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A prospective study of nutritional status in immunoglobulin light chain amyloidosis

Prayman T Sattianayagam, Thirusha Lane, Zoe Fox, Aviva Petrie, Simon D J Gibbs, Jennifer H Pinney, Signe S Risom, Dorota M Rowczenio, Ashutosh D Wechalekar, Helen J Lachmann, Janet A Gilbertson, Philip N Hawkins, Julian D Gillmore

    30 Citations (Scopus)

    Abstract

    Weight loss is common in systemic immunoglobulin light chain amyloidosis but there are limited data on the impact of nutritional status on outcome. Using the Patient-Generated Subjective Global Assessment (PG-SGA) score, we prospectively examined nutritional status in 110 consecutive newly-diagnosed, treatment-naïve patients with immunoglobulin light chain amyloidosis attending the UK National Amyloidosis Centre. At study entry, 72 of 110 (66%) patients had a PG-SGA score of 4 or over, indicating malnutrition requiring specialist nutritional intervention. Number of amyloidotic organs, elevated alkaline phosphatase, presence of autonomic neuropathy and advanced Mayo disease stage were independently associated with poor nutritional status (P
    Original languageEnglish
    JournalHaematologica
    Volume98
    Issue number1
    Pages (from-to)136-40
    Number of pages5
    ISSN0390-6078
    DOIs
    Publication statusPublished - Jan 2013

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