류마티스 관절염 환자에서 급성신부전으로 발현된 이차성 유전분증 1예
A case of secondary amyloidosis presenting acute renal failure in rheumatoid arthritis patient
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초록
저자들은 약 17년의 류마티스 관절염의 병력을 가진 환자가 핍뇨를 동반한 급성신부전을 주소로 내원, 신장조직검사와 대장내시경검사를 통해 유전분증을 확진하였다. 유전분증의 신장침범시 단백뇨를 동반하는 경우가 대부분이나 본 증례와 같은 경우가 드물게 보고되어 문헌고찰과 함께 보고한다.
Abstract
Amyloidosis is a heterogenous group of often fatal disorders characterized by extracellular deposition of a proteinaceous material with a unique fibrillar form in various tissues and organs. Deposition of amyloid may cause widespread dysfunction of the involved organs. A secondary amyloidosis is AA amyloidosis and rheumatoid arthritis is one of the main underlying disease. We report a case of secondary amyloidosis in a 52 year old woman with rheumatoid arthritis. She had suffered from rheumatoid arthritis for 17 years and her hands and feet were deformed. She was presented with oliguric acute renal failure. She was confirmed by showing apple green birefringence under the polarized microscope with Congo-red stain through renal and rectal biopsy. We couldn’t find any previous report of the secondary amyloidosis among the patients presenting oliguric acute renal failure without proteinuria in the Korean literatures
참고문헌 (18)
- 김성헌, "류마티스 관절염 발생 후 조기에 발생한 신 유전분증 1예", Kidney Research and Clinical Practice, 23(1), pp.163~168 (2004), 대한신장학회
- Kumar V, "Robbins pathologic basis of disease", pp.210~220 (1989)
- Linde RP, "Immunoelectron microscopic identification and classification of amyloid in tissue sections by the postembedding protein:a gold method", 4, pp.1~7 (1983)
- Cohen AS, "The pathogenesis and biochemistry of amyloidosis", 151, pp.1~10 (1987)
- Symmers WS, "Primary amyloidosis", 9, pp.187~211 (1956)
- Kyle RA, "Multiple myeloma:review of 809 cases", 50, pp.29~40 (1975)
- Benson MD, "Serum amyloid A protein in amyloidosis", pp.36~42 (1979)
- Greipp PR, "Amyloidosis:an approach to early diagnosis", 144, pp.2145~2146 (1984)
- Cohen AS, "Amyloidosis associated with rheumatoid arthritis", 52, pp.643~653 (1968)
- Menke DM, "Symptomatic gastric amyloidosis in patients with primary systemic amyloidosis", 68, pp.763~767 (1993)
- Jae KO, "The echo manual" (1999), Lippincott Williams and Wilkins
- Gertz MA, "Utility of subcutaneous fat aspiration for the diagnosis of systemic amyloidosis", pp.929~933 (1988)
- Yamada M, "Gastrointestinal amyloid deposition in AL primary or myeloma-associated diagnostic value of gastric biopsy", pp.1206~1211 (1985)
- Kyle RA, "Primary systemic amyloidosis:comparison of melphalan and prednisone versus placebo", 52, pp.818~827 (1978)
- Kyle RA, "Primary systemic amyloidosis:comparison of melphalan", prednisone versus colchicines, 1985, pp.79, 708~716
- Kyle RA, "10 years or more in 30 patients with primary amyloidosis", 93, pp.1062~1066 (1999)
- Husby G, "Amyloidosis in rheumatic arthritis", 7, pp.154~167 (1975)
- Obana M, "Clinical studies on amyloidosis complicated:with rheumatoid arthritis with particular reference to nephropathy", 29, pp.274~282 (1990)