PMID- 22323870 OWN - NLM STAT- MEDLINE DCOM- 20120531 LR - 20211021 IS - 1598-6357 (Electronic) IS - 1011-8934 (Print) IS - 1011-8934 (Linking) VI - 27 IP - 2 DP - 2012 Feb TI - A case of isolated light chain deposition disease in the duodenum. PG - 207-10 LID - 10.3346/jkms.2012.27.2.207 [doi] AB - Light chain deposition disease (LCDD) is a rare disorder associated with a clonal proliferation of plasma cells, which synthesize abnormal monoclonal immunoglobulin light chains. LCDD is characterized by systemic deposition of light chains in various organs, with the kidneys being most commonly affected. There have been few reports of isolated LCDD. We report a rare case of LCDD limited to a duodenal polyp. A 63-yr-old man visited our hospital for health screening without symptoms in 2009. On gastrofiberscopy, a duodenal polyp was observed. The biopsy showed diffuse infiltration by atypical plasma cells, which were positive for kappa-type light chains by immunohistochemistry. While the patient refused further management, we could find no evidence of recurrence until 2 yr after the initial diagnosis. It has been reported that isolated LCDD has relatively good prognosis compared to systemic LCDD. However, treatment for this disease has not been established yet. FAU - Kim, Hee-Jun AU - Kim HJ AD - Division of Hemato-Oncology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Park, Eunkyung AU - Park E FAU - Lee, Tae Jin AU - Lee TJ FAU - Do, Jae Hyuk AU - Do JH FAU - Cha, Young Joo AU - Cha YJ FAU - Lee, Sang Jae AU - Lee SJ LA - eng PT - Case Reports PT - Journal Article DEP - 20120127 PL - Korea (South) TA - J Korean Med Sci JT - Journal of Korean medical science JID - 8703518 RN - 0 (Immunoglobulin kappa-Chains) SB - IM MH - Duodenum/pathology MH - Endoscopy, Gastrointestinal MH - Humans MH - Immunoglobulin kappa-Chains/*immunology/metabolism MH - Immunohistochemistry MH - Intestinal Mucosa/*pathology MH - Male MH - Middle Aged MH - Paraproteinemias/*diagnosis/pathology MH - Tomography, X-Ray Computed PMC - PMC3271296 OTO - NOTNLM OT - Duodenal Polyp OT - Isolated LCDD OT - Light Chain Deposition Disease (LCDD) EDAT- 2012/02/11 06:00 MHDA- 2012/06/01 06:00 PMCR- 2012/02/01 CRDT- 2012/02/11 06:00 PHST- 2011/09/05 00:00 [received] PHST- 2011/11/04 00:00 [accepted] PHST- 2012/02/11 06:00 [entrez] PHST- 2012/02/11 06:00 [pubmed] PHST- 2012/06/01 06:00 [medline] PHST- 2012/02/01 00:00 [pmc-release] AID - 10.3346/jkms.2012.27.2.207 [doi] PST - ppublish SO - J Korean Med Sci. 2012 Feb;27(2):207-10. doi: 10.3346/jkms.2012.27.2.207. Epub 2012 Jan 27.