• Am. J. Med. · Apr 2022

    Review

    Neuromuscular complications of systemic amyloidosis.

    • Dina Namiranian and Stefanie Geisler.
    • Department of Neurology, Neuromuscular Division, Washington University School of Medicine in St. Louis, Mo.
    • Am. J. Med. 2022 Apr 1; 135 Suppl 1: S13S19S13-S19.

    AbstractSystemic amyloidosis is characterized by extracellular deposition of insoluble fibrillar proteins in multiple tissues, frequently at a distance from the site of synthesis. The 2 most common forms, light chain (AL) and transthyretin (ATTR) amyloidosis can cause peripheral neuropathy and, rarely, myopathy. Diagnosis can be challenging, and abundant suspicion is required to identify patients. As neurological manifestations of amyloidosis may precede involvement of other organs by several years, recognizing amyloid neuropathy and myopathy are crucial, especially in this new and exciting era of effective therapies for AL and ATTR neuropathy. This review will focus on the neuromuscular manifestations of AL and ATTR amyloidosis, diagnostic approaches, and recent advances in the treatment of amyloid neuropathy.Copyright © 2022 Elsevier Inc. All rights reserved.

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