Document Detail


Complete clinical remission and subsequent relapse of bronchiectasis-related (AA) amyloid induced nephrotic syndrome.
MedLine Citation:
PMID:  8938683     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Systemic amyloidosis normally has a dismal prognosis. However, there are several case reports of protracted survival, usually as a response to measures designed to retard the further deposition of amyloid fibrils. In AA amyloid, most commonly associated with inflammatory rheumatological, bowel, and chest diseases, such interventions have had some success, but the dramatic response of complete resolution of nephrotic syndrome as a result of the regular institution of postural chest drainage and antibiotic therapy, in the clinical context of bronchiectasis, has been previously reported only once. In both of our cases, after protracted remission, such therapy was abandoned by the patients, leading both to recurrence of nephrotic syndrome and also eventually to end-stage renal failure requiring dialysis.
Authors:
D J Goldsmith; I S Roberts; C D Short; N P Mallick
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Nephron     Volume:  74     ISSN:  0028-2766     ISO Abbreviation:  Nephron     Publication Date:  1996  
Date Detail:
Created Date:  1997-02-20     Completed Date:  1997-02-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0331777     Medline TA:  Nephron     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  572-6     Citation Subset:  IM    
Affiliation:
Renal Unit, Royal Infirmary, Manchester, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amyloidosis / complications,  pathology*,  therapy
Bronchiectasis / complications,  pathology*,  therapy
Female
Humans
Male
Middle Aged
Nephrotic Syndrome / complications,  pathology*,  therapy
Recurrence
Remission Induction
Serum Amyloid A Protein / metabolism*
Chemical
Reg. No./Substance:
0/Serum Amyloid A Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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