The Journal of the Korean Rheumatism Association  2000;7(3):291-296

Secondary Amyloidosis Involving Liver in Rheumatoid Arthritis Treated with Methotrexate and Low dose Prednisolone.

Yoon Ju HAN 1 ; Chan Ho SONG ; Dong Hyuk SHEEN ; Sang Seok YANG ; Jee Youn LEE ; Yong Seong LIM ; Yeong Wook SONG

Affiliations

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Keywords

Amyloidosis; Liver; Rheumatoid Arthritis; Methotrexate; Prednisolone

Country

Republic of Korea

Language

Korean

Abstract

Amyloidosis is a heterogenous group of often fatal disorders characterized by extracellular deposition of a proteinaceous material with a unique fibrillar form in various tissues and organs. Presenting with severe hepatomegaly, a 46 year-old man who has suffered with rheumatoid arthritis lasting more than 12 years was confirmed to have secondary amyloidosis by liver biopsy. After treatment with methotrexate and low dose prednisolone, we have observed clinical improvement in which hepatomegaly was resolved remarkably. This is the first published case report of a patient with rhuematoid arthritis complicated by liver amyloidosis which partially regressed after treatment with methotrexate and prednisolone.