以心肾联合损害的原发性系统性淀粉样变性全身软组织<sup>99</sup>Tc<sup>m</sup>-MDP显像一例

以心肾联合损害的原发性系统性淀粉样变性全身软组织⁹⁹Tc^m-MDP显像一例

摘要: 笔者报道了1例以心肾联合损害的原发性淀粉样变性全身软组织广泛摄取⁹⁹Tc^m-MDP的病例。结合患者的临床症状、体征、实验室检查及影像学资料，考虑为原发性系统性淀粉样变性。当全身骨扫描出现软组织广泛性、对称性普遍摄取骨显像剂时，应高度怀疑软组织淀粉样变性，提示临床作进一步检查。

Abstract: The author reports a case of primary systemic amyloidosis with cardio-kidney damages, the whole body soft tissue uptake ⁹⁹Tc^m-MDP. Based on clinical symptoms, signs, laboratory tests and imaging examinations, the patients were diagnosed with primary systemic amyloidosis. When the whole body soft tissue extensive and symmetrical uptake the radiopharmaceutical in bone scanning, amyloidosis should be highly suspected, and suggesting further clinical examination.