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06-05-2009, 09:31 AM
Amyloidosis kidney


♫ Itís not a glomerulonephritis, but itís considered to be glomerulopathy.
♫ It presents with nephrotic $ then deterioration of kid function CRF.


Causes:

Rheumatoid D.
Supp lung $.
Multiple m.
F. M. F.
Polyserositis recurrent abdominal Pain +rebound
tenderness
Fever.
Late nephrotic $.

C/P: Ľ cause + nephrotic $
amyloidosis kidney lead to renal tubular acidosis nephrogenic D.I.

Diagnosis:

biopsy and staining by Congo red , this gives pink colour & show green birefringence by polarized microscope.

ttt:

- treatment of the cause. to prevent further amyloid deposition.
-Colchicine in F.M.F. ĮĮ the incidence of amyloidosis ?!


Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)