A 64-year-old male with a 6-month history of fatigue, weight loss, shoulder/hip girdle discomfort, jaw pain when chewing and episodic monocular loss of vision. Previous history significant for hypertension, prostate cancer (s/p prostatectomy), adenomatous hyperplasia (s/p thyroidectomy) and kidney calculi.
Pathology
Deposits of eosinophilic, homogeneous hyaline material in the interstitial arteries and arterioles; Fat aspirate positive for amyloid.
Disease/Diagnosis
Systemic amyloidosis
Clinical
VA: Normal; Elevated ESR; Elevated Creatinine
Presenting Symptom
Fatigue; Weight loss; Headache; Monocular loss of vision
Neuroimaging
CT
Treatment
Corticosteroids
Date
2005
References
N/A
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
31st Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
