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2020, Number 5

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Med Int Mex 2020; 36 (5)

Nephrotic syndrome by amyloidosis AL associated to lambda light-chain monoclonal gammapathy

Olea-Sánchez EG, Sánchez-Moreno EC, Hernández-Salcedo DR, Valencia-López R, Luque-Hernández A
Full text How to cite this article

Language: Spanish
References: 16
Page: 722-726
PDF size: 277.39 Kb.


Key words:

Primary amyloidosis, Nephrotic syndrome, Plasma cells.

ABSTRACT

Background: Amyloidosis is a rare disorder, in which the native proteins with incorrect folding are deposited extracellularly. Primary amyloidosis (AL) is the most common type caused by light chains of abnormal immunoglobulins. The incidence is 5 to 12 people per million per year, the manifestations are related to the infiltration of several organs, mainly heart and kidney.
Clinical case: A 67 years-old patient who consulted for a year of evolution of facial and lower limbs edema. Based on the clinical and paraclinical findings he was diagnosed with AL associated with monoclonal gammapathy of lambda light chains, which was treated with bortezomib, with relieve of the general symptoms.
Conclusions: This case report had primary amyloidosis, which is a severe and little frequent disorder appearing at median age of 65 year and whose diagnosis is usually late due to its insidious manifestation.


REFERENCES

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Med Int Mex. 2020;36