Medical College of Wisconsin
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A Case of Amyloid Light-Chain Amyloidosis Presenting as Colitis. Cureus 2026 Feb;18(2):e103605

Date

03/18/2026

Pubmed ID

41846637

Pubmed Central ID

PMC12991382

DOI

10.7759/cureus.103605

Abstract

Gastrointestinal amyloidosis is a rare but often a manifestation of an advanced form of systemic amyloidosis that carries a poor prognosis. Its presentation may mimic ischemic bowel disease, inflammatory bowel disease, celiac disease, or protein-losing enteropathy, among others. Often, varied presentations make it difficult to diagnose. Hence, a careful and systematic approach with an aggressive treatment strategy is needed for prompt diagnosis and treatment of the fatal condition. Here, we report a fatal case of systemic amyloidosis (amyloid light-chain (AL) amyloidosis) with its initial presentation including gastrointestinal symptoms and subsequent rapid clinical deterioration due to worsening renal function and evidence of pericardial effusion.

Author List

Prabakaran K, Khan S, Mei L, Edeani F, Sanvanson P, Sivasubramaniam P, Ali M, Balasubramanian G

Authors

Francis Edeani MBBS Associate Professor in the Medicine department at Medical College of Wisconsin
Patrick P. Sanvanson MD Associate Professor in the Medicine department at Medical College of Wisconsin