%0 Journal Article %T Duodenal biopsy: an unexpected confirmatory test for a patient with al-amyloidosis %A D. D. Dikowita %A G. Selvaratnam %A S. Pirasath %A T. Kumanan %A V. Sujanitha %J Sri Lanka Journal of Medicine %D 2019 %R 10.4038/sljm.v28i1.101 %X SSystemic AL- amyloidosis is a disorder of protein folding in which there is extra-cellular accumulation as ¦Â pleated fibrillar deposits of monoclonal immunoglobulin light chain fragments. AL- amyloidosis is a rare clinical entity. A presentation with clinical and histological evidence of gastrointestinal amyloidosis is even rare. Here we report primary AL- amyloidosis secondary to lamda (¦Ë) light chain myeloma in a middle-aged woman who presented with nephrotic syndrome and motor peripheral neuropathy %U https://sljm.sljol.info/articles/10.4038/sljm.v28i1.101/