raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:85443

AL amyloidosis

Synonyms: Light-chain amyloidosis

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult
Status
active

A clonal B-cell disorder characterized by the aggregation and deposition of insoluble amyloid fibrils derived from misfolding of monoclonal immunoglobulin light chains. It usually presents as systemic AL amyloidosis with involvement of one or more parenchymal organ(s) and, less frequently, as localized amyloidosis with usually nodular deposits restricted to a single organ and/or system.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAL amyloidosisLight-chain amyloidosis
frAmylose AL
deAL-AmyloidoseLeichtkettenamyloidose
esAmiloidosis ALAmiloidosis de cadena ligera
itAmiloidosi ALAmiloidosi a catena leggera
nlAL-amyloïdoseLichteketenamyloïdose
ptAmiloidose ALAmiloidose de cadeias leves
plAmyloidoza ALAmyloidoza immunoglobulinowa · Amyloidoza łańcuchów lekkich · Amyloidoza pierwotna
csAL amyloidózaPrimární amyloidóza · Amyloidóza s lehkými řetězci
ukАмілоїдоз ALЛегколанцюговий амілоїдоз
zhAL型淀粉样变性长链淀粉样变
trAL amiloidozPrimer amiloidoz · Hafif zincir amiloidoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM254500NTBTvalidated
ICD-10E85.4BTNTspecificvalidated
ICD-10E85.9NTBTindexvalidated
ICD-115D00.0Especificvalidated
MONDO0019438Evalidated
MeSHD000075363Evalidated
UMLSC0268381Evalidated
GARD5797Evalidated
MedDRA10036673Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (7):

Children (2):

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

81 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 0006.459 / 100 000GermanyValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.968 / 100 000SlovakiaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.756 / 100 000SloveniaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.167 / 100 000SloveniaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.127 / 100 000WorldwideValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.044 / 100 000WorldwideValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.5311 / 100 000EuropeValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.1177 / 100 000EuropeValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.77 / 100 000AustriaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.166 / 100 000AustriaValue and classValidated35854312[PMID]
Point prevalence1-9 / 1 000 0005.54 / 100 000BelgiumValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.122 / 100 000BelgiumValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.892 / 100 000BulgariaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.174 / 100 000BulgariaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.801 / 100 000CroatiaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.156 / 100 000CroatiaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.299 / 100 000CyprusValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.894 / 100 000CyprusValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.462 / 100 000Czech RepublicValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.109 / 100 000Czech RepublicValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.568 / 100 000DenmarkValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.124 / 100 000DenmarkValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.51 / 100 000EstoniaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.107 / 100 000EstoniaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.885 / 100 000FinlandValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.187 / 100 000FinlandValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.692 / 100 000FranceValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.152 / 100 000FranceValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.294 / 100 000GermanyValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0006.219 / 100 000GreeceValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.254 / 100 000GreeceValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.418 / 100 000HungaryValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.088 / 100 000HungaryValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.643 / 100 000IcelandValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.948 / 100 000IcelandValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.448 / 100 000IrelandValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.913 / 100 000IrelandValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0006.538 / 100 000ItalyValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.329 / 100 000ItalyValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.71 / 100 000LatviaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.123 / 100 000LatviaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.809 / 100 000LiechtensteinValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.174 / 100 000LiechtensteinValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.61 / 100 000LithuaniaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.109 / 100 000LithuaniaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.653 / 100 000LuxembourgValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.968 / 100 000LuxembourgValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.641 / 100 000MaltaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.147 / 100 000MaltaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.672 / 100 000NetherlandsValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.864 / 100 000SpainValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.193 / 100 000SpainValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.667 / 100 000SwedenValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.141 / 100 000SwedenValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.316 / 100 000United KingdomValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.078 / 100 000United KingdomValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0003.222 / 100 000BrazilValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.672 / 100 000BrazilValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.215 / 100 000CanadaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.076 / 100 000CanadaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0007.108 / 100 000JapanValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.43 / 100 000JapanValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.569 / 100 000Russian FederationValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.93 / 100 000Russian FederationValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.822 / 100 000Korea, Republic ofValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.997 / 100 000Korea, Republic ofValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.852 / 100 000Taiwan, Province of ChinaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.001 / 100 000Taiwan, Province of ChinaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.842 / 100 000United StatesValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0000.991 / 100 000United StatesValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.146 / 100 000NetherlandsValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.977 / 100 000NorwayValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.018 / 100 000NorwayValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.134 / 100 000PolandValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.044 / 100 000PolandValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0006.216 / 100 000PortugalValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.25 / 100 000PortugalValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0005.537 / 100 000RomaniaValue and classValidated35854312[PMID]
Annual incidence1-9 / 100 0001.107 / 100 000RomaniaValue and classValidated35854312[PMID]
Point prevalence1-9 / 100 0004.76 / 100 000SlovakiaValue and classValidated35854312[PMID]
Annual incidence1-9 / 1 000 0006 / 100 000ArgentinaValue and classValidated31343332[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

