Pathological hip fracture due to amyloidosis occurring after successful renal transplantation. A case report.
A fifty-six year old man who had been on haemodialysis for a total of seventeen years sustained a pathological fracture of the femoral neck six months after successful renal transplantation. Multiple cystic lesions were present in both hips and a bone specimen from the fracture site confirmed amyloid deposition on immunohistochemical staining. Renal transplantation may prevent further deposition of amyloid but the long-term complications of dialysis-related amyloidosis may still occur.
Department of Renal Medicine, Royal North Shore Hospital, St. Leonards NSW, Australia.
N M
NM
Hay
J F
JF
Mahony
D000682:Amyloid / Q000378:metabolism; D000686:Amyloidosis / Q000209:etiology* / Q000378:metabolism; D001851:Bone Diseases, Metabolic / Q000209:etiology* / Q000378:metabolism; D005265:Femoral Neck Fractures / Q000209:etiology*; D005598:Fractures, Spontaneous / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D013997:Time Factors
D000682:Amyloid