
Infiltrative diseases are rare and complex conditions. They happen when cells or substances build up in different tissues and organs. This buildup can cause big problems and damage to organs like the heart, lungs, liver, and endocrine system.
Diagnosing and treating these diseases can be particularly challenging. It’s important for doctors and patients to understand what they are. Knowing about definition and implications helps a lot.
Key Takeaways
- Infiltrative diseases are rare disorders marked by abnormal cellular or substance accumulation.
- These conditions can affect vital organs like the heart, lungs, and liver.
- Understanding infiltrative diseases is essential for accurate diagnosis and effective treatment.
- Infiltrative diseases can lead to significant organ dysfunction if left untreated.
- Advanced medical care is key for managing infiltrative diseases.
Understanding Infiltrative Diseases: Definition and Overview

To grasp infiltrative diseases, we must first understand what infiltration means and how it affects the body. These diseases happen when cells or substances invade and build up in tissues. This invasion can cause organs to not work right. We’ll look into what “infiltrative” means in medicine and how cells move into tissues.
Medical Definition of “Infiltrative”
“Infiltrative” means when abnormal cells or substances get into and stay in tissues. This can happen in many ways, like when cells grow too much or when proteins or waste products build up. Knowing what infiltrative definition is helps doctors diagnose and treat these conditions.
In medicine, “infiltrated” means when tissues get invaded by foreign or abnormal cells. This can harm tissues and make them not work right. For example, in some cancers like glioblastoma, how the cancer grows makes it hard to remove surgically.
Pathophysiology of Cellular Infiltration
The way cells infiltrate tissues is complex. It involves how these cells and tissues interact. This interaction can mess up the normal structure and function of tissues. We’ll see how different diseases have their own ways of infiltrating, affecting different parts of the body.
There are many reasons why cells might infiltrate, like genetics, the environment, or other diseases. For instance, in sarcoidosis, inflammation with granulomas can spread to organs like the lungs and lymph nodes.
|
Disease |
Infiltrative Process |
Primary Organs Affected |
|---|---|---|
|
Sarcoidosis |
Granulomatous inflammation |
Lungs, Lymph Nodes |
|
Amyloidosis |
Deposition of amyloid proteins |
Kidneys, Heart, Liver |
|
Hemochromatosis |
Iron overload |
Liver, Pancreas, Heart |
This table shows how different infiltrative diseases work and which organs they affect. Knowing these details helps doctors find better treatments.
The Mechanism Behind Infiltrative Disorders

It’s important to know how infiltrative disorders work to find good treatments. These disorders happen when abnormal cells or substances build up in tissues. This buildup is due to complex biological processes.
Abnormal Cellular Accumulation Process
Infiltrating diseases are marked by cells or substances that invade and harm normal tissues. This can start from genetic changes, environmental factors, or other diseases. For example, amyloidosis occurs when abnormal amyloid proteins build up in organs, causing them to fail.
Research shows that these abnormal cells or substances build up because of problems in cell growth, death, and protein folding. Knowing these details helps us find ways to treat these disorders.
Substance Deposition and Tissue Dysfunction
When substances like amyloid build up in infiltrative disorders, it can really mess up tissues. In the liver, for instance, infiltrative disorders liver can cause amyloidosis, which messes with liver function. In other organs, similar buildup can cause problems and symptoms.
|
Organ |
Infiltrative Disorder |
Effect of Substance Deposition |
|---|---|---|
|
Liver |
Amyloidosis |
Disruption of normal liver function |
|
Heart |
Cardiac Amyloidosis |
Impaired cardiac function, potentially leading to heart failure |
|
Kidneys |
Renal Amyloidosis |
Impaired renal function, potentially leading to chronic kidney disease |
Understanding the infiltrative process helps us see how complex these disorders are. It’s key for creating treatments that can stop substance buildup and fix tissue problems.
Common Types of Infiltrative Diseases
Infiltrative diseases affect many parts of the body. They happen when cells or substances build up in tissues. This can cause different symptoms.
Sarcoidosis
Sarcoidosis causes granulomas in organs like the lungs and lymph nodes. Granulomatous inflammation is a key feature. It can harm organs if not treated.
Amyloidosis
Amyloidosis leads to amyloid protein buildup in tissues. This can hurt organs like the kidneys and heart. Knowing about amyloidosis types is key to managing it.
