PDF(Pubmed)
Abstract：
Our patient presented with complaints of progressive shortness of breath for 1 month. She was diagnosed with a case of infiltrative type of restrictive cardiomyopathy (RCM) based on echocardiography and cardiac MRI findings. Her fat pad biopsy was suggestive of AL type of amyloidosis (AL). She was diagnosed with a case of multiple myeloma (MM) based on bone marrow biopsy findings with 48% plasma cells and a skeletal survey with lytic bone lesions on the skull, thus meeting the Crab criteria. We want to highlight the complex nature of this case and the difficulties associated with making a diagnosis. This case report presents an excellent opportunity to touch on the interesting topics of RCM, amyloidosis and MM.
摘要：
我们的患者有1个月的进行性呼吸急促的抱怨。根据超声心动图和心脏MRI检查结果，她被诊断为浸润性限制性心肌病（RCM）。她的脂肪垫活检提示AL型淀粉样变性（AL）。根据48％浆细胞的骨髓活检结果和颅骨上有溶解性骨病变的骨骼检查，她被诊断出患有多发性骨髓瘤（MM）。从而达到螃蟹标准。我们想强调这种情况的复杂性以及与诊断相关的困难。本案例报告提供了一个很好的机会，可以触及RCM的有趣主题，淀粉样变性和MM.
