Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report

Introduction: An amyloidosis is a group of diseases associated with the deposition of abnormal protein fibrils in the tissues. Primary amyloidosis (AL) type is the most common form of systemic amyloidosis encountered in clinical settings resulting from the deposition of abnormal light chains associa...

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Main Authors: Supraja Sundaram, Mamta Soni, Prabu Pandurangan, Soukat Ali
Format: Article
Language:English
Published: SAGE Publishing 2022-01-01
Series:Apollo Medicine
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Online Access:http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=4;spage=264;epage=266;aulast=Sundaram
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author Supraja Sundaram
Mamta Soni
Prabu Pandurangan
Soukat Ali
author_facet Supraja Sundaram
Mamta Soni
Prabu Pandurangan
Soukat Ali
author_sort Supraja Sundaram
collection DOAJ
description Introduction: An amyloidosis is a group of diseases associated with the deposition of abnormal protein fibrils in the tissues. Primary amyloidosis (AL) type is the most common form of systemic amyloidosis encountered in clinical settings resulting from the deposition of abnormal light chains associated with underlying plasma cell dyscrasia. Amyloid deposits are rarely seen in bone marrow aspirate smears. Methods: Amyloidosis occurs as a result of the deposition of autologous proteins, which, when viewed under a light microscope, appear as eosinophilic, acellular, amorphous deposits. Results: We presented a case of AL amyloidosis presenting with cardiac manifestations and detected to have amyloid deposits in bone marrow aspirates. Conclusion: To the best of our knowledge, reporting amyloid deposition in bone marrow aspirate smears is very rare and unusual, with sparse mention of its occurrence in literature. Careful examination of bone marrow aspirate for this striking finding leads us to a quicker diagnosis of amyloidosis for a prompt determination of therapeutic protocol, improving the outcomes for the patients.
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spelling doaj-art-e1c8831ff99b4b11af8c647c18c1cf202025-01-02T20:27:16ZengSAGE PublishingApollo Medicine0976-00162213-36822022-01-0119426426610.4103/am.am_50_22Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case ReportSupraja SundaramMamta SoniPrabu PanduranganSoukat AliIntroduction: An amyloidosis is a group of diseases associated with the deposition of abnormal protein fibrils in the tissues. Primary amyloidosis (AL) type is the most common form of systemic amyloidosis encountered in clinical settings resulting from the deposition of abnormal light chains associated with underlying plasma cell dyscrasia. Amyloid deposits are rarely seen in bone marrow aspirate smears. Methods: Amyloidosis occurs as a result of the deposition of autologous proteins, which, when viewed under a light microscope, appear as eosinophilic, acellular, amorphous deposits. Results: We presented a case of AL amyloidosis presenting with cardiac manifestations and detected to have amyloid deposits in bone marrow aspirates. Conclusion: To the best of our knowledge, reporting amyloid deposition in bone marrow aspirate smears is very rare and unusual, with sparse mention of its occurrence in literature. Careful examination of bone marrow aspirate for this striking finding leads us to a quicker diagnosis of amyloidosis for a prompt determination of therapeutic protocol, improving the outcomes for the patients.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=4;spage=264;epage=266;aulast=Sundaramamyloidosisbone marrowplasma cells
spellingShingle Supraja Sundaram
Mamta Soni
Prabu Pandurangan
Soukat Ali
Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report
Apollo Medicine
amyloidosis
bone marrow
plasma cells
title Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report
title_full Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report
title_fullStr Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report
title_full_unstemmed Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report
title_short Diagnosis of AL amyloidosis on bone marrow aspirate smears - A Case Report
title_sort diagnosis of al amyloidosis on bone marrow aspirate smears a case report
topic amyloidosis
bone marrow
plasma cells
url http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2022;volume=19;issue=4;spage=264;epage=266;aulast=Sundaram
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AT mamtasoni diagnosisofalamyloidosisonbonemarrowaspiratesmearsacasereport
AT prabupandurangan diagnosisofalamyloidosisonbonemarrowaspiratesmearsacasereport
AT soukatali diagnosisofalamyloidosisonbonemarrowaspiratesmearsacasereport