Hemochromatosis
Hemochromatosis is a genetic disorder that causes too much iron in the body. This iron overload damages organs like the liver and heart. Early treatment is vital to avoid serious problems.
Other Notable Infiltrative Conditions
There are other diseases that affect the body in similar ways. For example, infiltrative cardiomyopathies harm the heart. We will look at these conditions, focusing on how they work and why they matter.
Infiltrative Cardiomyopathies: When the Heart is Affected
Infiltrative diseases can harm the heart, causing cardiomyopathies. These diseases deposit abnormal substances in the heart, changing its structure and function.
Cardiac Amyloidosis
Cardiac amyloidosis happens when amyloid proteins build up in the heart. This leads to restrictive cardiomyopathy. Symptoms include shortness of breath, fatigue, and palpitations.
Diagnosing cardiac amyloidosis requires imaging, lab tests, and tissue examination.
Cardiac Sarcoidosis
Cardiac sarcoidosis affects the heart with granulomas. It can cause arrhythmias and heart failure. Early treatment is key to avoid lasting damage.
Impact on Heart Function and Structure
Infiltrative cardiomyopathies change the heart’s function and structure. The buildup of substances makes the heart stiff. This hinders its ability to fill with blood during diastole.
This can lead to heart failure with preserved ejection fraction (HFpEF).
Knowing how different diseases affect the heart is vital. It helps in creating effective treatments.
Pulmonary Infiltrative Diseases
Pulmonary infiltrative diseases are a group of lung disorders. They happen when abnormal cells or substances build up in the lungs. This can lead to breathing problems and other symptoms.
These diseases can start in the lungs or be caused by other diseases. Knowing the different types is key to diagnosing and treating them well.
Interstitial Lung Diseases
Interstitial lung diseases (ILDs) affect the lung’s interstitium. This is the area around the air sacs and the structures that support them. ILDs can be caused by many things, like environmental factors, medicines, and diseases.
Common forms of ILDs include idiopathic pulmonary fibrosis (IPF), nonspecific interstitial pneumonia (NSIP), and cryptogenic organizing pneumonia (COP). Each has its own symptoms and outlook.
- Idiopathic pulmonary fibrosis leads to a decline in lung function over time.
- Nonspecific interstitial pneumonia usually has a better outlook than IPF.
- Cryptogenic organizing pneumonia can often be treated with corticosteroids.
Pulmonary Manifestations of Systemic Infiltrative Disorders
Systemic diseases like sarcoidosis and amyloidosis can affect the lungs. Sarcoidosis, for example, can cause inflammation in the lungs. This can lead to symptoms like coughing and shortness of breath.
The lung problems caused by these diseases can range from mild to severe. Early treatment is important to avoid lasting lung damage and improve health.
When patients have breathing issues, we must think about these diseases. Treating them requires looking at both lung and body problems.
Hepatic Infiltrative Disorders
Hepatic infiltrative disorders are complex conditions where abnormal substances or cells build up in the liver. These can be part of larger diseases or specific liver issues. Understanding them well is key to managing them effectively.
Liver Involvement in Systemic Diseases
Systemic diseases like amyloidosis can harm the liver a lot. Amyloidosis causes amyloid proteins to build up in the liver, which can make it not work right. We will look at how these diseases show up and how to diagnose them.
- Amyloidosis: This is when amyloid proteins build up in the liver, causing it to grow and not work well.
- Sarcoidosis: It causes inflammation in the liver and other parts of the body.
These diseases show how important it is to check the liver when dealing with bigger health issues. Doctors use imaging and lab tests to see how the liver is doing and find any problems.
Primary Infiltrative Liver Conditions
Primary liver conditions start in the liver itself. They are diseases that cause abnormal substances or cells to gather in the liver.
- Hemochromatosis: It’s a genetic disorder that makes too much iron build up in the liver.
- Lysosomal storage diseases: Like Gaucher’s disease, where certain substances build up in liver cells.
Knowing about these primary conditions is vital for catching them early and treating them. This can really help patients. We stress the need for a team effort to handle these complex issues.
|
Condition |
Liver Involvement |
Diagnostic Approach |
|---|---|---|
|
Amyloidosis |
Amyloid protein deposition |
Biopsy, Imaging |
|
Hemochromatosis |
Iron accumulation |
Genetic testing, MRI |
Infiltrative Diseases of the Endocrine System
Infiltrative diseases of the endocrine system are tough to diagnose and treat. The endocrine system has glands that make hormones for our body’s functions. These diseases can affect these glands in many ways. It’s important to know how they impact endocrine glands to help patients fully.
