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신증후군과 출혈성 위염으로 발현된 원발성 유전분증 1예 (Primary Amyloidosis Presenting Nephrotic Syndrome and Hemorrhagic Gastritis) |
임천규(Chun Gyu Lim),이태원(Tae Won Lee),김명재(Myung Jae Kim),이재진(Jae Jin Lee),김희진(Hee Jin Kim),김교영(Gyo Young Kim),박용구(Yong Goo Park) |
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Abstract |
A case of a 58 year old woman who was found to have primary amyloidosis is reported. She was presented with nephrotic syndrome and hemorrhgic gastritis. She was confirmed by showing apple green birefringence under the polarized microscope with Con-go-red stain thraugh renal and stomach biopsy. Immunoelectrophoresis of urine exhibited Bence-Jones protein( λ type) and protein electrophoresis of urine exhibited monoclonal gammopathy. She was treated with cyclophosphamide and prednisolone, and proteinuria and gastrointestinal symptoms were improved. We discussed this case with a brief review of literature. |
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