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March 1984

Amyloid Deposition in Serosal Membranes: Its Occurrence With Cardiac Tamponade, Bilateral Ureteral Obstruction, and Gastrointestinal Bleeding

Author Affiliations

From the Departments of Medicine (Drs Weinrauch and Christlieb) and Surgery (Dr Desautels), New England Deaconess Hospital, the Renal Unit (Drs Kaldany and D'Elia), Joslin Diabetes Center, Inc (Dr D'Elia), and the Harvard Medical School (Drs Weinrauch, Desautels, Christlieb, Kaldany, and D'Elia), Boston.

Arch Intern Med. 1984;144(3):630-632. doi:10.1001/archinte.1984.00350150244049

• Widely dispersed amyloid deposition of the serosa occurring in a patient produced impairment of cardiac, renal, and gastrointestinal integrity by encasement. This patient survived the acute complications of both cardiac tamponade and bilateral ureteral obstruction due to amyloid. This case demonstrates the utility of resorting to aggressive life-support mechanisms despite an apparently systemic spread of amyloid disease in selected cases.

(Arch Intern Med 1984;144:630-632)

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