65 annotations · validated 2026-04-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001635Congestive heart failure
HP:0012378Fatigue
Frequent (79-30%)
HP:0003115Abnormal EKG
HP:0005150Abnormal atrioventricular conduction
HP:0006530Abnormal pulmonary interstitial morphology
HP:0000223Abnormality of taste sensation
HP:0012592Albuminuria
HP:0011710Bundle branch block
HP:0025077Decreased QRS voltage
HP:0100639Erectile dysfunction
HP:0012280Hepatic amyloidosis
HP:0001639Hypertrophic cardiomyopathy
HP:0031185Increased circulating NT-proBNP concentration
HP:0010702Increased circulating immunoglobulin concentration
HP:0410173Increased circulating troponin I concentration
HP:0410174Increased circulating troponin T concentration
HP:0001712Left ventricular hypertrophy
HP:0002024Malabsorption
HP:0031326Monoclonal light chain cardiac amyloidosis
HP:0012593Nephrotic range proteinuria
HP:0000100Nephrotic syndrome
HP:0025552Periorbital purpura
HP:0000093Proteinuria
HP:0032613Renal interstitial amyloid deposits
HP:0007141Sensorimotor neuropathy
HP:0001824Weight loss
Occasional (29-5%)
HP:0003270Abdominal distention
HP:0031595Abnormal P wave
HP:0012332Abnormal autonomic nervous system physiology
HP:0005120Abnormal cardiac atrium morphology
HP:0001713Abnormal cardiac ventricle morphology
HP:0010286Abnormal salivary gland morphology
HP:0001903Anemia
HP:0001650Aortic valve stenosis
HP:0011675Arrhythmia
HP:6001262Biceps tendon rupture
HP:0000978Bruising susceptibility
HP:0002019Constipation
HP:0012185Constrictive median neuropathy
HP:0002014Diarrhea
HP:0002094Dyspnea
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0002240Hepatomegaly
HP:0032550Howell-Jolly bodies
HP:0003073Hypoalbuminemia
HP:0030164Jaw claudication
HP:0025168Left ventricular diastolic dysfunction
HP:0031246Nonproductive cough
HP:0002870Obstructive sleep apnea
HP:0012398Peripheral edema
HP:0009830Peripheral neuropathy
HP:0005307Postural hypotension with compensatory tachycardia
HP:0025389Pulmonary interstitial high-resolution computed tomography abnormality
HP:0008321Reduced factor X activity
HP:0000083Renal insufficiency
HP:0003416Spinal canal stenosis
HP:0001645Sudden cardiac death
HP:0001279Syncope
HP:0000217Xerostomia
Very rare (<4-1%)
HP:0002015Dysphagia
HP:0002239Gastrointestinal hemorrhage
HP:0002578Gastroparesis
HP:0001609Hoarse voice
HP:0000158Macroglossia
Excluded (0%)
HP:0012664Reduced left ventricular ejection fraction

Run the differential on the 2 obligate / very frequent terms

Annotation source: 41209119[PMID]_30361521[PMID]_29531659[PMID]

7

Sources for this card