Thyroid Infiltration
The thyroid gland often gets affected by these diseases. This can change how it works and looks. For example, Riedel’s thyroiditis causes thick fibrosis, and sarcoidosis can also affect it. These conditions can make the thyroid bigger and cause problems with thyroid hormones.
To diagnose thyroid problems, doctors use several methods. Ultrasound and CT scans help see the thyroid’s shape. A fine-needle aspiration biopsy can give a tissue diagnosis.
|
Disease |
Thyroid Involvement |
Diagnostic Approach |
|---|---|---|
|
Riedel’s Thyroiditis |
Dense fibrosis, thyroid enlargement |
Histopathology, Imaging |
|
Sarcoidosis |
Granulomatous infiltration |
Biopsy, Clinical correlation |
Pancreatic Involvement
The pancreas, which makes hormones and digestive enzymes, can also get affected. Pancreatic sarcoidosis and primary pancreatic lymphoma are examples. They can lead to diabetes or pancreatitis.
Spotting pancreatic problems needs a careful eye, more so in those with systemic diseases. CT and MRI scans are key for seeing the pancreas and any issues.
Other Endocrine Gland Manifestations
Other endocrine glands can also face problems from infiltrative diseases. For example, adrenal gland involvement can happen in amyloidosis, causing adrenal insufficiency. The pituitary gland can also get affected, leading to hormonal imbalances.
It’s vital for doctors to understand these diseases’ effects on the endocrine system. A team effort, including endocrinologists, radiologists, and pathologists, is often needed for diagnosis and treatment.
How to Define Infiltrative Processes in Clinical Practice
Understanding infiltrative processes is key for correct diagnosis and treatment. These diseases involve abnormal cells or substances in tissues, causing organ problems. Knowing how these diseases show up in patients helps doctors make better choices.
Clinical Presentation and Symptoms
Infiltrative diseases show different symptoms based on the affected organs and the type of disease. Symptoms like tiredness, weight loss, and specific organ issues are common. For example, heart problems or breathing issues can occur.
Spotting these symptoms early is vital for starting the right tests and treatments. A medical expert says, “Early detection of these diseases can greatly help patients by allowing for timely treatment.”
“The symptoms of infiltrative diseases are often not clear, making diagnosis hard. Doctors need to be very careful to think of these diseases when making a diagnosis.”
Differential Diagnosis Challenges
Diagnosing infiltrative diseases is tough because their symptoms are not specific. Doctors must think of many possibilities, like infections or cancers. Tests like imaging and biopsies are often needed to confirm a diagnosis.
- Careful clinical evaluation
- Advanced imaging techniques
- Histopathological examination
Red Flags for Healthcare Providers
Some signs should make doctors think of infiltrative diseases. These include unexplained organ problems, symptoms that don’t get better with usual treatments, and specific imaging findings. For instance, a low voltage ECG in heart failure might suggest amyloidosis.
Knowing these signs can help doctors diagnose and treat patients sooner, which can lead to better health outcomes. We must watch for these signs and investigate further when we see them.
Diagnostic Approaches for Infiltrative Diseases
Infiltrative diseases are hard to diagnose. We use lab tests, imaging, and tissue exams to figure them out. Getting the diagnosis right is key to treating them well and helping patients.
Laboratory Testing
Labs are key in finding out what’s wrong. Tests can show what disease is present and how much it’s affecting organs.
- Blood Tests: Tests like complete blood counts and serum protein electrophoresis help spot diseases like amyloidosis and hemochromatosis.
- Biochemical Tests: These tests check how well the liver and kidneys are working. They show how diseases affect these organs.
- Genetic Testing: This is useful when a disease might run in families.
|
Laboratory Test |
Purpose |
Condition |
|---|---|---|
|
Serum Protein Electrophoresis (SPEP) |
Detects abnormal proteins |
Amyloidosis |
|
Transferrin Saturation |
Assesses iron overload |
Hemochromatosis |
|
Angiotensin-Converting Enzyme (ACE) Levels |
Indicates sarcoidosis activity |
Sarcoidosis |
Imaging Techniques
Imaging helps see how far the disease has spread. Different methods are used based on the disease and the organs affected.
