Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature

Amyloidosis is a disorder of protein folding in which various proteins automatically aggregate into a highly abnormal fibrillar conformation. Amyloidosis is classified into systemic and localized forms depending on whether the abnormal proteins deposited in several different organs or only a single...

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Autores principales: Hiromasa Takakura, Hirohiko Tachino, Kouji Takii, Johji Imura, Hideo Shojaku
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/29278b5420ce4639b5a1ec0a750ba4dd
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spelling oai:doaj.org-article:29278b5420ce4639b5a1ec0a750ba4dd2021-11-05T06:26:42ZLocalized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature2296-875X10.3389/fsurg.2021.774469https://doaj.org/article/29278b5420ce4639b5a1ec0a750ba4dd2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.774469/fullhttps://doaj.org/toc/2296-875XAmyloidosis is a disorder of protein folding in which various proteins automatically aggregate into a highly abnormal fibrillar conformation. Amyloidosis is classified into systemic and localized forms depending on whether the abnormal proteins deposited in several different organs or only a single organ. In localized amyloidosis of the head and neck regions, laryngeal amyloidosis is common; however, localized amyloidosis of the nose is extremely rare. We herein report a case of localized amyloidosis of the nose and review the relevant literature on localized sinonasal amyloidosis. A 41-year-old man presented with a history of severe nasal obstruction, which had persisted for two decades. Nasal endoscopy and imaging studies showed extensive thickening of the bilateral nasal mucosa and diffuse submucosal deposition of calcification. After histopathological and systemic examinations, he was diagnosed with localized amyloidosis of the nasal mucosa. Septoplasty and bilateral inferior turbinoplasty, which consisted of mucosal resection using an ultrasonic bone curette, was performed and his symptoms markedly improved. Localized sinonasal amyloidosis has a good prognosis and surgical resection should be selected as a first-line treatment; however, clinicians should recognize the high probability of recurrence.Hiromasa TakakuraHirohiko TachinoKouji TakiiJohji ImuraHideo ShojakuFrontiers Media S.A.articlelocalized sinonasal amyloidosiscalcificationultrasonic bone curetteclinical featuresdebulking surgerySurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic localized sinonasal amyloidosis
calcification
ultrasonic bone curette
clinical features
debulking surgery
Surgery
RD1-811
spellingShingle localized sinonasal amyloidosis
calcification
ultrasonic bone curette
clinical features
debulking surgery
Surgery
RD1-811
Hiromasa Takakura
Hirohiko Tachino
Kouji Takii
Johji Imura
Hideo Shojaku
Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature
description Amyloidosis is a disorder of protein folding in which various proteins automatically aggregate into a highly abnormal fibrillar conformation. Amyloidosis is classified into systemic and localized forms depending on whether the abnormal proteins deposited in several different organs or only a single organ. In localized amyloidosis of the head and neck regions, laryngeal amyloidosis is common; however, localized amyloidosis of the nose is extremely rare. We herein report a case of localized amyloidosis of the nose and review the relevant literature on localized sinonasal amyloidosis. A 41-year-old man presented with a history of severe nasal obstruction, which had persisted for two decades. Nasal endoscopy and imaging studies showed extensive thickening of the bilateral nasal mucosa and diffuse submucosal deposition of calcification. After histopathological and systemic examinations, he was diagnosed with localized amyloidosis of the nasal mucosa. Septoplasty and bilateral inferior turbinoplasty, which consisted of mucosal resection using an ultrasonic bone curette, was performed and his symptoms markedly improved. Localized sinonasal amyloidosis has a good prognosis and surgical resection should be selected as a first-line treatment; however, clinicians should recognize the high probability of recurrence.
format article
author Hiromasa Takakura
Hirohiko Tachino
Kouji Takii
Johji Imura
Hideo Shojaku
author_facet Hiromasa Takakura
Hirohiko Tachino
Kouji Takii
Johji Imura
Hideo Shojaku
author_sort Hiromasa Takakura
title Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature
title_short Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature
title_full Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature
title_fullStr Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature
title_full_unstemmed Localized Amyloidosis of the Nasal Mucosa: A Case Report and Review of the Literature
title_sort localized amyloidosis of the nasal mucosa: a case report and review of the literature
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/29278b5420ce4639b5a1ec0a750ba4dd
work_keys_str_mv AT hiromasatakakura localizedamyloidosisofthenasalmucosaacasereportandreviewoftheliterature
AT hirohikotachino localizedamyloidosisofthenasalmucosaacasereportandreviewoftheliterature
AT koujitakii localizedamyloidosisofthenasalmucosaacasereportandreviewoftheliterature
AT johjiimura localizedamyloidosisofthenasalmucosaacasereportandreviewoftheliterature
AT hideoshojaku localizedamyloidosisofthenasalmucosaacasereportandreviewoftheliterature
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