amyloidosis nephropathy Flashcards

1
Q

what causes primary amyloidosis ?

A

multiple myeloma ,

waldenstrome macroglobulinemia

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2
Q

nephrology clinical manifestations of of AL amyloidosis ?

A

nephrotic syndrome - selective porteinurea (majorly albumin) - (frothy urine, high coagulable state , dyslipidemia )
ABCSNCE OF MICRO OR MACROHEMTAUREA

polyuria-polydipsia - due to urinary concentration defect

HYPERTENSION IS ABSENT!t even with renal impairment

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3
Q

diagnosis of amyloidosis ?

A

kidney is found to be often enlarged

or protein electrophoresis - m spike for aparaportein

biopsy of affected organ - Congo red staining: apple-green birefringence

serum amyloid precursor (SAP) scan

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