Systemic Amyloidosis in a Patient with Adult Onset Still's Disease

Tomonori ISHII; Takeshi SASAKI; Tai MURYOI; Chihiro MURAI; Akira HATAKEYAMA; Hirofumi OOSAKI; Akira YUSA; Toru KAWANAMI; Kaoru YOSHINAGA

doi:10.2169/internalmedicine.32.50

Tomonori ISHII, Takeshi SASAKI, Tai MURYOI, Chihiro MURAI, Akira HATAKEYAMA, Hirofumi OOSAKI, Akira YUSA, Toru KAWANAMI, Kaoru YOSHINAGA

Author information

Tomonori ISHII
the Second Department of Internal Medicine, Tohoku University School of Medicine
Takeshi SASAKI
the Second Department of Internal Medicine, Tohoku University School of Medicine
Tai MURYOI
the Second Department of Internal Medicine, Tohoku University School of Medicine
Chihiro MURAI
the Second Department of Internal Medicine, Tohoku University School of Medicine
Akira HATAKEYAMA
the Second Department of Internal Medicine, Tohoku University School of Medicine
Hirofumi OOSAKI
the Second Department of Internal Medicine, Tohoku University School of Medicine
Akira YUSA
the Second Department of Internal Medicine, Tohoku University School of Medicine
Toru KAWANAMI
the Third Department of Internal Medicine, Yamagata University School of Medicine
Kaoru YOSHINAGA
the Second Department of Internal Medicine, Tohoku University School of Medicine

Keywords: amyloid, joint pain

JOURNAL FREE ACCESS

1993 Volume 32 Issue 1 Pages 50-52

DOI https://doi.org/10.2169/internalmedicine.32.50

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Abstract

A 39-year-old woman presented clinical features of adult onset Still's disease. Seven years after the onset, she developed renal insufficiency and biopsy studies revealed amyloid deposits involving amyloid A protein, P component, λ chain and κ chain in the kidney and rectum. She died in 1992, primarily due to cardiac failure associated with amyloidosis, indicating that amyloidosis should be considered one of the fatal complications in adult onset Still's disease with a long history.
(Internal Medicine 32: 50-52, 1993)

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