Misdiagnoses | n=49 (%) | |||
Chronic inflammatory demyelinating polyneuropathy | 30 (61) | |||
Lumbar and sacral radiculopathy and lumbar canal stenosis | 11 (22) | |||
Paraproteinaemic peripheral neuropathy | 3 (6) | |||
AL amyloidosis | 3 (6) | |||
Wild-type ATTR amyloidosis | 1 (2) | |||
Toxic peripheral neuropathy | 4 (8) | |||
Vasculitic peripheral neuropathy | 1 (2) | |||
Motor neuron disease | 1 (2) | |||
Fibromyalgia | 2 (4) | |||
Other diagnosis | 2 (4) | |||
Multiple misdiagnosis | 9 (18) | |||
Variables associated with misdiagnosis of ATTR amyloidosis | Misdiagnosed patients (n=49) (%) | Not misdiagnosed patients (n=101) (%) |
OR (95% CI)*, p value | OR (95% CI)†, p value |
Late onset (after 50 years) | 46 (94) | 74 (73) | 5.59 (1.60 to 19.49), p=0.007 | 3.89 (1.02 to 14.81), p=0.046 |
Absence of family history | 28 (58) | 36 (36) | 2.4 (1.19 to 4.83), p=0.01 | 2.19 (1.01 to 4.89), p=0.049 |
Male gender | 42 (86) | 69 (68) | 2.78 (1.12 to 6.86), p=0.02 | 2.67 (1.02 to 6.98), p=0.044 |
Absence of heart involvement (NYHA<2) | 31 (63) | 46 (46) | 2.05 (1.02 to 4.14), p=0.04 | 2.60 (1.19 to 5.66), p=0.016 |
Negative tissue biopsy | 14/36 (39) | 8/40 (20) | 2.5 (0.9 to 7), p=0.08 | - |
*Univariate logistic regression.
†Variables significantly associated with misdiagnosis in the univariate model were tested in a multivariate logistic regression model.
NYHA, New York Heart Association.