Amyloidosis - but no type yet. How do I get that?

Posted by rdiehl45 @rdiehl45, Jun 6 11:40am

During carpal tunnel surgery, they took a biopsy and it came back positive for amyloidosis but the quantity was insufficient to determine the type. I have bilateral carpal tunnel. How do I go about finding the type of amyloidosis? My doctor has referred me to an advanced heart failure, doctor for evaluation. I have no heart symptoms. I have read there are many kinds of this disease and several tests, but many can be inconclusive. Some places I have read….. that to get an early diagnosis like this one is great for treatment because it is early …..however I don’t seem to know where to go.

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I would see my family doctor and ask questions. I would Asked if I needed to go to a specialist.
Ask questions if you don’t understand, ask him to clarify
Write things down a small tablet you could carry in a bag with you is the best.
Talk to your family and friends for Support
I wish you the best

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I'm sure the referral to a heart failure doc was a shock. It's a great sign that you don't have heart signs like shortness of breath and foot swelling. I imagine the referral is because the disease isn't common and the doc may have more experience with amyloidosis than others in area. He also probably wants the doc to do echos and other tests so that if you have cardiac involvement, (you may not), it can be caught early and treated.
Cleveland Clinic had some good info on their site. I linked one article below.

There's also the Amyloidosis Foundation which has a list of centers in case one is close to you.

Here is an article about carpal tunnel and amyloidosis. https://health.clevelandclinic.org/attr-cm-and-carpal-tunnel?utm_source=google&utm_medium=ppc&utm_campaign=cc_cs_ag_175165839515&utm_content=cc_cs_cid_%7Badid%7D&gad_source=1&gad_campaignid=22198030319&gclid=EAIaIQobChMIpey7svvhjQMVPVj_AR0I_idNEAAYAiAAEgJ1d_D_BwE

Note-it says all patients who have carpal tunnel amyloid do not get the cardiomyopathy and that the cardiac disease is now treatable.
Good luck and keep us posted.

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Thank you so much for your reply. I’m going to check out the link. Thank you for encouraging words.

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@rdiehl45

Thank you so much for your reply. I’m going to check out the link. Thank you for encouraging words.

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I could have stated that last paragraph more clearly, I think. While some patients with carpal tunnel do get cardiac amyloidosis, not all of them do.

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Consider getting an abdominal fat pad biopsy (assuming they didn't take that for the carpal tunnel work). It is good to get a second opinion/verification before treatment. Fat pad is quick and minimally invasive. My DNA mutation was from a bone marrow biopsy. I don't have amyloidosis, but was checked for it last summer (MGUS). https://www.mountsinai.org/health-library/tests/abdominal-wall-fat-pad-biopsy https://my.clevelandclinic.org/health/diseases/23398-amyloidosis https://ashpublications.org/blood/article/139/19/2918/476883/How-I-treat-AL-amyloidosis

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Thank you. I wondered what it was and how it was checked.

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I had a diagnosis of amyloidosis this year after a bilateral carpal tunnel surgery biopsy done by my surgeon came back positive. I was referred to a amyloidosis specialist in Chattanooga, TN at the Heart Institute. I’m lucky that we have a great specialist, Dr. Henry Chang, here in my home City. He sent my biopsy to the Mayo Clinic for the type testing & it came back positive for Attr “wild type” amyloidosis. I will be having the Amvuttra injections quarterly to treat it. I understood that Medicare part B will cover the treatments which is a blessing. It is because of the hard work and effort by Dr. Chang that my amyloidosis was caught early. He sent out notification letters to all surgeons in many areas who performed carpal tunnel surgeries asking them to biopsy their patients.
God bless him & the doctors who complied with his request.

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I would like to be kept updated as to how you are tolerating the injection.
I now have an appointment at Mayo with also a Dr Chang cardiologist specializing in amyloidosis - in a few weeks. I hope they can determine a type.

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@pacathy

I'm sure the referral to a heart failure doc was a shock. It's a great sign that you don't have heart signs like shortness of breath and foot swelling. I imagine the referral is because the disease isn't common and the doc may have more experience with amyloidosis than others in area. He also probably wants the doc to do echos and other tests so that if you have cardiac involvement, (you may not), it can be caught early and treated.
Cleveland Clinic had some good info on their site. I linked one article below.

There's also the Amyloidosis Foundation which has a list of centers in case one is close to you.

Here is an article about carpal tunnel and amyloidosis. https://health.clevelandclinic.org/attr-cm-and-carpal-tunnel?utm_source=google&utm_medium=ppc&utm_campaign=cc_cs_ag_175165839515&utm_content=cc_cs_cid_%7Badid%7D&gad_source=1&gad_campaignid=22198030319&gclid=EAIaIQobChMIpey7svvhjQMVPVj_AR0I_idNEAAYAiAAEgJ1d_D_BwE

Note-it says all patients who have carpal tunnel amyloid do not get the cardiomyopathy and that the cardiac disease is now treatable.
Good luck and keep us posted.

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That article is great!! I had my kids and husband read it to help them better understand.

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@rdiehl45

That article is great!! I had my kids and husband read it to help them better understand.

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I'm glad it was helpful!
I've been to Mayo a couple times and it's an impressive place. I'm glad you're being seen there.

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