Autoinflammatory & rare systemic diseases

Characteristics and course of patients with AA amyloidosis: single centre experience with 174 patients from Turkey

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

FMF patients still constitute the majority of AA amyloidosis patients in Turkey.

Study context

Population
Patients with inflammatory rheumatic diseases and immunohistologically proven AA amyloidosis, tertiary referral centre in Turkey83 female, 91 male
Participants
174 patients
Outcome
Clinical, genetic characteristics and outcomes of AA amyloidosis
Methodological detailssingle-centre, tertiary referral centre
  • Single-centre
  • Tertiary referral centre

Main finding

As reported in the abstract

FMF as most common cause of AA amyloidosis
78.7%
FMF-AA amyloidosis patients carrying p.M694V variant
91%
p.M694V homozygous
74.1%
Age at AA amyloidosis identification, homozygous MEFV exon 10 variants (years)
27
Age at AA amyloidosis identification, compound heterozygous MEFV exon 10 variants (years)
30
Age at AA amyloidosis identification, heterozygous (years)
41
Overall mortality rate
15.3%
Mortality, renal involvement
10%
Mortality, renal + gastrointestinal involvement
15%
Mortality, additional cardiac involvement
43%

Observational data: associations, not effects.

Further findings

Progression to end-stage renal disease, eGFR <60 ml/min at admission

Higher frequency of progression to end-stage renal disease with eGFR <60 ml/min at admission
P < 0.001

Renal response to treatment

Complete response
31%
Partial response
4%
Stable course
23.6%
Progression
38.5%

Amyloid storm · 1 year

Patients with amyloid storm
9
Associated with increased mortality within 1 year

Original publication

Characteristics and course of patients with AA amyloidosis: single centre experience with 174 patients from Turkey. Rheumatology (Oxford). Published 20 September 2023. doi:10.1093/rheumatology/kead465

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