Summary
An unusual case of reversible reactive amyloidosis (AA) is described. A patient in the course of lobar pneumonia developed acute transient nephrotic syndrome and renal failure. Renal and liver biopsy showed amyloidosis and positive immunohistochemistry stains for amyloid A protein.
The nephrotic syndrome resolved completely following 6 months of colchicine treatment and the urine is protein free after 6 years of follow-up.
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Jones, N.F. Renal amyloidosis: pathogenesis and therapy. Clin Nephrol 1976, 6, 459–464.
Falck, H.M., Tornroth, T., Skrifvars, B., et al. Resolution of renal amyloidosis secondary to rheumatoid arthritis Acta Med Scand 1979, 205, 651–656.
Dikman, S.H., Kahn, T., Gribetz, D., et al. Resolution of renal amyloidosis. Am J Med 1977, 63, 430–433.
Levy, M., Prieur, A.M., Gubler, M.C., Hayem, F., Manigne, P., Cheron, G., Niaudet, P. Renal involvement in juvenile chronic arthritis: clinical and pathologic features. Am J Kidney Dis 1987, 9, 138–146.
Escalante, A., Ehresmann, G.R., Quismorio, F.P. Jr. Regression of reactive systemic amyloidosis due to ankylosing spondylitis following the administration of colchicine. Arthritis Rheum 1991, 34, 920–922.
Benson, M.D. Treatment of AL amyloidosis with melphalan, prednisone, and colchicine. Arthritis Rheum 1986, 29, 683–687.
Gertz, M.A., Kyle, R.A. Secondary systemic amyloidosis: response and survival in 64 patients. Medicine (Baltimore) 1991, 70, 246–256.
Crowley, S., Feinfeld, D.A., Janis, R. Resolution of nephrotic syndrome and lack of progression of heroin-associated renal amyloidosis. Am J Kidney Dis 1989, 13, 333–335.
Thysell, H., Ingvar, C., Gustafson, T., Holmin, T. Systemic reactive amyloidosis caused by hepatocellular adenoma. A case report. J Hepatol 1986, 2, 450–457.
Deschenes, G., Prieur, A.M., Hayem, F., Broyer, M., Gubler, M.C. Renal amyloidosis in juvenile chronic arthritis: evolution after chlorambucil treatment. Pediatr-Nephrol 1990, 4, 463–469.
Short, C.D., Mallick, N.P. Renal manifestations of systemic diseases. The practitioner 1981, 225, 997–1005.
Michael, J., Jones, N.F. Spontaneous remission of nephrotic syndrome in renal amyloidosis Br Med J 1978, 1, 1592–1593.
Mery, J.P., Mostefa, S. Remission in renal amyloidosis. Ann Intern Med 1975, 83, 581.
Harats, D., Friedlander, M., Koplovic, Y., Friedman, G. Prolonged reversible acute renal failure in focal glomerulonephritis with severe nephrotic syndrome in an elderly patient. Klin Wochenschr 1989, 67, 502–505.
Sennesael, J., Van-den-Houte, K., Verbeelen, D. Reversible membranous glomerulonephritis associated with ketoprofen. Clin Nephrol 1986, 26, 213–215.
Tang, A.L., Davies, D.R., Wing, A.J. Remission of nephrotic syndrome in amyloidosis associated with a hypernephroma. Clin Nephrol 1989, 32, 225–228.
Cusano, A.J., Bland, J.H., Lapenas, D.J., Cohen, A.S., Libbey, C. Juvenile rheumatoid arthritis with renal amyloidosis: a 23-year survival. J Rheumatol 1982, 9(6), 921–925.
Gertz, M.A., Kyle, R.A. Secondary systemic amyloidosis: response and survival in 64 patients. Med Baltimore 1991, 70, 246–256.
Zemer, D., Pras, M., Sohar, E. et al. Colchicine in the prevention and treatment of the amyloidosis of familial Mediterranean fever (FMF). N Engl J Med 1986, 314, 1001–1005.
Ravid, M., Robson, M., Kedar, I. Prolonged colchicine treatment in four patients with amyloidosis. Ann Intern Med 1977, 87, 568–570.
Brandwein, S.R., Sipe, J.D., Skinner, M., Cohen, A.S. Effect of colchicine on experimental amyloidosis in two CBA/J mouse models. Chronic inflammatory stimulation and administration of amyloid-enhancing factor during acute inflammation. Lab Invest 1985, 52, 319–325.
Rosenthal, C.J., Franklin, B., Greenspan, J. Isolation and partial characterization of SAA — an amyloid related protein from human serum. J Immunol 1976, 116, 1415–1418.
McAdam, K.P.W.S., Sipe, J.D. Murine model for secondary amyloidosis. Genetic variability of the acute-phase serum protein SAA response to endotoxins and casein. J Exp Med 1976, 144, 1121–1126.
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Oren, R., Pizov, G., Naparstek, Y. et al. Colchicine induced remission in amyloid nephrotic syndrome. Clin Rheumatol 12, 532–534 (1993). https://doi.org/10.1007/BF02231786
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DOI: https://doi.org/10.1007/BF02231786