Amyloidosis and end-stage renal disease associated with leprosy

被引：7

作者：

da Silva Junior, Geraldo Bezerra ^{[1
]}

Barbosa, Orivaldo Alves ^{[1
,2
]}

Barros, Roseanne de Moura ^{[2
]}

Carvalho, Priscila dos Reis ^{[2
]}

de Mendoza, Talita Rodrigues ^{[2
]}

Sousa Barreto, Dulce Maria ^{[2
]}

Barboza, Celio Araujo ^{[2
]}

Carvalho Guimaraes, Antonio Augusto ^{[2
]}

Daher, Elizabeth de Francesco ^{[1
,2
]}

机构：

[1] Univ Fed Ceara, Fac Med, Dept Clin Med, Fortaleza, Ceara, Brazil

[2] Hosp Geral Fortaleza, Serv Nefrol, Secretaria Saude Estado Ceara, Fortaleza, Ceara, Brazil

来源：

REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL | 2010年 / 43卷 / 04期

关键词：

Leprosy; End-stage renal disease; Amyloidosis;

D O I：

10.1590/S0037-86822010000400031

中图分类号：

R38 [医学寄生虫学]; Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ; 100103 ;

摘要：

Renal involvement in leprosy includes glomerulonephritis, amyloidosis and tubulointerstitial nephritis. A 58-year-old man was admitted with complaints of lower limb edema and dyspnea. At admission, nitrogen retention, anemia, hyperkalemia and metabolic acidosis were observed, requiring hemodialysis. The patient had a history of lepromatous leprosy. A renal biopsy was performed that was compatible with amyloidosis. The patient had a stable outcome, but without renal function recovery and remained on regular hemodialysis. Leprosy should be investigated in every patient with renal function loss, particularly in those with cutaneous lesions or other manifestations suggestive of leprosy.

引用

页码：474 / 476

页数：3

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