Familial TTR amyloid polyneuropathy (FAP TTR): differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Familial TTR amyloid polyneuropathy (FAP TTR): differential diagnosis. This is the commonest misdiagnosis of FAP. Fully referenced neurology checklist.

CIDP

  • This is the commonest misdiagnosis of FAP
  • FAP may fulfil the criteria for CIDP
  • Marked axonal loss may differentiate FAP from CIDP
  • Consider FAP if CIDP is not responding to treatment

Other FAP types

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Other hereditary neuropathies

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Other neuropathies

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Other differentials

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Acronym

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References

  1. Adams D, Suhr OB, Hund E, et al; European Network for TTR-FAP (ATTReuNET). First European consensus for diagnosis, management, and treatment of transthyretin familial amyloid polyneuropathy. Curr Opin Neurol 2016; 29(Suppl 1):S14-S26.
  2. Lozeron P, Mariani LL, Dodet P, et al. Transthyretin amyloid polyneuropathies mimicking a demyelinating polyneuropathy. Neurology 2018; 91:e143-e152.
  3. Plante-Bordeneuve V, Ferreira A, Lalu T, et al. Diagnostic pitfalls in sporadic transthyretin familial amyloid polyneuropathy (TTR-FAP). Neurology 2007; 69:693-698.
  4. Mathis S, Magy L, Diallo L, Boukhris S, Vallat JM. Amyloid neuropathy mimicking chronic inflammatory demyelinating polyneuropathy. Muscle Nerve 2012; 45:26-31.

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