- Chest X-ray and CT Scan: These are good for spotting lung problems in diseases like sarcoidosis.
- MRI: It gives clear pictures of the heart and liver. This helps diagnose diseases like cardiac amyloidosis.
- Ultrasound: It’s useful for checking the liver and finding problems in other organs.
“Advances in imaging techniques have significantly improved our ability to diagnose and manage infiltrative diseases.”
— Expert in Internal Medicine
Biopsy and Histopathological Examination
Biopsy and tissue exams are the best way to diagnose many diseases. They give direct proof of the disease.
- Organ-Specific Biopsy: Biopsies of specific organs, like the liver or heart, can give clear diagnoses.
- Histopathological Staining: Techniques like Congo red staining for amyloid or iron staining for hemochromatosis help identify specific diseases.
By using lab tests, imaging, and biopsies, we can accurately diagnose diseases. This helps us create treatment plans that meet each patient’s needs.
Epidemiology and Risk Factors
Exploring the epidemiology of infiltrative diseases shows us how important risk factors are. These diseases, where cells or substances build up in tissues, are big challenges for health care. They affect people all over the world.
Global Prevalence and Incidence Rates
Research on infiltrative diseases has given us insights into how common they are. For example, sarcoidosis is found in people from different places and backgrounds. It’s more common in some groups, like those in Scandinavian countries.
Amyloidosis also varies in how common it is. It depends on age and health conditions. Knowing this helps us find who’s at higher risk and how to help them.
- Sarcoidosis affects about 10-40 per 100,000 people in the United States.
- Amyloidosis’s prevalence varies widely, depending on the type and population.
Demographic and Genetic Predispositions
Age, gender, and ethnicity are key in understanding infiltrative diseases. For instance, amyloidosis is more common in older people. Sarcoidosis usually hits people in their 20s to 40s. Genetics also play a big part, with certain genes making some people more likely to get these diseases.
Studies have found many genetic links to these diseases. For example, a TTR gene mutation is linked to hereditary amyloidosis. Changes in genes related to iron can lead to hemochromatosis, a condition of too much iron.
|
Disease |
Demographic Risk Factors |
Genetic Predispositions |
|---|---|---|
|
Sarcoidosis |
Age, ethnicity |
Multiple genetic associations |
|
Amyloidosis |
Age, underlying conditions |
TTR gene mutations |
|
Hemochromatosis |
Ethnicity |
HFE gene mutations |
Treatment Strategies for Infiltrative Disorders
Infiltrative disorders are a big challenge for doctors. They need special treatment plans. These plans must tackle the disease’s cause, the patient’s symptoms, and improve their life quality.
Disease-Specific Therapies
Therapies for these disorders aim at the disease’s root. For example, in sarcoidosis, doctors use corticosteroids to fight inflammation. In amyloidosis, treatments might aim to cut down amyloid protein production or stabilize the deposits.
- Corticosteroids: Used in conditions like sarcoidosis to suppress inflammation.
- Chemotherapy and targeted therapy: Employed in certain cases of amyloidosis to reduce the production of abnormal proteins.
- Phlebotomy: Used in hemochromatosis to reduce iron overload.
Emerging Treatment Modalities
New treatments for infiltrative disorders are being researched. These include new medicines, gene therapies, and other innovative methods. They aim to tackle the disease’s causes directly.
Some promising new treatments are:
- Novel pharmacological agents: Such as those targeting specific pathways involved in the disease process.
- Gene therapy: Aimed at correcting genetic defects that contribute to infiltrative disorders.
- Stem cell therapy: Being explored for its ability to repair or replace damaged tissues.
Supportive Care Approaches
Supportive care is key in managing infiltrative disorders. It focuses on easing symptoms, improving life quality, and handling complications. This includes physical therapy, nutrition support, and counseling.
Important parts of supportive care are:
- Symptom management through medication and other interventions.
- Nutritional counseling to ensure adequate nutrition despite the disease.
- Psychological support to cope with the emotional impact of the condition.
Complications and Long-term Prognosis
Understanding the long-term effects of infiltrative diseases is key. These diseases can cause serious health issues and affect how well a person lives. Knowing the complications helps doctors give better care.
