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Light-chain amyloidosis with dysphagia as the main symptom: a case report

  • Maomao Ai,
  • Tao Lin,
  • Ruoyu Guo,
  • Haiyao Zheng,
  • Haiyan Deng,
  • Feng Yu

摘要

Background

Immunoglobulin light-chain amyloidosis is a relatively rare condition with a worldwide incidence of 5.1–12.8 cases per million person-years (Baker, 2022). It is characterized by a clonal population of immunoglobulin-secreting cells that produce a monoclonal light chain of κ or λ type as either an intact molecule or a fragment.

Case presentation

A 69-year-old East Asian (Chinese) male patient who presented with progressive dysphagia visited multiple hospitals repeatedly for more than 2 years and was finally diagnosed with immunoglobulin light-chain amyloidosis.

Conclusions

Otolaryngologists should consider immunoglobulin light-chain amyloidosis when encountering suspicious clinical manifestations and intervene early to avoid misdiagnosis.