Familial TTR amyloid polyneuropathy (FAP TTR): investigations

Evidence-based neurology checklist on familial ttr amyloid polyneuropathy (fap ttr): investigations: Nerve biopsy This is more sensitive than fat aspirate or skin biopsy It is indicated in the absence of a family history It is also indicated in low prevalence areas Cardiac investigations Other…

Nerve biopsy

  • This is more sensitive than fat aspirate or skin biopsy
  • It is indicated in the absence of a family history
  • It is also indicated in low prevalence areas

Cardiac investigations

Other investigations

References

  1. Ando Y, Coelho T, Berk JL, et al. Guideline for transthyretin-related hereditary amyloidosis for clinicians. Orphanet J Rare Dis 2013; 8:31.
  2. Panrudkevich AH, Jones FJS, Shouman K, et al. Sensitivity of nerve and skin biopsy and fat aspirate for amyloid in symptomatic hereditary ATTR amyloidosis with peripheral neuropathy. Neurology 2026; 106:e218033.
  3. Ton VK, Bhonsale A, Gilotra NA, et al. Baseline characteristics predict the presence of amyloid on endomyocardial biopsy. J Card Fail 2017; 23:340-344.
  4. Ebenezer GJ, Liu Y, Judge DP, et al. Cutaneous nerve biomarkers in transthyretin familial amyloid polyneuropathy. Ann Neurol 2017; 82:44-56. 
  5. Misumi Y, Ueda M, Yamashita T, et al. Novel screening for transthyretin amyloidosis by using fat ultrasonography. Ann Neurol 2017; 81:604-608.

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