Sara Alehashemi, Surendra Dasari, Anvitha Metpally, Kat Uss, Leslie A Castelo-Soccio, Theo Heller, Peter Kellman, Marcus Y Chen, Mark Ahlman, Jeff Kim, Susannah Wargo, Douglas B Kuhns, Danielle Fink, Adriana de Jesus, Paul S Martin, Richard Chang, Jonathan Bolanos, Chyi-Chia Richard Lee, Samih H Nasr, Raphaela Goldbach-Mansky, Ellen McPhail
OBJECTIVE: To describe a 41-year-old woman with a history of Neonatal onset multisystem inflammatory disease (NOMID), on treatment with daily subcutaneous injections of 600 mg of recombinant IL1RA (Interleukin-1 receptor antagonist protein), anakinra, since the age of 28, who presented with golf-ball size nodules at the anakinra injection sites, early satiety, new onset nephrotic syndrome in the context of normal markers of systemic inflammation. METHODS: Clinical history and histologic evaluation of biopsies of skin, gastric mucosa, and kidney with Congo-Red staining and proteomic evaluation of microdissected Congo Red-positive amyloid deposits by liquid chromatography-tandem mass spectrometry...
July 24, 2023: Arthritis & Rheumatology