[Prevalence of subcutaneous, labial and rectal amyloid lesions in patients wi histologically confirmed renal amyloidosis].
Our work is to evaluate the biopsies rectal (RB), cutaneous and one about the accessory salivary glands (ASGB) in the diagnosis of amyloidosis renal through 20 cases of renal amyloidosis confirmed by renal biopsy in unit of nephrology and hemodialysis in UHC lbn Rochd from February 1996 to January 1998. The mean age of our patients was 39 years old (15-80) with a male predominance of (4/1). The infectious pathology has been the most frequent cause (70%) which consisted essentially in the tuberculosis and the surinfection on dilatation of the bronchi. All the patients had nephrologic symptomatology dominated by the nephrotic syndrome. The 4 biopsies were practised in the 20 patients. Wright's reaction practised in all renal biopsy confirmed the AA nature of the amyloidosis. The amyloïd deposits were noticed in 100% of renal needle biopsy, 80% of accessory gland biopsy, 75% of rectal biopsy and in 35% of cutaneous biopsy. The association of RB and ASGB was positive in 90% of the cases. If the renal biopsy gave more positivity than the other biopsies, it caused complications that were severe sometimes. Also, the biopsy of the ASG, the simple technique is very reliable in the recognition of the amylosis and seems to be the best diagnostic test for this affection.
Fatihi
E
E
Service de néphrologie-hémodialyse du CHU IBN ROCHD, Casablanca.
Ramdani
B
B
Fadel
H
H
Hachim
K
K
Zahiri
K
K
Benghanem
G M
GM
Sqalli
S
S
Zaid
D
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D000686:Amyloidosis / Q000473:pathology*; D001706:Biopsy; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology*; D008047:Lip Diseases / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000473:pathology*; D012871:Skin Diseases / Q000473:pathology*