Pericardial Amyloidosis Associated with Light-chain Myeloma

Amyloidosis is characterized by the deposition of amyloid fibrils, which cause both functional and structural damage to organs. Cardiac involvement with amyloids is a common cause of secondary cardiomyopathy and leads to congestive heart failure. Pericardial amyloidosis usually occurs at the late or terminal stage of the disease after myocardial involvement, but it is extremely rare for pericardial amyloidosis to proceed with myocardial involvement. Here, we report a rare case of a 66-year-old patient with light-chain myeloma, who presented with pericardial effusion but no evidence of cardiomyopathy. (Korean J Med 2013;84:755-758) Keywords: Amyloidosis; Pericardial effusion; Multiple myeloma 중심 단어: 아밀로이드증; 심장막 삼ìœì•¡; 다발성골수ì¢