对以周围神经淀粉样变为首发症状的全身系统性淀粉样变1例分析如下。1病历摘要女,65岁。患者于4 a前开始无明显诱因出现双足疼痛伴发凉,逐渐出现双手发麻、怕冷,近3~4 a来出现食欲不振,间断腹泻、便秘,于多家医院以胃肠炎予对症支持治疗,效果欠佳。近1 a来上述症状逐渐加重,消 A case of systemic systemic amyloidosis with amyloidosis of peripheral nerves becoming the first symptom is analyzed as follows. 1 medical record summary female, 65 years old. Patients in 4 a before no obvious incentive to appear bipolar pain with cold, gradually numb hands, cold, nearly 3 ~ 4 a to appear loss of appetite, intermittent diarrhea, constipation, in many hospitals with gastroenteritis to Symptomatic supportive treatment, the effect is not good. The past 1 a to gradually aggravate the symptoms, elimination