Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review

Amyloidosis is a rare disease, often secondary to chronic inflammation or autoimmune disorders, with an unclear etiology in some cases. Herein, we report a 67-year-old male patient presenting with recurrent abdominal pain and multi-system involvement. The diagnosis of AA amyloidosis was confirmed by...

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Main Authors: Pianpian Xia, Deliang Liu, Feihong Deng, Dalian Ou, Mingyang Deng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1640436/full
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author Pianpian Xia
Pianpian Xia
Pianpian Xia
Deliang Liu
Deliang Liu
Deliang Liu
Feihong Deng
Feihong Deng
Feihong Deng
Dalian Ou
Dalian Ou
Dalian Ou
Mingyang Deng
author_facet Pianpian Xia
Pianpian Xia
Pianpian Xia
Deliang Liu
Deliang Liu
Deliang Liu
Feihong Deng
Feihong Deng
Feihong Deng
Dalian Ou
Dalian Ou
Dalian Ou
Mingyang Deng
author_sort Pianpian Xia
collection DOAJ
description Amyloidosis is a rare disease, often secondary to chronic inflammation or autoimmune disorders, with an unclear etiology in some cases. Herein, we report a 67-year-old male patient presenting with recurrent abdominal pain and multi-system involvement. The diagnosis of AA amyloidosis was confirmed by Congo red staining of small intestinal mucosal and bone marrow biopsies. Despite comprehensive screening, no definite etiology was identified. This case highlights that amyloidosis should be considered in patients with unexplained abdominal pain and multisystem abnormalities, and early tissue biopsy is crucial for diagnosis.
format Article
id doaj-art-e9144d8ed3d24d59ad61be69187dfaf3
institution Kabale University
issn 2296-858X
language English
publishDate 2025-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-e9144d8ed3d24d59ad61be69187dfaf32025-08-20T04:02:51ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16404361640436Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature reviewPianpian Xia0Pianpian Xia1Pianpian Xia2Deliang Liu3Deliang Liu4Deliang Liu5Feihong Deng6Feihong Deng7Feihong Deng8Dalian Ou9Dalian Ou10Dalian Ou11Mingyang Deng12Department of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, ChinaResearch Center of Digestive Diseases, Central South University, Changsha, ChinaClinical Research Center for Digestive Diseases in Hunan Province, Changsha, ChinaDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, ChinaResearch Center of Digestive Diseases, Central South University, Changsha, ChinaClinical Research Center for Digestive Diseases in Hunan Province, Changsha, ChinaDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, ChinaResearch Center of Digestive Diseases, Central South University, Changsha, ChinaClinical Research Center for Digestive Diseases in Hunan Province, Changsha, ChinaDepartment of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, ChinaResearch Center of Digestive Diseases, Central South University, Changsha, ChinaClinical Research Center for Digestive Diseases in Hunan Province, Changsha, ChinaDepartment of Hematology, The Second Xiangya Hospital of Central South University, Changsha, ChinaAmyloidosis is a rare disease, often secondary to chronic inflammation or autoimmune disorders, with an unclear etiology in some cases. Herein, we report a 67-year-old male patient presenting with recurrent abdominal pain and multi-system involvement. The diagnosis of AA amyloidosis was confirmed by Congo red staining of small intestinal mucosal and bone marrow biopsies. Despite comprehensive screening, no definite etiology was identified. This case highlights that amyloidosis should be considered in patients with unexplained abdominal pain and multisystem abnormalities, and early tissue biopsy is crucial for diagnosis.https://www.frontiersin.org/articles/10.3389/fmed.2025.1640436/fullabdominal painAA amyloidosisdiagnosisetiologyserum amyloid A proteingastrointestinal diseases
spellingShingle Pianpian Xia
Pianpian Xia
Pianpian Xia
Deliang Liu
Deliang Liu
Deliang Liu
Feihong Deng
Feihong Deng
Feihong Deng
Dalian Ou
Dalian Ou
Dalian Ou
Mingyang Deng
Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review
Frontiers in Medicine
abdominal pain
AA amyloidosis
diagnosis
etiology
serum amyloid A protein
gastrointestinal diseases
title Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review
title_full Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review
title_fullStr Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review
title_full_unstemmed Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review
title_short Idiopathic AA amyloidosis presenting with initial abdominal pain: a case report and literature review
title_sort idiopathic aa amyloidosis presenting with initial abdominal pain a case report and literature review
topic abdominal pain
AA amyloidosis
diagnosis
etiology
serum amyloid A protein
gastrointestinal diseases
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1640436/full
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