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Melæna som debutsymptom ved amyloidose

Ester M.B. Jessen1, Liv Bjerre Juul Nielsen1, Marie Kamper Bønnelycke2 & Andreas Nordholm-Carstensen1 1) Abdominalcenter K, Bispebjerg Hospital 2) Patologiafdelingen, Rigshospitalet Ugeskr Læger 2015;177:V06150544
Ugeskr Læger 2015;177:V06150544
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Amyloidosis presenting as melaena
Amyloidosis is a disease characterized by abnormal extra­cellular deposits of protein. The disease may affect the stomach, however, symptoms are rare in this case. Fur­thermore, the rare symptoms are diffuse and unspecific and the diagnosis relies on biopsy. We report the case of a 79-year-old female presenting with melaena and no history of amyloidosis. Gastroscopy raised suspicion of a malignant process in the stomach, but biopsy revealed gastric amyloi­dosis. The treatment of gastric involvement is primarily symptomatic, and causal treatment is reserved for the few.
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