Amyloidosis physical examination

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Primary amyloidosis
Secondary amyloidosis
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Beta-2 microglobulin related amyloidosis
Gelsolin related amyloidosis
Lysozyme amyloid related amyloidosis
Leucocyte cell-derived chemotaxin 2 related amyloidosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]

Overview

Common findings in amyloidosis include petechiae, ecchymosis, parotid gland enlargement, increased intraocular pressure, enlarged tongue, hepatomegaly, carpal tunnel syndrome, and Raynaud's phenomenon.

Physical Examination

Physical examination of patients withamyloidosis is usually remarkable for waxy thickening, easy bruising, purpura, macroglossia, parotid gland and submandibular gland enlargement, edema, numbness and paresthesia.[1][2]

Appearance of the Patient

  • Patients with amyloidosis usually appear normal.

Vital signs

Skin

  • Waxy thickening
  • Easy bruising (ecchymoses)
  • Subcutaneous nodules or plaques
  • Purpura
  • Petechiae
  • Brittle nails
  • Edema
  • Diffuse or patchy alopecia
  • Nail dystrophy
  • Brittle nails
  • Plaques may be seen
    • Eyelids
    • Retroauricular region
    • Neck
    • Inguinal and anogenital regions

HEENT

  • Macroglossia
  • Parotid gland enlargement
  • Submandibular gland enlargement
  • Peri-orbital purpura
  • Raised intraocular pressure may be seen.
  • Visual and hearing loss may be seen.


Neck

  • Neck examination of patients with amyloidosis is usually normal.

Lungs

  • Hoarseness
  • Stridor
  • Dysphagia

Heart

  • Arrhythmia

Abdomen

Back

  • Back examination of patients with amyloidosis is usually normal.

Genitourinary

  • Genitourinary examination of patients with amyloidosis is usually normal.

Neuromuscular

  • Numbness
  • Paresthesia
  • Pain

Extremities

Macular Amyloidosis

Nodular Amyloidosis

References

  1. Wechalekar AD, Gillmore JD, Hawkins PN (June 2016). "Systemic amyloidosis". Lancet. 387 (10038): 2641–2654. doi:10.1016/S0140-6736(15)01274-X. PMID 26719234.
  2. Pribitkin E, Friedman O, O'Hara B, Cunnane MF, Levi D, Rosen M, Keane WM, Sataloff RT (December 2003). "Amyloidosis of the upper aerodigestive tract". Laryngoscope. 113 (12): 2095–101. doi:10.1097/00005537-200312000-00007. PMID 14660909.

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