Department of Nephrology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Ren Fail. 2010;32(10):1230-2. doi: 10.3109/0886022X.2010.517344.
Renal amyloidosis, which leads to renal failure, is the most important long-term complication of familial Mediterranean fever (FMF). Resolution of nephrotic syndrome secondary to amyloidosis in FMF following colchicine treatment has rarely been reported. We describe two patients with FMF and nephrotic syndrome. These patients were treated with colchicine 1.5 mg/day and had a complete remission of nephrotic syndrome with a stable clinical course over 30 years. To our knowledge, our patients have the longest follow-up time without proteinuria.
肾脏淀粉样变性可导致肾衰竭,是家族性地中海热(FMF)最重要的长期并发症。FMF 患者的肾脏淀粉样变性所致肾病综合征在用秋水仙碱治疗后很少有报道可以缓解。我们描述了两名 FMF 合并肾病综合征患者。这两名患者接受了秋水仙碱 1.5mg/天的治疗,肾病综合征完全缓解,30 多年来临床情况稳定,未出现蛋白尿。据我们所知,我们的患者具有最长的无蛋白尿随访时间。