Renal amyloidosis versus diabetic nephropathy, apropos of the clinical method: report of a patient

Authors

  • Rafael E. Cruz Abascal Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara
  • Claudia Roche Albernas Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara
  • Tania Ramírez González Hospital Clínico Quirúrgico “Arnaldo Milián Castro”, Santa Clara, Villa Clara

Keywords:

amyloidosis/diagnosis, diabetic nephropathies

Abstract

The case of a female patient in the sixth decade of life suffering from type 2 diabetes with five years of evolution, controlled by diet and a low dose oral hypoglycaemic, and presenting with a nephrotic syndrome is reported. In the clinical examination, and while assessing the results of the diagnostic procedures performed, it found that the patient did not to meet the criteria for a diabetic nephropathy. With these elements, and no presence of any disease process to justify the nephrotic syndrome, the clinical discussion was oriented towards the possibility of primary or secondary glomerular disease, versus diabetic nephropathy. It was proposed performing a renal biopsy to establish the diagnosis, which was: renal amyloidosis with a minimal mesangial pattern class II, this approach allowed the clarification of a questionable or inconclusive clinical statement.

Downloads

Download data is not yet available.

Downloads

How to Cite

1.
Cruz Abascal RE, Roche Albernas C, Ramírez González T. Renal amyloidosis versus diabetic nephropathy, apropos of the clinical method: report of a patient. Acta Méd Centro [Internet]. 2013 Jan. 6 [cited 2025 Jul. 2];7(1):48-53. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/96

Issue

Vol. 7 No. 1 (2013): January-March

Section

Case Reports

License

Authors who have publications with this journal agree to the following terms:

  1. Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
  2. Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
  3. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).