Macroglossia and amyloidoma of the buttock: Evidence of systemic involvement in dialysis amyloid

D. Sethi, A. J. Hutchison, N. R B Cary, E. A. Brown, J. R. Curtis, D. F. Woodrow, P. E. Gower

    Research output: Contribution to journalArticlepeer-review

    Abstract

    A 48-year-old male on cuprophane haemodialysis for 18 years, with a history of dialysis arthropathy and recurrent carpal tunnel syndrome developed macroglossia and bilateral buttock tumoral masses. The tongue and buttock masses were biopsied. Histology of both biopsies showed amyloid deposits of the β2-microglobulin (B2M) variety. Amyloidomas in the gluteal region and macroglossia have not been previously described in amyloid derived from B2M. These findings suggest that systemic B2M amyloidosis can have a similar tissue distribution to AL amyloidosis. This case also stresses the importance of inspection of the tongue, and palpation of the gluteal region for masses, in the assessment of patients with dialysis arthropathy.
    Original languageEnglish
    Pages (from-to)312-315
    Number of pages3
    JournalNephron
    Volume55
    Issue number3
    Publication statusPublished - 1990

    Keywords

    • β2-microglobulin
    • amyloidoma
    • haemodialysis
    • macroglossia

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