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DOI:10.2214/AJR.04.1309
AJR 2005; 185:1460-1467
© American Roentgen Ray Society

Pictorial Essay

Dialysis-Related Amyloidosis Revisited

Emilia Kiss1, Gèrald Keusch2, Marco Zanetti3, Tarzis Jung1, Albin Schwarz2, Michael Schocke4, Werner Jaschke4 and Benedikt V. Czermak4

1 Department of Radiology, Waid Hospital, Zürich, Switzerland 8037.
2 Department of Nephrology, Waid Hospital, Zürich, Switzerland 8037.
3 Department of Radiology, Balgrist University Hospital, Zürich, Switzerland 8008.
4 Department of Radiology, Medical University Innsbruck, Anichstrasse 35, Innsbruck Tyrol, Austria 6020.

OBJECTIVE. Dialysis-related amyloidosis occurs secondarily to the deposition of ß2-microglobulin. Dialysis-related amyloidosis predominantly involves the osteoarticular system and is clinically manifested by erosive and destructive osteoarthropathies, destructive spondyloarthropathy, and carpal tunnel syndrome. This article illustrates the radiographic, sonographic, CT, and MRI findings of dialysis-related amyloid arthropathies.

CONCLUSION. Dialysis-related amyloidosis is characterized by various imaging appearances. In evaluating amyloidosis, MRI provides considerably more information than that obtained from conventional radiographic, CT, and sonographic studies.


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