[Amyloid nephropathy. Clinical study of 135 cases]

Amylose rénale AA secondaire à des bronchectasies

INTRODUCTION

We describe 2 patients with AA renal amyloidosis secondary to bronchiectasis (one patient had tracheobronchomegaly or Mounier-Kuhn syndrome).

CASE REPORTS

The time period between the diagnosis of bronchiectasis and the development of renal amyloidosis was 40 years and 30 years respectively. Both patients evolved to end-stage renal failure requiring dialysis.

CONCLUSION

Although the incidence of renal amyloidosis secondary to bronchectasis has declined, it remains a dreadful complication.

[Value of the biopsy of accessory salivary glands in amyloidosis]

PURPOSE

To assess the value of accessory salivary gland biopsy for the diagnosis of amyloidosis, a study was conducted in the nephrology and hemodialysis department at Ibn Rochd University Hospital from February 1996 to January 1998.

METHODS

Renal amyloidosis was confirmed by renal biopsy accompanying accessory salivary gland biopsy.

RESULT

The patient's mean age was 39 years old (range 15-80), with a 4:1-male/female ratio. An infectious cause (either tuberculosis or superinfection and dilatation of the bronchi) was the most frequent (70% of the cases) etiology. All the patients presented renal symptomatology. Nephrotic syndrome predominated. Amyloid deposits were observed in 100% of renal needle biopsies and in 80% of accessory salivary gland biopsies.

CONCLUSION

Renal biopsy led to more positive cases than the other biopsies. It may be accompanied by severe complications. Furthermore, biopsy of the accessory salivary glands is a simple and very reliable technique for the diagnosis of amyloidosis. It is currently the best diagnostic test.