Table I.
Study | Age of patient (y) | HS duration (y) | Previous therapies | Comorbidities | Localization | Clinical amyloidosis presentation | Detection of amyloid deposits | Assigned therapy | Outcome |
---|---|---|---|---|---|---|---|---|---|
Titze et al2 | 62 | 25 | NR | Coronary heart disease, hypertension, hypercholesterolemia | Axillae, inguinal areas, perineal area | Nephrotic syndrome, diarrhea | Colon biopsy | Ramipril, diuretics, cefuroxime |
Kidney failure |
Caliskan et al3 | 44 | NR | None | None | Axillae, inguinal areas, perianal area | Nephrotic proteinuria | Kidney biopsy | Ramipril, colchicine | Kidney failure |
Montes-Romero et al4 | 39 | 9 | Antiandrogens, topic and systemic antibiotics, isotretinoin | Hypothyroidism | Axillae, perineal area, scrotum, Perianal area |
Nephrotic proteinuria | Kidney biopsy | Infliximab | Improvement in 14 wks |
Girouard et al5 | 39 | 21 | Infliximab, surgery Systemic tetracycline, linezolid and clindamycin |
NR | NR | Nephrotic proteinuria | Kidney biopsy | Adalimumab and fludrocortisone | Improvement |
Ilgen et al6 | 42 | 3 | Topical steroids, topical keratolytics, systemic roxithromycin, rifampicin and clindamycin | None | Axillae, inguinal areas, perineal area, perianal area | Nephrotic syndrome | Perineal skin biopsy Kidney biopsy |
Colchicine | Kidney failure |
Utrera-Busquets et al7 | 37 | 16 | Systemic antibiotics, antiandrogens, dapsone, prednisone, infliximab, methotrexate, adalimumab | Graves disease, obesity | Axillae, inguinal areas, gluteal area | Nephrotic syndrome | Renal biopsy | Allopurinol, furosemide, sodium bicarbonate, lanthanum carbonate, systemic prednisone and clindamycin, surgery | Improvement in 24 wks |
Schandorff et al8 | 54 | 8 | Long-term systemic tetracycline, systemic rifampicin and clindamycin | None | Anogenital region, inguinal areas | Kidney failure | Renal biopsy | Acitretin, prednisolone, adalimumab, anakinra, surgery | Kidney failure |
Özer et al9 | 43 | 11 | Systemic antibiotics and steroid injections | None | Axillae, inguinal areas | Nephrotic proteinuria | Renal biopsy | Infliximab | Improved in 4 wks |
NR, Data not reported.