Table 1

Several types of systemic amyloidosis

Amyloid typePrecursor proteinClinical presentations
AL kappa or lambda light chains Cardiac, renal, hepatic/GI, PNS, soft tissues 
ATTR Mutant transthyretin Cardiac, PNS 
Senile systemic Wild-type transthyretin Cardiac, pulmonary, PNS 
AA* Serum amyloid A Renal 
A Fib Mutant fibrinogen A alpha Renal, hepatic 
AApo-A1 Apolipoprotein A1 Cardiac, renal, hepatic/GI, PNS, skin 
Amyloid typePrecursor proteinClinical presentations
AL kappa or lambda light chains Cardiac, renal, hepatic/GI, PNS, soft tissues 
ATTR Mutant transthyretin Cardiac, PNS 
Senile systemic Wild-type transthyretin Cardiac, pulmonary, PNS 
AA* Serum amyloid A Renal 
A Fib Mutant fibrinogen A alpha Renal, hepatic 
AApo-A1 Apolipoprotein A1 Cardiac, renal, hepatic/GI, PNS, skin 

GI indicates gastrointestinal; and PNS, peripheral nervous system.

*

AA is very rare in the developed world, but cases still occur in association with chronic infection, severe gout, ulcerative colitis, and metastatic renal cancer.

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