Amyloid proteins are normally produced by the immune system to help fight infection. However, in , these proteins become misfolded and accumulate in different organs, disrupting their normal structure and function. The most commonly affected organs include the heart, kidneys, liver, and nervous system.
There are several types of amyloidosis, each with unique characteristics and disease progression. The most common form is called AL amyloidosis, or primary amyloidosis, which occurs when abnormal plasma cells (a type of white blood cell) produce excessive amounts of amyloid proteins. This form is often associated with multiple myeloma, a type of blood cancer.
Another type is called AA amyloidosis, or secondary amyloidosis, which is usually a result of chronic inflammatory diseases, such as rheumatoid arthritis or Crohn’s disease. Here, a protein called serum amyloid A accumulates in the body’s tissues, leading to amyloid deposition.
Symptoms of amyloidosis can vary depending on the affected organs and the stage of the disease. Common signs include swelling in the legs and ankles, shortness of breath, fatigue, an enlarged tongue, irregular heartbeat, abnormal kidney function, and numbness in the limbs. These can be vague and easily mistaken for other conditions, making early diagnosis challenging.
Diagnosing amyloidosis typically involves a combination of clinical evaluation, imaging tests, and examination of affected tissues. Doctors may conduct blood and urine tests to measure levels of amyloid proteins and assess organ function. Biopsy of an affected organ, such as the heart or kidney, is often necessary to confirm the presence of amyloid deposits.
Unfortunately, there is no cure for amyloidosis; however, treatment aims to reduce the production and accumulation of amyloid proteins, alleviate symptoms, and improve organ function. The specific treatment approach depends on the type and severity of amyloidosis.
For AL amyloidosis, chemotherapy, targeted therapy, and stem cell transplantation are commonly used to reduce the production of abnormal plasma cells. In AA amyloidosis, treating the underlying chronic inflammatory disease is crucial to halt the progression of amyloid accumulation.
In addition to medical interventions, managing symptoms and providing supportive care are essential aspects of amyloidosis treatment. This may involve medications to control heart rhythm, blood pressure, or fluid balance, as well as regular monitoring of organ function.
Despite the posed by amyloidosis, advancements in research have led to improved and treatment options. Clinical trials are continuously exploring novel therapies, including drugs that target specific processes involved in amyloid formation and removal.
Awareness and early detection are critical in managing amyloidosis. If you have a family history of amyloidosis or experience persistent symptoms, seek medical attention promptly. Timely diagnosis and treatment can significantly improve outcomes and quality of life for individuals affected by this serious disease.