A Case of <scp>AL</scp> Amyloidosis With Hepatomegaly as the Main Clinical Manifestation

Light chain (AL) amyloidosis presenting predominantly with hepatomegaly is a rare and frequently misdiagnosed condition. While clinical features are non-specific, elevated ALP/GGT should raise suspicion. A liver biopsy remains the gold standard for diagnosis. Although there is no disease-specific therapy for hepatic amyloidosis, timely chemotherapy initiation-particularly monoclonal antibody-based regimens-can significantly improve prognosis and lead to symptom resolution.

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Publication Details

Journal
Clinical Case Reports
Published
2025-12-01
DOI
https://doi.org/10.1002/ccr3.71640
Primary Topic
Amyloidosis: Diagnosis, Treatment, Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

A Case of AL Amyloidosis With Hepatomegaly as the Main Clinical Manifestation

Mingfeng Zhao, Guoling Gao, Renjun Lv, Xingbin Ma et al.
Clinical Case Reports
Amyloidosis: Diagnosis, Treatment, Outcomes
article

A Case of AL Amyloidosis With Hepatomegaly as the Main Clinical Manifestation

Mingfeng Zhao, Guoling Gao, Renjun Lv, Xingbin Ma, Wei Wang, Shuchen Dong
article en

Abstract

Light chain (AL) amyloidosis presenting predominantly with hepatomegaly is a rare and frequently misdiagnosed condition. While clinical features are non-specific, elevated ALP/GGT should raise suspicion. A liver biopsy remains the gold standard for diagnosis. Although there is no disease-specific therapy for hepatic amyloidosis, timely chemotherapy initiation-particularly monoclonal antibody-based regimens-can significantly improve prognosis and lead to symptom resolution.

Clinical Case ReportsVol. 13(12)
Binzhou Medical University (CN), Shandong University of Aeronautics (CN), Shandong Provincial Hospital (CN), Shandong First Medical University (CN)
Openalex Percentile: Top 64%
Amyloidosis: Diagnosis, Treatment, Outcomes
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