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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2018; 09(01): 019-021
DOI: 10.4103/jde.JDE_18_17
Case Report
Society of Gastrointestinal Endoscopy of India

An Incidental Finding of AL‑associated Amyloidosis Presenting as Gastric Ulcers

Nadia Huq
Departments of Internal Medicine, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin, USA
,
Vinay Thohan
1   Departments of Cardiology, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin, USA
,
Nalini M. Guda
2   Departments of Gastroenterology, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin, USA
› Author Affiliations
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Publication History

Publication Date:
19 September 2019 (online)

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ABSTRACT

Gastrointestinal tract amyloidosis has been reported in rare instances and related symptoms are usually nonspecific to the disease process. We present a patient who initially had melena on anticoagulation and endoscopy revealed a bleeding gastric ulcer. Hemostasis was achieved. The patient had a recurrence of symptoms despite being off anticoagulation months later and at that time repeat endoscopy showed multiple gastric ulcers with surrounding friable mucosa. Biopsy results were significant for light chain associated‑amyloidosis. This case represents a rare cause of gastric ulcer.

Keywords

Gastric amyloid - gastrointestinal bleed - light‑chain amyloid
 

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