[Renal amyloidosis].

Abstract

Amyloidosis is defined as the extracellular deposition of proteins that have the capacity to form beta-pleated sheets and become insoluble. More than 17 types of amyloidosis have been described. Systemic light chain amyloid (AL) and AA amyloid (secondary to chronic inflammatory process) are by far the most frequent forms of amyloidosis. In these systemic forms, organs involved are the kidneys, the heart and the gastrointestinal tract in AL amyloidosis. The diagnostic can be established only by tissue biopsy. Treatment of primary amyloidosis (AL) aims at suppressing the responsible clone whereas treatment of secondary amyloidosis relies on controlling the underlying inflammatory process. Prognosis is globally poor and depends on the extend of organs involvement particularly cardiac and renal. The prognosis is even worse in patients requiring dialysis.

• Authors: P Cuchard, R Cuchard, S Rotman, M Burnier, T Gauthier
• Journal: Revue medicale suisse (Rev Med Suisse) Vol. 8 Issue 330 Pg. 446-51 (Feb 29 2012) ISSN: 1660-9379 [Print] Switzerland
• Vernacular Title: Amyloïdose rénale.
• PMID: 22452129 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Aged
• Amyloidosis (diagnosis, epidemiology, etiology, therapy)
• Disease Progression
• Humans
• Incidence
• Kidney Diseases (diagnosis, epidemiology, etiology, therapy)
• Male
• Prognosis
• Renal Insufficiency, Chronic (diagnosis, etiology, therapy)