title: A dilemma solved.
abstract: A 63-year-old woman with severe symptomatic postural hypotension was treated unsuccessfully, and no underlying cause was found for 3 years until she was noted to have hypoalbuminaemia and proteinuria. A renal biopsy led to the diagnosis of amyloidosis. Despite being an established cause for autonomic neuropathy, amyloidosis was not suspected early enough. Although a diagnosis was reached and treatment started, the patient died as a complication of chemotherapy.
authors.affiliation: Royal Hallamshire Hospital, Neurology Department, Glossop Road, Sheffield, S10 2JF, UK.
authors.forename: Muhammad Khizar
authors.initials: MK
authors.lastname: Rafiq