title: Renal and suprarenal insufficiency secondary to familial Mediterranean fever associated with amyloidosis: a case report.
abstract: BACKGROUND
  Familial Mediterranean fever is an autosomal recessive disease that predominantly affects people of the Mediterranean coast. One of the most frequent complications of the disease is amyloidosis. This clinical entity is known as secondary (also called AA) amyloidosis.
  
  
  METHODS
  In this report, we describe the case of a 33-year-old Turkish man with familial Mediterranean fever and chronic renal insufficiency. He was admitted to our clinic with symptoms of suprarenal insufficiency. The patient died three months later as a result of cardiac arrest.
  
  
  CONCLUSIONS
  Our aim is to make a contribution to the literature by reporting a case of combined insufficiency due to the accumulation of renal and adrenal amyloid in a patient with familial Mediterranean fever, which has very rarely been described in the literature. We hope that adrenal insufficiency, which becomes fatal if not diagnosed and treated rapidly, will come to mind as easily as chronic renal failure in clinical practice.
authors.affiliation: Department of Gastroenterology, Istanbul Education and Research Hospital, Samatya, Fatih, Istanbul, Turkey. aburaktoros@yahoo.com.
authors.forename: Ahmet Burak
authors.initials: AB
authors.lastname: Toros
authors.forename: Fusun
authors.initials: F
authors.lastname: Erdenen
authors.forename: Nagehan Didem
authors.initials: ND
authors.lastname: Sari
authors.forename: Serkan
authors.initials: S
authors.lastname: Gokcay