Organ-Specific Complications
Infiltrative diseases can harm different organs. For example, amyloidosis can damage the heart, making it hard to pump blood. Lung diseases can also cause scarring and reduce lung function.
Some common problems include:
- Cardiac: Heart failure, arrhythmias
- Pulmonary: Respiratory failure, pulmonary hypertension
- Hepatic: Liver cirrhosis, portal hypertension
These issues can greatly reduce a person’s quality of life. Early treatment is vital to better outcomes.
|
Organ System |
Common Complications |
|---|---|
|
Cardiac |
Heart failure, arrhythmias |
|
Pulmonary |
Respiratory failure, pulmonary hypertension |
|
Hepatic |
Liver cirrhosis, portal hypertension |
Quality of Life Considerations
People with infiltrative diseases often face a lower quality of life. Symptoms like tiredness, breathing problems, and pain can make everyday tasks hard. Helping with pain and physical therapy can improve life quality.
“The goal of managing infiltrative diseases is not only to extend life but to improve its quality. This requires a holistic approach that meets both physical and emotional needs.”
— Expert in Internal Medicine
Mortality Rates and Survival Statistics
Survival rates for infiltrative diseases vary a lot. They depend on the disease, how much it affects organs, and treatment response. Early diagnosis and treatment can greatly improve survival chances.
For instance, a study on cardiac amyloidosis showed better survival rates with timely treatment. Knowing these statistics helps set realistic goals and guide treatment.
|
Disease |
Median Survival (months) |
5-Year Survival Rate (%) |
|---|---|---|
|
Cardiac Amyloidosis |
12-36 |
20-40 |
|
Pulmonary Sarcoidosis |
Varies |
60-80 |
|
Hemochromatosis |
Long-term survival possible with treatment |
80-90 |
In conclusion, the long-term effects of infiltrative diseases are complex. Understanding these aspects helps doctors provide better care and improve patient outcomes.
Living with Infiltrative Diseases: Patient Perspectives
Living with an infiltrative disease can be tough and lonely for many. These diseases affect more than just the body. They also impact a person’s feelings and social life.
Every patient’s story is different. It depends on the disease, how severe it is, and the treatment. Hearing from patients helps us give better care.
Coping Strategies
Dealing with an infiltrative disease needs a mix of strategies. Patients find ways to manage their condition well.
- Education and Awareness: Knowing about the disease helps patients make smart choices about their care.
- Support Networks: Having family, friends, and groups can offer emotional and practical support.
- Mind-Body Techniques: Activities like meditation and yoga can help with stress and mental health.
- Lifestyle Adjustments: Changing diet, exercise, and daily habits can help manage symptoms and improve life.
As one patient said,
“Finding a support group was a turning point for me. It helped me realize I wasn’t alone and provided valuable tips on managing my condition.”
Support Resources and Organizations
Having access to support is key for those with infiltrative diseases. These resources offer information, emotional support, and advocacy.
Some notable organizations include:
- The Amyloidosis Foundation, which offers resources and support for patients with amyloidosis.
- The Sarcoidosis Foundation, providing information, support groups, and advocacy for patients with sarcoidosis.
- The Hemochromatosis Foundation, dedicated to supporting patients with hemochromatosis and promoting awareness.
We encourage patients to explore these resources and connect with others who understand their experiences.
By using effective coping strategies and support resources, patients can improve their life quality. They can better handle the challenges of their condition.
Future Directions in Infiltrative Disease Research
The future of infiltrative disease research is exciting. Ongoing studies and new technologies promise to change how we treat patients. We are getting closer to a new era in diagnosing and treating these diseases.
Promising Clinical Trials
Many clinical trials are underway to find new treatments for infiltrative diseases. These trials help us understand these diseases better and find effective treatments.
- Targeted Therapies: Researchers are working on targeted therapies. These aim to directly address the causes of infiltrative diseases, leading to better treatments with fewer side effects.
- Immunomodulatory Treatments: Immunomodulatory treatments are being studied. They could help control the immune system’s response in infiltrative diseases, giving patients new hope.
- Gene Therapy: Gene therapy is a promising area of research. It could fix genetic problems that lead to infiltrative diseases.
Technological Innovations in Diagnosis and Treatment
Technological advancements are key in diagnosing and treating infiltrative diseases. Some important developments include:
- Advanced Imaging Techniques: New imaging methods help diagnose infiltrative diseases earlier and more accurately. This allows for quicker treatment.
