Enlargement of Shoulder Muscles in an Older Man

A 70-year-old man with a history of hypertension and chronic migraine presented with 10 months of progressive generalized muscle weakness and stiffness. Physical examination revealed generalized muscle wasting except for hypertrophy of bilateral shoulder muscles, and a deltoid muscle biopsy revealed deposition of amorphous material. What is your diagnosis?

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Journal
JAMA Oncology
Published
2025-03-20
DOI
https://doi.org/10.1001/jamaoncol.2025.0071
Primary Topic
Amyloidosis: Diagnosis, Treatment, Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Enlargement of Shoulder Muscles in an Older Man

Ali Alshehri, Hazzaa Alzahrani, Mohammad Alhomoud
JAMA Oncology
Amyloidosis: Diagnosis, Treatment, Outcomes
article

Enlargement of Shoulder Muscles in an Older Man

Ali Alshehri, Hazzaa Alzahrani, Mohammad Alhomoud
article en

Abstract

A 70-year-old man with a history of hypertension and chronic migraine presented with 10 months of progressive generalized muscle weakness and stiffness. Physical examination revealed generalized muscle wasting except for hypertrophy of bilateral shoulder muscles, and a deltoid muscle biopsy revealed deposition of amorphous material. What is your diagnosis?

JAMA OncologyVol. 11(5)
Memorial Sloan Kettering Cancer Center (US), King Faisal Specialist Hospital & Research Centre (SA)
Good health and well-being
Openalex Percentile: Top 95%
Amyloidosis: Diagnosis, Treatment, Outcomes
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