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 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.
Habib
Skhiri
S
Department of Nephrology, Monastir Hospital, Tunisia.
Ahmed
Letaief
L
Sabra
Aloui
A
Wissal
Sahtout
S
Sinda
Mrabet
M
Samia
Bouraoui
B
Ameur
Frih Med
FM
Abdellatif
Achour
A
Nasr
Ben Dhia
BD
Abdelfetteh
Zakhama
Z
Hammadi
Saad
S
Mezri
Elmay
E