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Nephrol Dial Transplant (2002) 17: 669-671
© 2002 European Renal Association-European Dialysis and Transplant Association

Interesting Case

Nephrotic syndrome in a patient with renal amyloidosis due to polyangiitis overlap syndrome

Atsushi Komatsuda, Hirotaka Kimura, Yoshikazu Ichikawa, Hiroshi Ohtani, Hideki Wakui and Hirokazu Imai

Third Department of Internal Medicine, Akita University School of Medicine, Akita, Japan

Keywords: polyangiitis overlap syndrome; renal amyloidosis

Introduction

Systemic vasculitides are classified by the size of affected blood vessels [1]. However, some patients have overlapping features of common forms of systemic vasculitis. Leavitt and Fauci proposed the entity of polyangiitis overlap syndrome (POS) [2]. While systemic vasculitis can cause secondary amyloidosis, there are few well-documented case reports of secondary renal amyloidosis in patients with POS. Here we present a patient with nephrotic syndrome due to renal amyloidosis caused by POS.

Case

A 26-year-old woman was admitted to the hospital on 14 February 2000, because of right facial pain and leg oedema. In 1989, she had acute cholecystitis, and cholecystectomy was performed. Histological examination of the gall bladder showed . . . [Full Text of this Article]

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