Literature overview of immunohistochemical studies for subtyping in systemic amyloidosis
. | Bergesio (2007)14 . | Kebbel (2006)8 . | Gallo (1986)16 . | Strege (1998)5 . | Collins (2009)15 . | Novak (2004)17 . | Current study . |
---|---|---|---|---|---|---|---|
No. of patients | 373 | 121 | 50 | 43 | 40 | 36 | 117 |
Biopsy sites | Kidney* | All | Kidney† | Autopsy series | Kidney, heart‡ | Kidney | All§ |
Most common types | AL, AA | AL, AA | AA, AL | AA, TTR | AL | AL | AL, TTR |
Unclassified, % | 7 | 10 | 12 | 2 | 15 | 33 | 6 |
Clinical data | Clinical, laboratory, bone marrow, family history, genotyping | Clinical picture | Laboratory, bone marrow | Autopsy reports | Laboratory | Laboratory | Clinical laboratory, bone marrow, family history, genotyping |
. | Bergesio (2007)14 . | Kebbel (2006)8 . | Gallo (1986)16 . | Strege (1998)5 . | Collins (2009)15 . | Novak (2004)17 . | Current study . |
---|---|---|---|---|---|---|---|
No. of patients | 373 | 121 | 50 | 43 | 40 | 36 | 117 |
Biopsy sites | Kidney* | All | Kidney† | Autopsy series | Kidney, heart‡ | Kidney | All§ |
Most common types | AL, AA | AL, AA | AA, AL | AA, TTR | AL | AL | AL, TTR |
Unclassified, % | 7 | 10 | 12 | 2 | 15 | 33 | 6 |
Clinical data | Clinical, laboratory, bone marrow, family history, genotyping | Clinical picture | Laboratory, bone marrow | Autopsy reports | Laboratory | Laboratory | Clinical laboratory, bone marrow, family history, genotyping |
Although this study evaluated patients with renal amyloidosis, only 315 patients underwent a kidney biopsy; the remaining patients were diagnosed by a different organ biopsy. This was a multicenter study; only 30 of the 45 participating centers used routinely κ and λ antibodies in all renal biopsies.
Although all biopsy sites were admitted in the study, renal biopsies prevailed by far with 37 of 50 cases.
This study included a series of 17 cardiac and 23 renal biopsies.
Only 14 renal biopsies included.