[Secondary amyloidosis connected with neoplasma of urinary bladder and acquired disorders of blood coagulation. Case report].
Amyloidosis is a general term encompassing a group of disorders morphologically characterized by a deposition of proteinaceous fibrillar material in the tissues. The secondary amyloidosis is associated with systemic inflammatory processes, chronic infections or neoplasm. These processes are associated with elevated levels of circulating serum amyloid protein A (SAA). We have described a unique case of led to systemic amyloidosis associated with tumor of urinary bladder with significant renal involvement and acquired disorders of blood coagulation factor IX and X deficiency. A renal biopsy specimen with Congo red stain showed diffuse deposits of amyloidosis. Immunohistochemical examination was not done. Factor IX and X was determinated and to be 10-16% of normal values. Timely patient has failed to response to fresh frozen plasma and vitamin K and favorable responded to once weekly administrated factor IX and X concentrate. Progressive deterioration of renal function required hemodialysis, but he died one year later.
Bednarek-Skublewska
Anna
A
Katedra i Klinika Nefrologii Akademii Medycznej w Lublinie im. prof. Feliksa Skubiszewskiego. anna.bednarek@gambro.pl
Majdan
Maria
M
Targońska-Stepniak
Bozena
B
Ksiazek
Andrzej
A
D000686:Amyloidosis / Q000175:diagnosis / Q000209:etiology*; D005171:Factor X Deficiency / Q000150:complications* / Q000175:diagnosis; D002836:Hemophilia B / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D000685:Serum Amyloid A Protein; D001749:Urinary Bladder Neoplasms / Q000150:complications*
D000685:Serum Amyloid A Protein