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AMYLOIDOSIS EDUCATION

Types of Amyloidosis

Learn how different amyloid proteins cause different forms of amyloidosis — and why accurate typing matters for care.

Understanding the condition

One condition, different underlying proteins

Amyloidosis is a group of conditions in which misfolded proteins form amyloid deposits. The type is defined by the protein involved, not just by the affected organ.

Why the type matters: AL, ATTR, AA and other forms can affect the heart, kidneys, nerves and other tissues, but their treatments differ. Doctors use appropriate tissue testing and amyloid typing, together with other tests, to identify the underlying form before choosing treatment.

Quick reference

Explore the main types

Select a card to read more about how each type develops and which organs may be affected.

Light-chain

AL Amyloidosis

Caused by abnormal immunoglobulin light chains produced by plasma cells.

Learn about AL →
Transthyretin

ATTR Wild-Type

Transthyretin amyloid that develops without an inherited TTR gene variant.

Learn about ATTRwt →
Inflammation-related

AA Amyloidosis

Linked to sustained inflammation and accumulation of serum amyloid A protein.

Learn about AA →
Beta-2 microglobulin

Dialysis-Related

May develop in people receiving long-term dialysis, particularly affecting joints and bones.

Learn more →
Limited to an area

Localized Amyloidosis

Deposits confined to one tissue or organ rather than widespread systemic disease.

Learn more →
A closer look

What makes each type different?

These are simplified descriptions. Symptoms overlap and cannot reliably identify an amyloid type on their own.

AL (Light-Chain) Amyloidosis

Abnormal plasma cells produce light chains that form amyloid deposits. AL may affect the heart, kidneys, peripheral nerves, liver or other organs and requires specialist evaluation.

Key distinction: related to a plasma-cell disorder, not the TTR protein.

ATTR Wild-Type (ATTRwt)

Normal transthyretin protein becomes unstable and forms deposits, often later in life. The heart is commonly involved; carpal tunnel syndrome may precede heart symptoms.

Key distinction: no disease-causing inherited TTR variant.

Hereditary ATTR (ATTRv)

A pathogenic variant in the TTR gene predisposes a person to transthyretin amyloid deposits. Depending on the variant, it can affect nerves, the heart, or both.

Key distinction: genetic testing and family counselling may be relevant.

AA Amyloidosis

Long-standing inflammation can raise serum amyloid A protein, allowing deposits to form. Kidney involvement is common; addressing the underlying inflammatory condition is important.

Key distinction: linked to chronic inflammatory activity.

Dialysis-Related Amyloidosis

Beta-2 microglobulin can build up in some people on long-term dialysis. Amyloid deposits may contribute to pain or problems involving joints, tendons and bones.

Key distinction: associated with beta-2 microglobulin accumulation.

Localized Amyloidosis

Amyloid is deposited in a limited location, such as the skin, airways or bladder. The evaluation focuses on the involved site and on checking for systemic disease when appropriate.

Key distinction: not all amyloidosis is systemic.
Getting the right diagnosis

How doctors identify the type

A specialist chooses tests according to symptoms, organ involvement and initial findings. Not everyone needs every test.

STEP 01

Assess symptoms and organs

History, examination and tests may assess heart, kidney, nerve and other organ function.

STEP 02

Identify the amyloid protein

Blood and urine tests, imaging and — when indicated — tissue biopsy with reliable amyloid typing help establish the diagnosis.

STEP 03

Plan type-specific care

Treatment and monitoring depend on the amyloid type, organs involved and individual circumstances.

Knowledge helps you ask better questions.

If you or someone you care for has suspected or confirmed amyloidosis, seek guidance from an experienced medical team and ask which amyloid protein has been identified.

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Medical information notice: This page is educational and does not replace diagnosis or advice from a qualified healthcare professional. Amyloidosis has additional rare types not covered in this overview.