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Immunoglobulin light chain (AL) amyloidosis Preceding marginal zone lymphoma: A case report
Cureus
  • Krishna Doshi, Advocate Aurora Health
  • Jacob Bitran, Advocate Aurora Health
  • Brian Adley, Advocate Aurora Health
  • Nahren Asado, Advocate Aurora Health
Affiliations

Advocate Lutheran General Hospital

Scholarly Activity Date
7-1-2022
Abstract

Immunoglobulin light chain (AL) amyloidosis is a systemic disease in which different systems such as kidneys, heart, and lungs are affected by the deposition of amyloid, a form of fibrillary protein. Usually, it occurs in patients with pre-existing diagnoses of plasma cell dyscrasias and is rarely seen in the concurrence of marginal zone lymphoma (MZL). Earlier interventions with cyclophosphamide and dexamethasone in conjunction with newer therapies such as bortezomib, carfilzomib or lenalidomide, and pomalidomide are being used to treat patients with AL amyloidosis. In this report, we are presenting a unique case of a patient who was diagnosed with AL amyloidosis several years prior to presenting with a soft tissue mass, which was subsequently noted to be an amyloid mass within an MZL. Overall, the occurrence of AL amyloidosis and MZL is rare with less than 20 patients reported. The MZL developed prior to or simultaneously with AL amyloidosis in the reported cases. Therefore, to our knowledge, this is the first time systemic amyloidosis has preceded MZL.

Type
Article
PubMed ID
35923498
Citation Information

Doshi K, Bitran J, Adley B, Asado N. Immunoglobulin Light Chain (AL) Amyloidosis Preceding Marginal Zone Lymphoma: A Case Report. Cureus. 2022;14(7):e26517. Published 2022 Jul 2. doi:10.7759/cureus.26517