Idiopathic AA amyloidosis manifested by autonomic neuropathy, vestibulocochleopathy, and lattice corneal dystrophy

J Neurol Neurosurg Psychiatry. 1994 May;57(5):635-7. doi: 10.1136/jnnp.57.5.635.

Abstract

A 69-year-old Japanese woman with non-familial amyloidosis had polyneuropathy and profound autonomic neuropathy, and kappa chain monoclonal gammopathy. Immunohistopathological examination showed protein AA and protein AP in the amyloid deposits. She showed involvement of the vestibulocochlear nerve and lattice dystrophy of the cornea. Vestibulocochleopathy and corneal lattice dystrophy have been reported in familial amyloid polyneuropathy type IV, Finnish type, but never in non-familial amyloidosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amyloid Neuropathies / physiopathology
  • Amyloidosis / complications
  • Amyloidosis / pathology
  • Amyloidosis / physiopathology*
  • Autonomic Nervous System Diseases / etiology
  • Autonomic Nervous System Diseases / physiopathology*
  • Corneal Diseases / etiology
  • Corneal Diseases / physiopathology*
  • Female
  • Humans
  • Serum Amyloid A Protein / metabolism
  • Sural Nerve / pathology
  • Vestibulocochlear Nerve Diseases / etiology
  • Vestibulocochlear Nerve Diseases / physiopathology*

Substances

  • Serum Amyloid A Protein