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Progressively invalidating orthostatic hypotension: A common symptom for a challenging diagnosis
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نویسنده
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pelusi s. ,lombardi r. ,airaghi l. ,burdick l. ,rango m. ,penatti a. ,fargion s.
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منبع
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journal of research in medical sciences - 2016 - دوره : 21 - شماره : 8
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چکیده
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We discuss here an uncommon condition of neurogenic hypotension in the context of immunoglobulin light chain (amyloid light-chain) amyloidosis. the most serious feature was autonomic nervous system impairment,mainly characterized by severe refractory orthostatic hypotension,which became progressively invalidating,forcing the patient to bed. moreover,since the systemic involvement of the disease,the patient presented also diarrhea,dysphagia,asthenia,peripheral edema because of gastrointestinal,and kidney dysfunction. eventually,the massive myocardial depression and infiltration led to a fatal outcome. © 2016 journal of research in medical sciences.
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کلیدواژه
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Amyloidosis; Multiple myeloma; Refractory hypotension; Restrictive cardiomyopathy; Tilt test
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آدرس
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departments of internal medicine,fondazione irccs ca’ granda ospedale maggiore policlinico,istituto ortopedico gaetano pini,milan, Italy, departments of internal medicine,fondazione irccs ca’ granda ospedale maggiore policlinico,istituto ortopedico gaetano pini,milan, Italy, departments of internal medicine,fondazione irccs ca’ granda ospedale maggiore policlinico,istituto ortopedico gaetano pini,milan, Italy, departments of internal medicine,fondazione irccs ca’ granda ospedale maggiore policlinico,istituto ortopedico gaetano pini,milan, Italy, departments of neurological sciences,fondazione irccs ca’ granda ospedale maggiore policlinico,istituto ortopedico gaetano pini,milan, Italy, department of physiatry and rheumatology,division of rheumatology,istituto ortopedico gaetano pini,milan, Italy, departments of internal medicine,fondazione irccs ca’ granda ospedale maggiore policlinico,istituto ortopedico gaetano pini,milan, Italy
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Authors
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