Undiagnosed light chain systemic amyloidosis: does it matter to anesthesiologists? -a case report-
Gwan Ho Kim ; Woo Kyung Lee ; Jong Seok Lee ; Se Hee Na
Korean Journal of Anesthesiology (대한마취과학회지), Vol.65(5) : 453~455, 2013
Korean Journal of Anesthesiology (대한마취과학회지)
Light chain systemic amyloidosis is rare but may accompany laryngeal or pulmonary involvement, which may increase the risk in airway management. We present a case of a patient planned for resection of cervical epidural mass. The patient had face and neck ecchymoses and purpuras with an unknown cause. Mask ventilation and intubation were successful, but the operation was cancelled to evaluate bleeding from facial skin lesions. A diagnosis of light chain systemic amyloidosis prompted evaluation of involvement of other organs and treatment. This case shows the importance of preoperative evaluation and careful airway management in patients with systemic amyloidosis.