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Table 1 Clinical profiles of 9 symptomatic ATTRA97S-PN

From: Ala97Ser transthyretin amyloidosis-associated polyneuropathy, clinical and neurophysiological profiles in a Thai cohort

Family/ Patient

Sex

Age of onset (year)

Age at diagnosis (year)

Neuropathy at presentation

Neuropathic pain

Fiber type dysfunction of sensory nerve

Motor

Autonomic symptoms

COMPASS-31

Cardiopathy

Systemic

A1

M

52

60

S, M, A, CTS

-

Large, Small

U,L

GI, GU, OH

NA

Pa (CD, NYHA-III)

WR, dysphagia

A2

F

60

66

S, M, A, CTS

-

Large, Small

L

GI, GU, OH, SU

27.43

Pb (NYHA-I)

WR

A3

F

56

59

S, A, CTS

-

Large, Small

-

GI, OH

36.42

Pb (NYHA-I)

-

A4

F

52

55

S, A, CTS

P

Small

-

GI, SU

18.94

Aba

-

A5

M

32

33

S, A

-

Large, Small

-

OH

20.46

Abb

-

B1

M

58

66

S, M, A, CTS

P

Large, Small

U, L

GI, OH

NA

Pa (CD, NYHA-III)

WR

B2

M

32

36

S, A

-

Large, Small

-

GI

23.36

Abb

-

C1

F

58

66

S, M, A, CTS

-

Large, Small

U, L

GI, GU, OH, SU

42.56

Pb(AF, NYHA-II)

WR, MGUS

D1

M

35

52

S, M, A, CTS

-

Large, Small

U, L

GI, GU, OH, SU

33.68

Pc (CD, NYHA-II)

WR

  1. Bold: initial symptoms, M male, F female, S sensory, M motor, A autonomic, CTS carpal tunnel syndrome, U upper limbs (excluding carpal tunnel syndrome), L lower limbs, GI gastrointestinal, GU genitourinary, OH orthostatic intolerance/hypotension, SU sudomotor, COMPASS-31 The composite autonomic symptom score-31 questionnaire, NA non applicable, P present, Ab absent, CD conduction defects, AF atrial fibrillation, NYHA New York Heart Association functional classification (at the last follow-up), WR weight reduction, MGUS monoclonal gammopathy with undetermined significance,
  2. a Evident by EKG/Holter monitoring and echocardiogram, b Evident by electrocardiogram/Holter monitoring, echocardiogram and cardiac magnetic resonance imaging, c Evident by electrocardiogram/Holter monitoring, cardiac magnetic resonance imaging and myocardial scintigraphy with bone avid tracer 99mtechnetium pyrophosphate
  3. A5 is the son of A1. B2 is the son of B1