{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:36:02Z","timestamp":1772998562655,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>We herein present the first reported case of a 65\u2010year\u2010old man on haemodialysis who developed amyloid arthritis involving both \u03b22\u2010microglobulin and transthyretin. He had begun haemodialysis 46\u2009years prior, and 22\u2009years later, he developed carpal tunnel syndrome due to dialysis\u2010related amyloidosis. After 29\u2009years on haemodialysis, he received a deceased\u2010donor kidney transplant, allowing him to discontinue dialysis. Fourteen years post\u2010transplant, he was diagnosed with wild\u2010type transthyretin cardiac amyloidosis. Seventeen years after the kidney transplant, he had to resume haemodialysis because of kidney dysfunction and presented with persistent fever. Computed tomography revealed increased amyloid deposits in the joints compared with the time of his transplant. A biopsy of the shoulder joint confirmed the presence of amyloid deposits positive for both \u03b22\u2010microglobulin and transthyretin as determined by immunostaining and mass spectrometry. The patient was treated with glucocorticoids, tafamidis meglumine and \u03b22\u2010microglobulin adsorption therapy, leading to improvement in his symptoms. This case highlights that amyloid deposition can progress due to kidney dysfunction, even during periods without dialysis following a kidney transplant, and underscores the need to consider transthyretin amyloid deposition in patients undergoing dialysis.<\/jats:p>","DOI":"10.1111\/nep.70162","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T01:45:42Z","timestamp":1769737542000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Amyloid Arthritis With Increased Amyloid Deposition of Both \u03b22\u2010Microglobulin and Transthyretin Before Reinitiating Dialysis Long After Kidney Transplantation"],"prefix":"10.1111","volume":"31","author":[{"given":"Yuki","family":"Minami","sequence":"first","affiliation":[{"name":"Department of Medicine and Clinical Science, Graduate School of Medical Sciences Kyushu University  Fukuoka 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Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoji","family":"Tsuneyoshi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Clinical Science, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeo","family":"Fujino","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Faculty of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Midori","family":"Taniguchi","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology, Graduate School of Medical Sciences Kyushu University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiya","family":"Narutomi","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology, Graduate School of Medical Sciences Kyushu University  Fukuoka 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