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J Nephropathol. 2021;10(2): e13.
doi: 10.34172/jnp.2021.13
  Abstract View: 57
  PDF Download: 34

Brief Report

From the lungs to the kidneys; a case of renal AA amyloidosis in a patient with pulmonary TB

Yesid Fabián Mantilla-Flórez 1 * ORCID logo, Eduardo Tuta-Quintero 2 ORCID logo, Carlos Mauricio Calderón-Vargas 3 ORCID logo, Paula Violeta Rodríguez-Segura 4, Nicolas Díaz-Pinilla 2

1 Internal Medicine Program, Medicine School, University of La Sabana, Chía, Colombia
2 Medicine School, University of La Sabana, Chía, Colombia
3 Grupo Investigación en Riesgo Cardiovascular, Trombosis y Anticoagulación (RICAVTA), Hospital Universitario de la Samaritana, Bogotá, Colombia
4 Nephrologist, Internal Medicine Department, Hospital Universitario de la Samaritana, Bogotá, Colombia

Abstract

AA amyloidosis is a complication related to several chronic inflammatory conditions like cancer, autoimmune diseases and infections, among others. The disease implicates amyloid fibrils deposit in tissues leading to organ failure. Renal involvement has been closely associated with amyloidosis and sometimes with tuberculosis too. Therefore, it is important to achieve a renal biopsy that allows elucidating the etiology of the clinical picture in order to provide the correct treatment to the patients. In this paper, we present a case of renal amyloidosis secondary to pulmonary tuberculosis which debuted as nephrotic syndrome.
Keywords: Amyloidosis, Reactive systemic amyloidosis, Tuberculosis.

Implication for health policy/practice/research/medical education: Renal AA amyloidosis is an uncommon disease and histopathological recognition is essential in early and ideal treatment, because nephrotic syndrome in patient treatment for tuberculosis can confuse etiology the kidney injury.

Please cite this paper as: S. From the lungs to the kidneys; a case of renal AA amyloidosis in a patient with pulmonary TB. J Nephropathol. 2021;10(2):e13. DOI: 10.34172/jnp.2021.13.

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Abstract View: 57

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Submitted: 16 Apr 2020
Accepted: 03 Jun 2020
ePublished: 20 Jun 2020
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