Giant cell arteritis "causing" AA-amyloidosis with rapid renal failure.
Giant cell arteritis (GCA) is a systemic vasculitic disease, which in very rare cases causes inflammatory complications such as secondary amyloidosis. We describe a well-documented case, with a clinically mild course, of biopsyproven giant cell arteritis as the only apparent cause of systemic AA-Amyloidosis. The deterioration in renal function due to amyloid deposition occurred rapidly and only a few months after manifestation of giant cell arteritis and was not reversible by steroid treatment. The renal arteries were normal and there was no glomerulonephritis due to giant cell arteritis. This unique case demonstrates that giant cell arteritis with a mild clinical course is closely associated with early-onset severe secondary amyloidosis.
Strasser
F
F
Department of Medicine, University Hospital Zurich. fstrasser@mdanderson.org
Hailemariam
S
S
Weinreich
T
T
Speich
R
R
Salomon
F
F
D058186:Acute Kidney Injury / Q000209:etiology*; D000686:Amyloidosis / Q000150:complications* / Q000473:pathology; D013700:Giant Cell Arteritis / Q000150:complications* / Q000473:pathology; D005920:Glomerular Mesangium / Q000473:pathology; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D000685:Serum Amyloid A Protein / Q000032:analysis*
D000685:Serum Amyloid A Protein