AIIMS November 2011 – MCQ 185
A lady on long term hemodialysis developed carpel tunnel syndrome. The cause was diagnosed to be amyloidosis by using a biopsy. What is the type of amyloid that is seen?
A. Beta 2 microglobulin
B. Amyloid light chain
C. ATTR
D. Amyloid associated protein
Duodenum with amyloid deposition in lamina propria. Amyloid is seen as a homogenous pink material in lamina propria and around blood vessels. (20x magnification)
Beta 2 microglobulin is a part of MHC class I molecule.
Correct answer : A. Beta 2 microglobulin
Ref: Robbins
Explanation : Patients undergoing long term hemodialysis develop amlyloidosis due to deposition of Beta 2 microglobulin. These deposits are seen in the synovium, joints and tendon sheaths.
Related mnemonics:
Causes of Carpal tunnel syndrome
Causes of secondary amyloidosis
Image credits – Wikipedia
in d option AB2m amyloid was given…
Hemodialysis associated amyloid .AB2m was d right answer.