How we diagnose and treat hereditary transthyretin-mediated amyloidosis with polyneuropathy in the Balkan region: an expert opinion - Scorecard - MDSpire

How we diagnose and treat hereditary transthyretin-mediated amyloidosis with polyneuropathy in the Balkan region: an expert opinion

  • By

  • Ivailo Tournev

  • Janez Zidar

  • Borut Peterlin

  • Ervina Bilić

  • Stojan Perić

  • Sonja Pavlović

  • Teodora Chamova

  • June 26, 2026

  • 0 min

Share

Clinical Scorecard: Diagnosis and Management of Hereditary Transthyretin-Mediated Amyloidosis with Polyneuropathy in the Balkan Area: Insights from Experts

At a Glance

CategoryDetail
ConditionHereditary transthyretin-mediated amyloidosis with polyneuropathy
Key MechanismsGenetic mutations in the TTR gene leading to amyloid deposits in organs and tissues.
Target PopulationIndividuals with hereditary transthyretin-mediated amyloidosis, particularly in Balkan countries.
Care SettingMultidisciplinary expert panels and healthcare systems in Bulgaria, Croatia, Serbia, and Slovenia.

Key Highlights

  • High rate of early diagnosis (95%) in Bulgaria due to systematic screening.
  • Delays in diagnosis noted in other Balkan countries due to insufficient awareness.
  • Genetic testing is fundamental and routinely performed across all countries.
  • Clinical heterogeneity in disease onset and severity observed among patients.
  • Interdisciplinary collaboration and awareness campaigns are key areas for improvement.

Guideline-Based Recommendations

Diagnosis

  • Systematic screening programs for affected families.
  • Genetic testing for TTR mutations in patients with unexplained progressive polyneuropathy.

Management

  • Early diagnosis and treatment initiation to improve patient outcomes.

Monitoring & Follow-up

  • Regular follow-up for asymptomatic carriers identified through genetic testing.

Risks

  • Potential delays in diagnosis due to low awareness among healthcare professionals.

Patient & Prescribing Data

Individuals with hereditary transthyretin-mediated amyloidosis with polyneuropathy in the Balkan region.

Access to therapies varies by country, with some regions facing reimbursement issues.

Clinical Best Practices

  • Enhance interdisciplinary collaboration among specialists.
  • Implement awareness campaigns targeting various healthcare professionals.
  • Utilize genetic testing as a standard diagnostic tool.

Related Resources & Content

    Original Source(s)

    Related Content