A case of primary diffuse nodular pulmonary amyloidosis localized in the lung.

Jung, Sung Kwoen; Oh, Joon; Roh, Yang Won; Kong, Hee Sang; Park, Kae Young; Park, Jeong Woong; Park, Jae Kyung; Nam, Gui Hyun; Ha, Seong Hwen; Lee, Han Kyung; Jeong, Seong Hwan

doi:2000.49.3.365

Tuberc Respir Dis > Volume 49(3); 2000 > Article

Case Report

Tuberculosis and Respiratory Diseases 2000;49(3):365-371.
DOI: https://doi.org/10.4046/trd.2000.49.3.365 Published online September 1, 2000.

A case of primary diffuse nodular pulmonary amyloidosis localized in the lung.

Sung Kwoen Jung, Joon Oh, Yang Won Roh, Hee Sang Kong, Kae Young Park, Jeong Woong Park, Jae Kyung Park, Gui Hyun Nam, Seong Hwen Ha, Han Kyung Lee, Seong Hwan Jeong

Abstract

Nodular pulmonary amyloidosis is one of the rare manifestation of amyloid disease. It is known to be caused by anyloid L fibrils in the majority of case. We experienced an unusual case of a forty-one year-old woman who was presented with multiple nodular lesion on the chest X-ray. CT-guided core needle bilpsy, performed on the lesion, showed apple green birefringes, when stained Congo red and examined under polarized light. Ultrastructurally, there are randomly oriented, forming densed networks, and consists of fine, 7.5 to 10nm diameter, rigid, non-branching filaments of various lengths in electron-microscopic finding. We report a case of primary diffuse nodular pulmonary amyloidosis only localized in the lung, which was confirmed by CT guided core needle biopsy.

Key Words: Amyloidosis, Lung, Core neddle biopsy