2006
DOI: 10.1016/j.nmd.2006.06.004
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Amyloid myopathy presenting with rhabdomyolysis: Evidence of complement activation

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Cited by 14 publications
(3 citation statements)
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“…Both ultrastructural and TUNEL studies have shown that muscle injury is not due to amyloid induced apoptosis 11 . The role of the complement cascade, assessed via immunolabeling with C5b9 membrane attack complex, is uncertain, with some studies reporting no immunolabeling 11 and others showing complement deposition colocalizing with amyloid 13 . We believe that myocyte injury in amyloidosis may be multifactorial, including ischemia 11 (supported by the focal reduction in the number of capillaries seen in our cases), interference with the diffusion of nutrients through the sarcolemma 11 , and/or denervation.…”
Section: Bmentioning
confidence: 99%
“…Both ultrastructural and TUNEL studies have shown that muscle injury is not due to amyloid induced apoptosis 11 . The role of the complement cascade, assessed via immunolabeling with C5b9 membrane attack complex, is uncertain, with some studies reporting no immunolabeling 11 and others showing complement deposition colocalizing with amyloid 13 . We believe that myocyte injury in amyloidosis may be multifactorial, including ischemia 11 (supported by the focal reduction in the number of capillaries seen in our cases), interference with the diffusion of nutrients through the sarcolemma 11 , and/or denervation.…”
Section: Bmentioning
confidence: 99%
“…Our patient had a normal CK level. In the literature, the CK level has been shown to range from normal to a 490‐fold increase with rhabdomyolysis 17, 23, 24. Although amyloidosis has been described in patients with non‐Hodgkin lymphoma,25 the amyloidosis in our patient was unlikely to be related to his history of NHL.…”
Section: Discussionmentioning
confidence: 55%
“…Furthermore, amyloid myopathy can be an initial manifestation of ATTRwt ( 6 ). And our patient presented with only the elevated CK as the initial manifestation of AL amyloidosis ( 16 ). Reviewing the clinical course of the patient, if a muscle biopsy and Congo red staining was performed at the beginning of CK elevation, the patient may be treated earlier.…”
Section: Discussionmentioning
confidence: 79%