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Commonly, this initially manifests as shoulder pain and carpal tunnel syndrome and symptoms are commonly bilateral Pearson, m.d., and william s Patients can also develop osteolytic bone lesions (amyloidomas) and pathological fractures.

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The shoulder pad sign is an enlargement of the anterior shoulder due to amyloid deposition in periarticular soft tissue Peter, m.d., ph.d., carl m [1][2][3] this type of infiltration is not common, but it is pathognomonic for al amyloidosis

Significant thickening of the subdeltoid bursa was evident upon shoulder magnetic resonance imaging

The shoulder pad sign is the prominent appearance of the bilateral anterior deltoid area due to amyloid deposition, particularly the kappa light chain, in periarticular soft tissue. 2marmara university training and research hospital, clinic of hematology, istanbul, turkey keywords Shoulder pad, multiple myeloma, kappa light chain, al amyloidosis On physical examination, periorbital ecchymoses (the “raccoon” sign) and infiltration of the periarticular tissues of the shoulders were found.

The shoulder pad sign is a clinical feature that can be associated with multiple myeloma Thrombosis of the subclavian vein can cause. Joint examination revealed swelling and tenderness of the bilateral anterior parts of the shoulders, elbows, wrists, knees, and ankles