Introduction
Systemic amyloid A (AA) amyloidosis is usually secondary to
various chronic infectious , while amyloid light-chain (AL)amyloidosis is associated with plasma cell dyscrasia. In the literature, only few studies report correlations between infections and AL amyloidosis. We report an unusual case of AL
amyloidosis developing in the setting of chronic hepatitis B and HIV
infections.
Our clinical case suggests a link between chronic infections and
eventual onset of AL amyloidosis. There is suspicion that AL amyloidosis
is linked to systemic inflammation of the body, but more research is
needed to confirm this. Furthermore, the case was a
great therapeutic challenge , based on the balance between
antiviral and immunosuppressive therapy.