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      Laudable Pus – Lardaceous Kidneys

      case-report

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          Abstract

          Amyloidosis frequently affects the kidney leading to proteinuria and loss of function. In cases of AA (reactive/inflammatory) amyloidosis, it is sometimes possible to quench the stimulus to chronic inflammation and by so doing stop further elaboration and deposition of amyloid fibrils. We describe the case of a man with a long-standing empyema who developed nephrotic syndrome and renal impairment. The empyema was resected and shortly afterwards proteinuria disappeared and renal function improved. Strenuous efforts are mandatory to locate and definitively treat underlying inflammatory foci in AA amyloidosis.

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          Author and article information

          Journal
          AJN
          Am J Nephrol
          10.1159/issn.0250-8095
          American Journal of Nephrology
          S. Karger AG
          0250-8095
          1421-9670
          2002
          August 2002
          02 August 2002
          : 22
          : 4
          : 394-396
          Affiliations
          Departments of aRenal Medicine and bThoracic Surgery, Guy’s Hospital, and cDepartment of Thoracic Medicine, Lewisham Hospital, London, UK
          Article
          65235 Am J Nephrol 2002;22:394–396
          10.1159/000065235
          12169876
          49d6a12a-1063-4685-9f1b-3d978eec1416
          © 2002 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          History
          Page count
          Figures: 2, References: 6, Pages: 3
          Categories
          Case Report

          Cardiovascular Medicine,Nephrology
          Amyloidosis,Regression,Nephrotic syndrome,Empyema
          Cardiovascular Medicine, Nephrology
          Amyloidosis, Regression, Nephrotic syndrome, Empyema

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