A case with acute renal failure and subsequent nephrotic syndrome.
Nephrotic syndrome due to secondary amyloidosis is not so common, and the prognosis depends on primary disease. We report a case of secondary amyloidosis caused by Takayasu's arteritis. Sustained high fever and acute renal failure proceeded to the occurrence of nephrotic syndrome. Secondary amyloidosis was diagnosed by renal biopsy before the diagnosis of primary disease. She was completely recovered from nephrotic syndrome after two years' treatment with prednisolone, aspirin, and dimethyl sulfoxide. This rare case provides meaningful suggestions for the diagnosis and treatment of acute renal failure and nephrotic syndrome caused by secondary amyloidosis.
Nonoguchi
Hiroshi
H
Division of Kidney and Dialysis, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan. nono@hyo-med.ac.jp
Kohda
Yukimasa
Y
Fukutomi
Rika
R
Nakayama
Yushi
Y
Naruse
Masahiro
M
Kitamura
Kenichiro
K
Inoue
Takeaki
T
Nakanishi
Takeshi
T
Tomita
Kimio
K
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D000686:Amyloidosis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D009404:Nephrotic Syndrome / Q000175:diagnosis / Q000209:etiology*; D013625:Takayasu Arteritis / Q000150:complications*