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Index
 »Â
Cellular Growth Adaptations, Cellular Injury, Cell Death
 »Â
Chapter 1
 »Â
Amyloidosis
level: Amyloidosis
Questions and Answers List
level questions: Amyloidosis
Question
Answer
Misfolded protein that deposits in extracellular space
Amyloid
Beta pleated sheets, Congo red staining and apple green birefringence under polarized light
Features of amyloid proteins
Congo red stain
Staining used to visualize amyloid
Apple green birefringence
Characteristic finding under polarized light
Beta pleated sheet
Protein configuration of amyloid
Overproduction of immunoglobulin light chain; associated with plasma cell dyscrasia (eg. multiple myeloma)
Primary amyloidosis
Primary amyloidosis
AL amyloid
Secondary amyloidosis
AA amyloid
Acute phase reactant elevated in chronic inflammatory states, malignancy and Familial Mediterranean Fever
Serum amyloid-associated (SAA) protein
Autosomal recessive neutrophil dysfunction; Neutrophils abnormally activated -> inflammation of serosal surfaces; Presents as fever and serositis
Familial Mediterranean Fever (FMF)
Systemic deposition of AA amyloid derived from serum amyloid-associated protein
Secondary amyloid
Kidneys
Most common organ involved in systemic amyloidosis
Tissue biopsy
Diagnosis of amyloidosis
Abdominal fat pad, Rectum
Common sites for tissue biopsy in amyloidosis
Nephrotic syndrome, restrictive cardiomyopathy, arrhythmia, tongue enlargement, malabsorption, hepatosplenomegaly
Clinical findings of systemic amyloidosis
Senile cardiac amyloidosis
Non-mutated serum transthyretin
Familial amyloid cardiomyopathy
Mutated serum transthyretin
Type 2 Diabetes Mellitus
Amylin deposition in pancreatic islets
Alzheimers disease; derived from beta amyloid precursor protein
Amyloid beta
Location of gene for beta APP
Chromosome 21
Associated with early onset Alzheimer's Disease (age 40)
Down Syndrome
Dialysis-associated amyloidosis; accumulates in joints
B2 microglobulin
Medullary carcinoma of the thyroid
Calcitonin