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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2004  |  Volume : 15  |  Issue : 2  |  Page : 167-169
Renal Amyloidosis Complicating Bladder Carcinoma Associated with Supra Renal Insufficiency

1 Department of Nephrology, Monastir Hospital, Tunisia
2 Department of Pathology, Monastir Hospital, Tunisia
3 Department of Urology, Monastir Hospital, Tunisia

Correspondence Address:
Skhiri Habib
Department of Nephrology, Monastir Hospital
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PMID: 17642770

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A 61-year-old white man was admitted for evaluation of hematuria. His medical history revealed endoscopic resection of bladder carcinoma 10 years earlier. A diagnosis of relapse of this carcinoma was made. Few months later, he developed low blood pressure and the nephrotic syndrome. Examination of a renal biopsy specimen showed amyloid deposits. Results of immunofluorescence were positive for AA protein. Furthermore, laboratory tests demonstrated suprarenal insufficiency probably due to amyloidosis. A diagnosis of bladder carcinoma- induced amyloidosis of the kidneys and suprarenal glands was made since no other identifiable cause for AA amyloidosis was found.

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