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KMID : 0356920130650050453
Korean Journal of Anesthesiology
2013 Volume.65 No. 5 p.453 ~ p.455
Undiagnosed light chain systemic amyloidosis: does it matter to anesthesiologists? -a case report-
Kim Gwan-Ho

Lee Woo-Kyung
Na Se-Hee
Lee Jong-Seok
Abstract
Light chain systemic amyloidosis is rare but may accompany laryngeal or pulmonary involvement, which may increase the risk in airway management. We present a case of a patient planned for resection of cervical epidural mass. The patient had face and neck ecchymoses and purpuras with an unknown cause. Mask ventilation and intubation were successful, but the operation was cancelled to evaluate bleeding from facial skin lesions. A diagnosis of light chain systemic amyloidosis prompted evaluation of involvement of other organs and treatment. This case shows the importance of preoperative evaluation and careful airway management in patients with systemic amyloidosis.
KEYWORD
Amyloidosis, Anesthesia
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