Document Detail


Regression of the nephrotic syndrome in rheumatoid arthritis and amyloidosis treated with azathioprine. A case report.
MedLine Citation:
PMID:  8849359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Secondary or reactive (AA) amyloidosis is a well-known complication of certain rheumatic diseases, particularly rheumatoid arthritis (RA). This case report describes a patient with RA complicated by amyloidosis and the nephrotic syndrome, which regressed after treatment with azathioprine. The AA amyloidosis was documented by renal and lymph node biopsies and by the presence of proteinuria. Evaluation for other etiologies of proteinuria was negative. After treatment with azathioprine, the proteinuria resolved and the serum albumin level increased from 1.9 mg/dl to normal. This is the first published report of azathioprine therapy resulting in a reversal of the nephrotic syndrome in a patient with RA and secondary amyloidosis.
Authors:
D L Shapiro; H Spiera
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Arthritis and rheumatism     Volume:  38     ISSN:  0004-3591     ISO Abbreviation:  Arthritis Rheum.     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-10-22     Completed Date:  1996-10-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0370605     Medline TA:  Arthritis Rheum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1851-4     Citation Subset:  AIM; IM    
Affiliation:
Mount Sinai School of Medicine, New York, New York 10029-6574, USA.
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MeSH Terms
Descriptor/Qualifier:
Amyloidosis / etiology*
Antirheumatic Agents / therapeutic use*
Arthritis, Rheumatoid / complications,  drug therapy*
Azathioprine / therapeutic use*
Female
Humans
Middle Aged
Nephrotic Syndrome / etiology*
Chemical
Reg. No./Substance:
0/Antirheumatic Agents; 446-86-6/Azathioprine
Comments/Corrections
Comment In:
Arthritis Rheum. 1996 Nov;39(11):1932-4   [PMID:  8912520 ]

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


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