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Articles Published Processes
9/2/2014 2:18:00 PM | Browse: 974 | Download: 874
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Received |
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2013-12-31 11:46 |
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Peer-Review Started |
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2013-12-31 19:21 |
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To Make the First Decision |
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2014-02-13 15:55 |
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Return for Revision |
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2014-02-17 19:47 |
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Revised |
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2014-03-04 05:32 |
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Second Decision |
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2014-03-12 18:37 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-03-12 18:47 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-04-09 20:29 |
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Publish the Manuscript Online |
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2014-04-20 14:05 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Case Report |
Article Title |
Rare presentation of primary (AL) amyloidosis as gastrointestinal hemorrhage without systemic involvement
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Manuscript Source |
Unsolicited Manuscript |
All Author List |
Mohammad F Ali, Anik Patel, Stephanie Muller and David Friedel |
Funding Agency and Grant Number |
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Corresponding Author |
Mohammad F Ali, MD, Resident Physician, Department of Internal Medicine, Winthrop University Hospital, 222 Station Plaza North, Suite 509, Mineola, NY 11501, United States. mfali@winthrop.org |
Key Words |
Primary amyloidosis; AL amyloidosis; Gastrointestinal hemorrhage; Endoscopic finding; Endoscopic biopsy; Upper gastrointestinal bleeding; Amyloid deposition; Gastric/intestinal mucosa; Mucosal inflammation |
Core Tip |
This case report of a 58-year-old African-American woman with coffee-ground emesis highlights a rare instance where AL (kappa)-type amyloidosis presents as gastrointestinal hemorrhage in the absence of clinical disease elsewhere in the body. Esophagogastroduodenoscopy initially revealed punctate, erythematous lesions throughout the stomach as well as regions of small bowel mucosa that appeared scalloped, ulcerated, and hemorrhaged on contact. Patient was treated for cytomegalovirus gastritis based on biopsy results. However, repeat enteroscopy continued to demonstrate friable and irregular duodenal mucosa with pathology highlighting infiltration and expansion of the lamina propria and submucosa. Appropriate staining and subtyping established AL (kappa)-type amyloidosis. |
Publish Date |
2014-04-20 14:05 |
Citation |
Ali MF, Patel A, Muller S, Friedel D. Rare presentation of primary (AL) amyloidosis as gastrointestinal hemorrhage without systemic involvement. World J Gastrointest Endosc 2014; 6(4): 144-147 |
URL |
http://www.wjgnet.com/1948-5190/full/v6/i4/144.htm |
DOI |
http://dx.doi.org/10.4253/wjge.v6.i4.144 |
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