Amber Kiyani1 BDS, MS, FAAOMP, Dip-ABOMP
Anam Zahid Kiani2 BDS, MSc
Uzair Luqman3 BDS, FCPS, FFD RCS, FAOCMP
Secondary amyloidosis is a consequence of chronic inflammatory diseases that results in deposition of amyloid in organs disrupting its function. Oral involvement with this process is exceedingly rare. A 63-year-old Pakistani female with a history of rheumatoid arthritis and ankylosing spondylitis was seen in the Oral Medicine Clinics for painful oral nodules that were diagnosed as AA-type, or secondary amyloidosis, following an incisional biopsy. Similar deposits were identified in vital organs on subsequent examination by the patient’s physicians. Due to widespread systemic involvement, our patient died within 6-months of her diagnosis.
CONCLUSION: This case serves as a reminder that oral presentations may be the first identifiable signs of systemic diseases. It also emphasizes the importance of multidisciplinary clinical practice, and the lack of it in our country.
KEY WORDS: AA amyloidosis, secondary amyloidosis, oral amyloidosis.
HOW TO CITE: Kiyani A, Kiani AZ, Luqman U. Secondary amyloidosis presenting as oral nodules. J Pak Dent Assoc 2019; 28(4):204-206.
Received: 28 April 2019, Accepted: 25 July 2019