Case Report

First Report of Hereditary Lysozyme Amyloidosis in a South Asian Family

Table 1

Families reported in the literature with Alys.

FamilyMutationEthnicityDominant clinical features

1W64R/TGG/CGGFrench [1]Nephropathy/Sicca syndrome
2W64R/TGG/AGGItalian [2]Gastrointestinal
3W64R/TGG/AGGItalian [3]Gastrointestinal
4W64R/TGG/AGGFrench [4]Internal organ bleeding
5I56TEnglish [5]Nephropathy/easy bruisability
6F57IItalian [6]Nephropathy
7D67HEnglish [7]Internal organ bleeding
8D67HEnglish [8]Nephropathy/GI bleeding
9pTyr54AsnSwedish [9]Gastrointestinal/Sicca syndrome
10I56T (our case)South AsianGastrointestinal/nephropathy/internal organ bleeding
11p.Leu102SerEnglish with mixed lineage [10]Nephropathy/neuropathy/gastrointestinal/cardiac
12W64R/TGG/AGGItalian [11]Gastrointestinal
13Mutation not specified; however, lysozyme C confirmed as amyloidogenic protein per LCMSEnglish [12]Nephropathy/internal organ bleeding
14D67HEnglish [13]Internal organ bleeding