125I-Labeled single-chain monoclonal antibody, NS4F5, that targets the GlcNS6S-IdoA2S motif of heparan sulfate proteoglycans for the in vivo imaging of peripheral amyloidosis. Role of cardiovascular imaging for the diagnosis and prognosis of cardiac amyloidosis. 19 (7):46.Īgha AM, Parwani P, Guha A, Durand JB, Iliescu CA, Hassan S, et al. Cardiac Amyloidosis: Diagnosis and Treatment Strategies. Tuzovic M, Yang EH, Baas AS, Depasquale EC, Deng MC, Cruz D, et al. Cardiac Structural and Functional Consequences of Amyloid Deposition by Cardiac Magnetic Resonance and Echocardiography and Their Prognostic Roles. Knight DS, Zumbo G, Barcella W, Steeden JA, Muthurangu V, Martinez-Naharro A, et al. The clinical utility and prognostic value of multiparameter flow cytometry immunophenotyping in light-chain amyloidosis. Paiva B, Vídriales MB, Pérez JJ, López-Berges MC, García-Sanz R, Ocio EM, et al. Early lymphocyte recovery predicts superior survival after autologous hematopoietic stem cell transplantation for patients with primary systemic amyloidosis.
Cardinal chains level 46 free#
Absolute values of immunoglobulin free light chains are prognostic in patients with primary systemic amyloidosis undergoing peripheral blood stem cell transplantation. Serum immunoglobulin free light-chain measurement in primary amyloidosis: prognostic value and correlations with clinical features. Kumar S, Dispenzieri A, Katzmann JA, et al. Myeloma associated amyloidosis presenting as subacute liver failure. Periocular and orbital amyloidosis: clinical characteristics, management, and outcome. Leibovitch I, Selva D, Goldberg RA, et al. Improved outcomes for newly diagnosed AL amyloidosis between 20: cracking the glass ceiling of early death. Muchtar E, Gertz MA, Kumar SK, Lacy MQ, Dingli D, Buadi FK, et al. Outcomes and treatments of patients with immunoglobulin light chain amyloidosis who progress or relapse postautologous stem cell transplant. Warsame R, Bang SM, Kumar SK, Gertz MA, Lacy MQ, Buadi F, et al. Characteristics and Long-Term Outcome of Patients with Systemic Immunoglobulin Light-Chain Amyloidosis.
Clinical and Echocardiographic Correlates of Elevated Troponin in Amyloid Light-Chain Cardiac Amyloidosis. 32(1):45-59.Īpridonidze T, Steingart RM, Comenzo RL, Hoffman J, Goldsmith Y, Bella JN, et al.
Primary systemic amyloidosis: clinical and laboratory features in 474 cases. The Prevalence and Management of Systemic Amyloidosis in Western Countries. Incidence of AL Amyloidosis in Olmsted County, Minnesota, 1990 through 2015. Kyle RA, Larson DR, Kurtin PJ, Kumar S, Cerhan JR, Therneau TM, et al. Organ-specific (localized) synthesis of Ig light chain amyloid. Hamidi Asl K, Liepnieks JJ, Nakamura M, Benson MD. Thus, in theory, if a sufficiently sensitive assay were used, monoclonal serum L chains or L-chain fragments would be detected in all patients. Because plasma cells in bone marrow (or occasionally in other sites) synthesize immunoglobulin L chains, which are deposited in various organs, the L chains must travel through the bloodstream. This percentage reflects the limit to the sensitivity of routine laboratory testing rather than the biology of L chain–type amyloidosis. Monoclonal immunoglobulin L chain, the cardinal laboratory finding in L chain–type amyloidosis, is detected by electrophoresis or immunoelectrophoresis in the serum or the urine of 80-90% of patients. Once the diagnosis of L chain–type amyloidosis has been established (see Biopsy), the clinician should perform laboratory studies to observe for abnormalities that are commonly found in these patients (eg, impairment in kidney function or coagulation) and to evaluate for possible multiple myeloma.
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