[Renal amyloidosis secondary to hydatid cyst of the liver. Clinical remission after surgical excision].
Revelation or risk of aggravation of renal amyloidosis after surgery has been published, particularly after pneumonectomy for tuberculosis. A few cases of improvement of renal amyloidosis following treatment of amylogenic focus have been published. We report the case of a 57 year-old woman who presented with nephrotic syndrome occurred twenty days after surgical resection of an hydatid cyst of the liver secondary to echinococcus granulosus. The renal biopsy showed deposits of amyloidosis. Amyloidosis typing (using anti AA sera) revealed an AA type. The patient received colchicine during nine years. A complete clinical remission of nephrotic syndrome was obtained four years after the surgical act. We discuss the association of hydatidosis and amyloidosis, surgery and amyloidosis, and remission of renal amyloid and colchicine therapy.
Kaaroud
H
H
Service de néphrologie et de médecine interne, Hôpital Charles Nicolle, Tunis.
Ben Moussa
F
F
Béji
S
S
Kheder
A
A
Ben Maïz
H
H
D000686:Amyloidosis / Q000209:etiology*; D000818:Animals; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000601:surgery*; D004446:Echinococcus / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology*; D008875:Middle Aged; D016896:Treatment Outcome