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一名继发于家族性地中海热的肾淀粉样变性患者双侧肾上腺血肿及亚临床型醛固酮减少症的自发消退。

Spontaneous regression of bilateral surrenal haematoma and subclinical hypoaldosteronism in a patient with renal amyloidosis secondary to Familial Mediterranean Fever.

作者信息

Paydaş S

机构信息

Cukurova University, Faculty of Medicine, Department of Internal Medicine, Adana, Turkey.

出版信息

Int Urol Nephrol. 2000;32(2):291-2. doi: 10.1023/a:1007196926394.

DOI:10.1023/a:1007196926394
PMID:11229653
Abstract

This report describes a patient with Familial Mediterranean Fever (FMF) associated with renal amyloidosis, bilaretal surrenal haematomas and hypoaldosteronism which was clinically asymptomatic. The deposition of AA amyloide was found on the renal and bone marrow biopsies. Bilateral surrenal haematoma regressed after six month from the first events. Colchicine therapy controlled the attacks of the disease.

摘要

本报告描述了一名患有家族性地中海热(FMF)的患者,该患者伴有肾淀粉样变性、双侧肾上腺血肿和临床无症状的醛固酮减少症。在肾活检和骨髓活检中发现了AA淀粉样蛋白沉积。双侧肾上腺血肿在首次发病后六个月消退。秋水仙碱治疗控制了疾病的发作。

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Spontaneous regression of bilateral surrenal haematoma and subclinical hypoaldosteronism in a patient with renal amyloidosis secondary to Familial Mediterranean Fever.一名继发于家族性地中海热的肾淀粉样变性患者双侧肾上腺血肿及亚临床型醛固酮减少症的自发消退。
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本文引用的文献

1
Hypoaldosteronism.醛固酮减少症
Curr Ther Endocrinol Metab. 1994;5:146-9.
2
Diagnostic value of bone marrow biopsy in patients with renal disease secondary to familial Mediterranean fever.骨髓活检对家族性地中海热继发肾病患者的诊断价值
Kidney Int. 1993 Oct;44(4):834-6. doi: 10.1038/ki.1993.318.
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Bleeding manifestations in 100 patients with amyloidosis.100例淀粉样变性患者的出血表现
JAMA. 1983 Mar 11;249(10):1322-4.
4
Colchicine in the prevention and treatment of the amyloidosis of familial Mediterranean fever.秋水仙碱在家族性地中海热淀粉样变性病的预防和治疗中的应用
N Engl J Med. 1986 Apr 17;314(16):1001-5. doi: 10.1056/NEJM198604173141601.
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Subclinical adrenocortical insufficiency in renal amyloidosis.肾淀粉样变性中的亚临床肾上腺皮质功能不全
Nephron. 1990;56(3):246-8. doi: 10.1159/000186148.
6
Spectrum of renal involvement in familial Mediterranean fever.家族性地中海热的肾脏受累谱
Kidney Int. 1992 Feb;41(2):414-9. doi: 10.1038/ki.1992.57.
7
Secondary amyloidosis (AA).继发性淀粉样变性(AA型)
J Intern Med. 1992 Dec;232(6):517-8. doi: 10.1111/j.1365-2796.1992.tb00629.x.