Primary Amyloidosis Presenting Nephrotic Syndrome and Hemorrhagic Gastritis.
- Author:
Jae Jin LEE
1
;
Tae Won LEE
;
Chun Gyoo IHM
;
Myung Jae KIM
;
Gou Young KIM
;
Yong Koo PARK
Author Information
1. Department of Internal Medicine, Kyung-hee university, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Primary amyloidosis(AL);
Nephrotic syndrome;
Hemorrhagic gastiritis
- MeSH:
Amyloidosis*;
Biopsy;
Birefringence;
Cyclophosphamide;
Electrophoresis;
Female;
Gastritis*;
Humans;
Immunoelectrophoresis;
Middle Aged;
Nephrotic Syndrome*;
Paraproteinemias;
Prednisolone;
Proteinuria;
Stomach
- From:Korean Journal of Nephrology
2000;19(5):965-971
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of a 58 year old woman who was found to have primary amyloidosis is reported. She was presented with nephrotic syndrome and hemorrhgic gastritis. She was confirmed by showing apple green birefringence under the polarized microscope with Congo-red stain through renal and stomach biopsy. Immunoelectrophoresis of urine exhibited Bence-Jones protein(gamma type) and protein electrophoresis of urine exhibited monoclonal gammopathy. She was treated with cyclophosphamide and prednisolone, and proteinuria and gastrointestinal symptoms were improved. We discussed this case with a brief review of literature.
