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Abdominal Fat Aspiration Biopsy in Dialysis-Related Amyloidosis-Reply

Abdominal Fat Aspiration Biopsy in Dialysis-Related Amyloidosis-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —The letter of Arques et al adds information on additional patients who are receiving chronic hemodialysis and who have undergone abdominal fat aspirations for the diagnosis of amyloidosis. Twelve of 30 fat aspirates were positive, but are reported as often scant and difficult to detect. Their findings are intriguing and suggest that a positive abdominal fat aspirate may be more common in hemodialysis-associated amyloid than we found. It should be noted that false-positive readings may occur in laboratories where this test is performed infrequently, and that this is more likely to occur when looking for a "scant" deposit.We certainly agree that hemodialysis-associated amyloid fibril deposits can occur throughout the body, however, to a far lesser degree than in the other forms of systemic amyloidosis. This undoubtedly accounts for the infrequent finding of positive abdominal fat aspirates. We feel that both our series of patients and the series http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Abdominal Fat Aspiration Biopsy in Dialysis-Related Amyloidosis-Reply

Abdominal Fat Aspiration Biopsy in Dialysis-Related Amyloidosis-Reply

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —The letter of Arques et al adds information on additional patients who are receiving chronic hemodialysis and who have undergone abdominal fat aspirations for the diagnosis of amyloidosis. Twelve of 30 fat aspirates were positive, but are reported as often scant and difficult to detect. Their findings are intriguing and suggest that a...
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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1988.00380040228041
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —The letter of Arques et al adds information on additional patients who are receiving chronic hemodialysis and who have undergone abdominal fat aspirations for the diagnosis of amyloidosis. Twelve of 30 fat aspirates were positive, but are reported as often scant and difficult to detect. Their findings are intriguing and suggest that a positive abdominal fat aspirate may be more common in hemodialysis-associated amyloid than we found. It should be noted that false-positive readings may occur in laboratories where this test is performed infrequently, and that this is more likely to occur when looking for a "scant" deposit.We certainly agree that hemodialysis-associated amyloid fibril deposits can occur throughout the body, however, to a far lesser degree than in the other forms of systemic amyloidosis. This undoubtedly accounts for the infrequent finding of positive abdominal fat aspirates. We feel that both our series of patients and the series

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Apr 1, 1988

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