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Published on: June 20, 2018
Uncommon aetiology in renal amyloidosis
1Ondokuz Mayis University, School of Medicine, Department of Nephrology, Kurupelit, TR 55139 Samsun, Turkey. kcengiz@omu.edu.tr
Abstract:
Nine paraplegic patients due to spinal cord injury of various aetiology, developing renal amyloidosis are presented and the old literature is reviewed. All the patients were male and their mean age was 24.8 +/- 1.5 years. The mean interval between the start of primary disease and the diagnosis of amyloidosis was 2.4 +/- 0.3 years. Five patients (55%) died and four patients (45%) are alive. This study is of interest because of (1) the rarity of renal amyloidosis in paraplegic patients, (2) the short duration between the onset of the primary disease and the amyloidosis, (3) the young age of the patients, (4) and the striking clinical improvement after treatment of the primary disease.
Insights
Renal amyloidosis is rare in paraplegic patients, often diagnosed young with a short disease onset. Treatment of the primary disease showed striking clinical improvement in survivors.
Area of Science:
- Nephrology
- Neurology
- Pathology
Background:
- Renal amyloidosis is a rare complication in patients with spinal cord injury.
- Amyloidosis development in paraplegic individuals is not well-documented.
- Spinal cord injury (SCI) can lead to various secondary health complications.
Purpose of the Study:
- To present cases of renal amyloidosis in paraplegic patients.
- To review existing literature on this rare condition.
- To analyze the clinical course and outcomes.
Main Methods:
- Case series presentation of nine paraplegic patients with renal amyloidosis.
- Review of historical literature on renal amyloidosis in SCI.
- Analysis of patient demographics, disease onset, and treatment outcomes.
Main Results:
- Nine male patients with a mean age of 24.8 years were identified.
- The mean interval between primary disease onset and amyloidosis diagnosis was 2.4 years.
- Mortality rate was 55%, with 45% of patients surviving.
Conclusions:
- Renal amyloidosis is an uncommon but serious complication in paraplegic patients.
- Early diagnosis and treatment of the primary condition may improve outcomes.
- Further research is needed to understand the pathophysiology and optimize management.
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