Renal amyloidosis complicating bladder carcinoma associated with supra renal insufficiency

A 61-year-old white man was admitted for evaluation of hematuria. His medical history revealed endoscopic resection of bladder carcinoma 10 years earlier. A diagnosis of relapse of this carcinoma was made. Few months later, he developed low blood pressure and the nephrotic syndrome. Examination of a...

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Bibliographic Details
Published in:Saudi journal of kidney diseases and transplantation 2004-04, Vol.15 (2), p.167-169
Main Authors: Sabra, Aloui, Wissal, Sahtout, Sinda, Mrabet, Bouraoui, Samia, Ameur, Frih Med, Ashur, Abd al-Latif, Ahmad, Latif, Zakhama, Abd al-Fattah, Hammadi, Sad Shahin, al-May, Mezri, Habib, Shukri, Bin Dhia, Nasir
Format: Article
Language:English
Subjects:
Bladder
Cancer
الأمراض
الاستئصال
الداء النشواني
السرطان
الغدد الكظرية
الكلى
المثانة
المضاعفات
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Summary:A 61-year-old white man was admitted for evaluation of hematuria. His medical history revealed endoscopic resection of bladder carcinoma 10 years earlier. A diagnosis of relapse of this carcinoma was made. Few months later, he developed low blood pressure and the nephrotic syndrome. Examination of a renal biopsy specimen showed amyloid deposits. Results of immunofluorescence were positive for AA protein. Furthermore, laboratory tests demonstrated suprarenal insufficiency probably due to amyloidosis. A diagnosis of bladder carcinoma- induced amyloidosis of the kidneys and suprarenal glands was made since no other identifiable cause for AA amyloidosis was found.
ISSN:1319-2442
2320-3838