case_images: PMC10593157_01
case_images: A and B are images demonstrating right and left forearm wounds measuring 12 cm x 7 cm and 12 cm x 7 cm respectively. C, D and E are images from esophagogastroduodenoscopy (EGD) with C and D demonstrating inflammation in the pylorus and gastric body respectively. E shows mucosal atrophy in the second portion of the duodenum. F is a colonoscopy image demonstrating a normal terminal ileum.
case_images: jchim-13-03-065f1.jpg
case_images: PMC10593157_01_jchim-13-03-065f1.jpg
case_images: f1-jchim-13-03-065
case_images: The bilateral forearm wounds measured 12 cm x7 cm and 12 cm x7 cm (Fig. 1A and B). An urgent gastroduodenoscopy revealed erythematous, friable gastric mucosa and duodenal mucosal atrophy (Fig. 1C, D, and E). Colonoscopy showed similar findings, with friable mucosa throughout the entire colon (Fig. 1F).
case_images: A, B and C are low power images of gastric, duodenal and colon biopsies showing increased deposition of an amorphous pink material within the lamina propria (see insets, upper right of each image, 20x). A Congo red special stain confirms the amorphous material is comprised of amyloid protein (see insets, orange coloring, bottom left).
case_images: jchim-13-03-065f2.jpg
case_images: PMC10593157_01_jchim-13-03-065f2.jpg
case_images: f2-jchim-13-03-065
case_images: Random gastric, duodenal, and colon biopsies demonstrated extensive amyloid deposition in the lamina propria, confirmed with Congo red stain (Fig. 2).