium. ATTR amyloidosis with PN is the most serious hereditary polyneuropathy of adult onset. It arises from a hereditary mutation in theTTRgene and may involve the heart as well as other organs. It is critical to identify and diagnose the disease earlier because treatments are available to help slow the progression of neuropathy. Early diagnosis is complicated, however, because presentation may vary and family history is not always known. Symptoms may be mistakenly attributed to other diseases such as chronic inflammatory demyelinating polyradiculoneuropathy (CIDP), idiopathic axonal polyneuropathy, lumbar spinal stenosis, and, more rarely, diabetic neuropathy and AL amyloidosis. In endemic countries (e.g., Portugal, Japan, Sweden, Brazil), ATTR amyloidosis with PN should be suspected in any patient who has length-dependent small-fiber PN with autonomic dysfunction and a family history of ATTR amyloidosis, unexplained weight loss, heart rhythm disorders, vitreous opacities, or renal abnormalities. In nonendemic countries, the disease may present as idiopathic rapidly progressive sensory motor axonal neuropathy or atypical CIDP with any of the above symptoms or with bilateral carpal tunnel syndrome, gait disorders, or cardiac hypertrophy. Diagnosis should include DNA testing, biopsy, and amyloid typing. Patients should be followed up every 6-12 months, depending on the severity of the disease and response to therapy. This review outlines detailed recommendations to improve the diagnosis of ATTR amyloidosis with PN.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- ATTR amyloidosis
- ATTRv
- Diagnosis
- hATTR
- Peripheral neuropathy
- Transthyretin amyloidosis
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Adams, David
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Ando, Yukio
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Beirão, João Mel ...
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Coelho, Teresa
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Gertz, Morie A.
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Gillmore, Julian ...
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Hawkins, Philip ...
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Lousada, Isabell ...
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Suhr, Ole B.
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Merlini, Giampao ...
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