- Biomarkers: Biomarkers help diagnose and monitor infiltrative diseases. They help tailor treatments to each patient’s needs.
- Artificial Intelligence: Artificial intelligence is being explored. It could analyze complex data to help diagnose and treat diseases.
The future of infiltrative disease research looks bright. Clinical trials and technological innovations are leading the way. We are dedicated to keeping up with these advancements. This ensures our patients get the best treatments available.
Conclusion
Infiltrative diseases are complex disorders where abnormal substances build up in tissues. This buildup can cause organs to not work right. We’ve looked at types like cardiac amyloidosis, sarcoidosis, and hemochromatosis. We’ve also talked about how they show up and how doctors find them.
It’s key to know how these diseases work to find good treatments. This knowledge helps doctors and patients understand these conditions better.
As research keeps moving forward, it’s important to stay up to date. For more info on heart diseases, check out studies on.
We aim to give a clear summary of infiltrative diseases. Our goal is to help everyone understand these conditions better. This way, we can all learn more about diagnosing, treating, and managing them.
FAQ
What are infiltrative diseases?
Infiltrative diseases are rare and complex conditions. They happen when cells or substances build up in tissues and organs. This buildup causes a lot of damage and dysfunction.
What does “infiltrative” mean in a medical context?
In medicine, “infiltrative” means when abnormal cells or substances get into tissues. This leads to problems with how organs work.
What are some common types of infiltrative diseases?
Some common infiltrative diseases include sarcoidosis, amyloidosis, and hemochromatosis. Infiltrative cardiomyopathies are also common.
How do infiltrative diseases affect the heart?
Infiltrative diseases can harm the heart. They can cause conditions like cardiac amyloidosis and cardiac sarcoidosis. These conditions disrupt the heart’s function and structure.
What are the clinical manifestations of pulmonary infiltrative diseases?
Pulmonary infiltrative diseases can cause breathing problems and lung damage. This is seen in diseases like sarcoidosis.
How are infiltrative diseases diagnosed?
Doctors use tests, imaging, and biopsies to diagnose infiltrative diseases. They look at the tissue under a microscope to make a diagnosis.
What are the treatment strategies for infiltrative disorders?
Treatment for infiltrative disorders depends on the disease. It may include specific therapies, new treatments, and supportive care.
What are the complications associated with infiltrative diseases?
Infiltrative diseases can cause serious problems. These include damage to organs, quality of life issues, and even death. The severity depends on the disease.
How can patients cope with infiltrative diseases?
Patients can find ways to cope with these diseases. There are support groups and resources to help them.
What is the future of infiltrative disease research?
Research on infiltrative diseases is promising. New trials and technologies are being developed. These advancements aim to improve treatment outcomes.
What is the definition of infiltrative disorder?
An infiltrative disorder is a condition where cells or substances build up in tissues. This buildup causes organ problems.
What are some examples of infiltrative cardiac disease?
Examples of infiltrative heart disease include cardiac amyloidosis and cardiac sarcoidosis. These conditions severely affect the heart’s function and structure.
References
- Infiltration (medical). (n.d.). Wikipedia. Retrieved from https://en.wikipedia.org/wiki/Infiltration_(medical) Wikipedia
- Elwazir, M. Y., Bois, J. P., Abouezzeddine, O. F., Chareonthaitawee, P., et al. (2020). Imaging cardiac sarcoidosis and infiltrative diseases: diagnosis and therapeutic response. Q J Nucl Med Mol Imaging, 64(1), 51–73. https://doi.org/10.23736/S1824-4785.20.03235-5 PubMed
- Reznik, E. V., et al. (2024). Classification of Infiltrative Heart Diseases MORAL-STAGE. PMC. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC11526238/ PMC
- Bejar, D., et al. (2015). Infiltrative cardiomyopathies: a review of a wide spectrum of phenotypes and systemic manifestations. PMC. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC4498662/ PMC
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- (Author(s)). (Year). A review: systemic infiltrative diseases. Endocrinologia, Diabetes y Nutrición (English Edition). https://www.elsevier.es/en-revista-endocrinologia-diabetes-nutricion-english-ed–413-articulo-a-review-systemic-infiltrative-diseases-S2530018021000718