Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
A 58-year-old woman presented with abdominal pain for over 7 months. Physical examination revealed macroglossia (figure 1) and severe tenderness of the periumbilical region. Laboratory investigation yielded elevated liver enzymes, hypoalbuminaemia, hyperlipidaemia, positive urine protein, brain natriuretic peptide 2520 pg/mL and cardiac troponin I 178 ng/L. Coagulation function was not markedly affected. Transthoracic echocardiogram showed left ventricular hypertrophy, diastolic dysfunction with normal left ventricular ejection fraction. Gastroscopy presented congestion, swelling, roughness and erosion of the gastric mucosa. Colonoscopy revealed rectal polyps. Abdominal CT and CT enterography demonstrated hepatosplenomegaly, renomegaly, dilation and effusion of the intestine and thickening of the ascending and transverse colonic wall (figure 2). Electromyography revealed that the skin sympathetic response amplitude of right upper limb was decreased, which indicated impaired peripheral and autonomic nervous system. Mesenteric CT angiography and …
Contributors AL: drafting of the manuscript. F-XC and YL: critical revision of the manuscript.
Funding This study is supported by the Taishan Scholars Program of Shandong Province.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.