Case Report: Diagnostic overshadowing in a patient with major depressive symptoms later diagnosed with systemic amyloidosis - Takeaways - MDSpire
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Case Study: Misdiagnosis Due to Overlapping Symptoms in a Patient with Major Depression Subsequently Found to Have Systemic Amyloidosis

  • By

  • Yuexi Liang

  • Wei Li

  • Lanying Liu

  • August 12, 2026

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  • 1

    Systemic amyloidosis can present with non-specific symptoms that overlap with major depression, leading to diagnostic delays.

  • 2

    A 57-year-old male patient initially diagnosed with major depression was later found to have systemic amyloidosis with cardiac involvement.

  • 3

    The patient's treatment for depression included duloxetine and olanzapine, but symptoms persisted and worsened, leading to further investigation.

  • 4

    Cardiac involvement is the primary cause of morbidity and mortality in systemic amyloidosis, complicating its diagnosis.

  • 5

    Increased interdisciplinary awareness and reduced cognitive bias are necessary to prevent misdiagnosis in patients with overlapping symptoms.

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