Document Detail


Crohn's disease associated with renal amyloidosis successfully treated with an elemental diet.
MedLine Citation:
PMID:  9349994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of Crohn's disease associated with nephrotic syndrome due to renal amyloidosis in a 21-year-old man in whom remission of both Crohn's disease and the nephrotic syndrome has been maintained with an elemental diet. The patient developed toxic megacolon and nephrotic syndrome due to renal amyloidosis. Intensive intravenous prednisolone therapy with total parenteral nutrition was dramatically effective in treating the toxic megacolon and inducing remission in Crohn's disease and afterward, remission of the nephrotic syndrome. Remission of both conditions has been maintained for more than 2 years with the elemental diet. To our knowledge, this is the first confirmed case of Crohn's disease complicated with renal amyloidosis in which only slight proteinuria (below 0.3 g/day) was shown with an elemental diet used for a long period.
Authors:
Y Horie; M Chiba; K Miura; M Iizuka; O Masamune; A Komatsuda; T Ebina
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of gastroenterology     Volume:  32     ISSN:  0944-1174     ISO Abbreviation:  J. Gastroenterol.     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-11-25     Completed Date:  1997-11-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9430794     Medline TA:  J Gastroenterol     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  663-7     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Akita University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amyloidosis / complications*,  diagnosis,  diet therapy
Biopsy
Crohn Disease / complications*,  diagnosis,  diet therapy
Diet*
Follow-Up Studies
Humans
Kidney Diseases / complications*,  diagnosis,  diet therapy
Male
Remission Induction / methods
Time Factors

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


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