51. Sequence and expression analysis of the beta-2-microglobulin gene in dialysis patients
- Author
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Gaetano La Manna, Giuseppe Cianciolo, Paolo Carinci, Pierluigi Strippoli, Sergio Stefoni, Mario Arpinati, Gabriele Donati, Silvia Canaider, Damiano Rondelli, and Raffaella Casadei
- Subjects
medicine.medical_specialty ,Spondyloarthropathy ,medicine.medical_treatment ,Molecular Sequence Data ,Gastroenterology ,Beta 2 microglobulin ,Renal Dialysis ,Internal medicine ,Internal Medicine ,medicine ,Humans ,amyloidosis ,hemodialysis ,Carpal tunnel syndrome ,Dialysis ,Sequence (medicine) ,Aged ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Beta-2 microglobulin ,Incidence (epidemiology) ,Amyloidosis ,Magnetic resonance imaging ,Middle Aged ,medicine.disease ,Surgery ,business ,beta 2-Microglobulin - Abstract
Hemodialysis-related amyloidosis (HRA) represents one of the main dialysis-related pathologies. It occurs secondary to the deposition of beta-2-microglobulin (|32M), preferentially in the synovium and bone. Clinical features of HRA include carpal tunnel syndrome (CTS), erosive arthropathy, spondyloarthropathy, lytic bone lesions, and pathological fractures. The diagnosis can be made by X-Ray imaging, computerized tomography, magnetic resonance and more recently by β2M-Scintigraphy. HRA can be diagnosed as early as 2 years after the start of regular dialysis treatment (RDT). It was observed in a post-mortem study that over 90% of patients had developed HRA within 7 years2, albeit other authors have claimed that the incidence may be much less3. Although P2M amyloidosis almost invariably seems to be associated with RDT, it was described a patient with severe renal insufficiency who developed the syndrome without having ever been on dialysis4. Treatment-related factors (mainly, dialysis duration) are generall...
- Published
- 2002