amyloidosis nephropathy Flashcards
1
Q
what causes primary amyloidosis ?
A
multiple myeloma ,
waldenstrome macroglobulinemia
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
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