SUBACUTE RENAL FAILURE AS A FORM OF PRESENTATION OF AL-AMYLOIDOSIS.
INSUFICIENCIA RENAL SUBAGUDA COMO FORMA DE PRESENTACIÓN DE AMILOIDOSIS AL.
Carmen Vozmediano, Agustín Carreño, Francisco Rivera, Julia Blanco
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The main clinical syndrome generally consists in nephrotic syndrome, asymptomatic proteinuria or chronic renal failure. Acute worsening of renal failure is a infrequent form of presentation and should be produced by well known causes like as hypoperfusion, acute tubulointerstitial nephritis, superimposed extracapillary cell proliferation, surgery and renal vein thrombosis. We describe a patient with AL-amyloidosis and a rapidly progressive renal failure secondary to massive deposits of amyloid proteins in all the structures of the kidney without others causes of acute renal failure." ] "es" => array:1 [ "resumen" => "La amiloidosis primaria o amiloidosis AL es una forma de discrasia maligna de células plasmáticas cuyas manifestaciones clínicas difieran del mieloma múltiple. La manifestación clínica mas frecuente es el síndrome nefrótico seguido por alteraciones urinarias asintomáticas o insuficiencia renal crónica. El deterioro agudo de función renal es menos común y suele estar provocado por hipoperfusión renal, nefritis tubulointersticial aguda, glomerulonefritis proliferativa extracapilar sobreañadida, intervenciones quirúrgicas y trombosis de vena renal. Describimos un caso con amiloidosis AL que debuta con una insuficiencia renal subaguda secundaria al depósito masivo de material amiloide en todas las estructuras del riñón sin otras causas predominantes de deterioro de función renal." ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407022075/v0_201502091551/en/main.assets" "Apartado" => null "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407022075?idApp=UINPBA000064" ]
Article information
ISSN: 20132514Original language: English
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