Kennedy A C, Burton J A, Allison M E
Br Med J. 1974 Sep 28;3(5934):795-7. doi: 10.1136/bmj.3.5934.795.
In 40 patients with renal amyloidosis seen in a ten-year period tuberculosis was the major preceding disease in 20, though it was active in only two at diagnosis. Most patients presented with renal failure, and only two survived for five years. This experience (at least, in the west of Scotland) conflicts with the generally accepted view that rheumatoid arthritis is the commonest cause of renal amyloidosis.
在十年间诊治的40例肾淀粉样变性患者中,20例的主要前驱疾病为结核病,不过确诊时仅有两例结核病仍处于活动期。大多数患者表现为肾衰竭,只有两例存活了五年。这一经验(至少在苏格兰西部)与类风湿关节炎是肾淀粉样变性最常见病因这一普遍观点相矛盾。