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