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Bucurica S, Nancoff AS, Moraru MV, Bucurica A, Socol C, Balaban DV, Mititelu MR, Maniu I, Ionita-Radu F, Jinga M. Digestive Amyloidosis Trends: Clinical, Pathological, and Imaging Characteristics. Biomedicines 2024; 12:2630. [PMID: 39595194 PMCID: PMC11591665 DOI: 10.3390/biomedicines12112630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2024] [Revised: 11/12/2024] [Accepted: 11/14/2024] [Indexed: 11/28/2024] Open
Abstract
Amyloidosis is a group of diseases characterized by the extracellular deposition of abnormally folded, insoluble proteins that lead to organ dysfunction. While it commonly affects the cardiovascular system, gastrointestinal (GI) tract involvement is undetermined. Recent research has focused on understanding the pathophysiology, diagnostic challenges, and therapeutic approaches to GI amyloidosis, particularly in systemic amyloid light-chain (AL) and amyloid A (AA) forms. GI manifestations can include motility disorders, bleeding, and, in severe cases, bowel obstruction. This review highlights the importance of the early recognition of digestive symptoms and associated imagistic findings in GI amyloidosis by analyzing the research that included clinical, pathological, and endoscopic approaches to amyloidosis. A systematic search of the PubMed and Scopus databases identified 19 relevant studies. Our findings showed that amyloid deposits commonly affect the entire GI tract, with AL amyloidosis being the most predominant form. Endoscopic evaluations and biopsy remain key diagnostic tools, with Congo Red staining and mass spectrometry being used to confirm amyloid type. Although progress has been made in diagnosis, the absence of targeted therapies and the indistinct nature of GI symptoms continue to be challenging.
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Affiliation(s)
- Sandica Bucurica
- Department of Internal Medicine and Gastroenterology, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (S.B.); (D.-V.B.); (M.J.)
- Department of Gastroenterology, University Emergency Central Military Hospital “Dr. Carol Davila”, 024185 Bucharest, Romania; (A.-S.N.); (M.V.M.)
| | - Andreea-Simona Nancoff
- Department of Gastroenterology, University Emergency Central Military Hospital “Dr. Carol Davila”, 024185 Bucharest, Romania; (A.-S.N.); (M.V.M.)
| | - Miruna Valeria Moraru
- Department of Gastroenterology, University Emergency Central Military Hospital “Dr. Carol Davila”, 024185 Bucharest, Romania; (A.-S.N.); (M.V.M.)
- General Medicine, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (A.B.); (C.S.)
| | - Ana Bucurica
- General Medicine, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (A.B.); (C.S.)
| | - Calin Socol
- General Medicine, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (A.B.); (C.S.)
| | - Daniel-Vasile Balaban
- Department of Internal Medicine and Gastroenterology, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (S.B.); (D.-V.B.); (M.J.)
- Department of Gastroenterology, University Emergency Central Military Hospital “Dr. Carol Davila”, 024185 Bucharest, Romania; (A.-S.N.); (M.V.M.)
| | - Mihaela Raluca Mititelu
- Department of Nuclear Medicine, University of Medicine and Pharmacy Carol Davila, 020021 Bucharest, Romania
- Department of Nuclear Medicine, University Emergency Central Military Hospital, 010825 Bucharest, Romania
| | - Ionela Maniu
- Department of Mathematics and Informatics, Faculty of Sciences, Lucian Blaga University Sibiu, 550012 Sibiu, Romania;
- Research Team, Pediatric Clinical Hospital Sibiu, 550166 Sibiu, Romania
| | - Florentina Ionita-Radu
- Department of Internal Medicine and Gastroenterology, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (S.B.); (D.-V.B.); (M.J.)
- Department of Gastroenterology, University Emergency Central Military Hospital “Dr. Carol Davila”, 024185 Bucharest, Romania; (A.-S.N.); (M.V.M.)
| | - Mariana Jinga
- Department of Internal Medicine and Gastroenterology, Carol Davila University of Medicine and Pharmacology, 020021 Bucharest, Romania; (S.B.); (D.-V.B.); (M.J.)
- Department of Gastroenterology, University Emergency Central Military Hospital “Dr. Carol Davila”, 024185 Bucharest, Romania; (A.-S.N.); (M.V.M.)
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Rosca EC, Cornea A, Simu M. Emerging Trends in Complications Associated with SARS-CoV-2 Infection. Biomedicines 2023; 12:4. [PMID: 38275366 PMCID: PMC10813045 DOI: 10.3390/biomedicines12010004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 12/14/2023] [Indexed: 01/27/2024] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has presented a remarkable challenge to global health, sparking a surge in research aimed at understanding the multifaceted impacts of the virus [...].
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Affiliation(s)
- Elena Cecilia Rosca
- Department of Neurology, Victor Babes University of Medicine and Pharmacy Timisoara, Eftimie Murgu Sq. no. 2, 300041 Timisoara, Romania; (A.C.); (M.S.)
- Department of Neurology, Clinical Emergency County Hospital Timisoara, Bd. Iosif Bulbuca no. 10, 300736 Timisoara, Romania
| | - Amalia Cornea
- Department of Neurology, Victor Babes University of Medicine and Pharmacy Timisoara, Eftimie Murgu Sq. no. 2, 300041 Timisoara, Romania; (A.C.); (M.S.)
- Department of Neurology, Clinical Emergency County Hospital Timisoara, Bd. Iosif Bulbuca no. 10, 300736 Timisoara, Romania
| | - Mihaela Simu
- Department of Neurology, Victor Babes University of Medicine and Pharmacy Timisoara, Eftimie Murgu Sq. no. 2, 300041 Timisoara, Romania; (A.C.); (M.S.)
- Department of Neurology, Clinical Emergency County Hospital Timisoara, Bd. Iosif Bulbuca no. 10, 300736 Timisoara, Romania
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