老年原发性系统性淀粉样变1例

1病例摘要 患者，男性，75岁，因“食欲下降、体质量减轻伴乏力8个月”于2011年8月2日入院。发病以来，患者无腹痛、恶心、呕吐，无进食阻挡感及大便性状改变，无四肢关节疼痛。

An old patient with primary systemic amyloidosis

Case presentation
A male patient, 75 years old, was admitted to Shandong Provincial Hospital on August 2, 2011, because of decreased appetite, body mass loss with fatigue for 8 months. Since the onset, there was no abdominal pain, nausea, vomit, block feeling when eating, abnormal feces, or joint pain. The body mass gradually decreased 15kg in 8 months. In the past history, because of ache, the patient underwent biopsy on iliac bone and suspected amyloidosis. Five years ago, the patient underwent a surgery on the left neck for subcutaneous tissue amyloidosis. There was no history of coronary artery disease, diabetes, hepatitis, tuberculosis, or nephritis. And there was also no history of trauma or drug allergy. There was an infusion of albumin 1 week ago.