Figure 76

Heart Specimen Showing Patchy Deposition of Smudgy Amyloid (a protein product deposition seen in certain chronic degenerative diseases) in the Myocardium and Blood-Vessel Wall (arrow) (Congo Red Stain, x150). This deposition leads to the abnormalities of heart blood flow depicted in figure 74.

DiSalvo, T.G., King, M.E., Smith, R.N., Case Records of the Massachusetts General Hospital, A 66-Year-Old Woman with Diabetes, Coronary Disease, Orthostatic Hypotension, and the Nephrotic Syndrome, NEJM, Vol. 342, Jan 27-00, p 264-274. (modified)