title: Malabsorption Secondary to Gout-Induced Amyloidosis.
abstract: Many chronic inflammatory conditions can lead to systemic amyloidosis. However, secondary amyloidosis has rarely been associated with gout, and the literature reports only a handful of cases, all presenting with renal disease. We report a patient with a history of poorly controlled gout who presented with malabsorption. Endoscopic biopsies confirmed a diagnosis of small intestinal amyloidosis. This was believed to be a consequence of gout. Interestingly, renal involvement was subclinical. Our case raises awareness of this rare association and highlights the importance of considering a diagnosis of amyloidosis in patients who present with the combination of gout and gastrointestinal symptoms.
authors.affiliation: Department of Gastroenterology, Logan Hospital, Queensland, Australia.
authors.forename: Ali
authors.initials: A
authors.lastname: Azzam
authors.affiliation: Department of Gastroenterology, Logan Hospital, Queensland, Australia.
authors.forename: Renuka
authors.initials: R
authors.lastname: Balasubramaniam
authors.affiliation: Department of Gastroenterology, Logan Hospital, Queensland, Australia.
authors.forename: Shahram
authors.initials: S
authors.lastname: Safa
authors.affiliation: Department of Gastroenterology, Logan Hospital, Queensland, Australia.
authors.forename: Carolyn
authors.initials: C
authors.lastname: McIvor
authors.affiliation: Amyloidosis Centre, Princess Alexandra Hospital, Queensland, Australia; School of Medicine, University of Queensland, Queensland, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Mollee