Renal amyloidosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1988-05

AUTHORS

Hideo Shiiki, Tatsuro Shimokama, Yasuji Yoshikawa, Hazime Toyoshima, Tetsuyuki Kitamoto, Teruo Watanabe

ABSTRACT

Sixty-one autopsy cases of renal amyloidosis were reviewed to assess the relationship of renal pathology to chemical types of amyloid and clinical features. Glomerular amyloid deposition was divided on the basis of morphological characteristics, into four types: a mesangial nodular type showing nodular mesangial deposits with sparse capillary wall involvement (25 cases), a mesangio-capillary type disclosing diffuse amyloid deposition in the mesangium and along both sides of the glomerular basement membrane (19 cases), a perimembranous type principally involving the subepithelial side of the basement membrane invariably characterized by exuberant spicular arrangement (6 cases), and a hilar type showing amyloid deposits almost exclusively in hilar arterioles (11 cases). Twenty-four of 25 cases of mesangial nodular type (96%) showed amyloid protein of AA type. However, mesangio-capillary and perimembranous types were associated with deposition of AL amyloid protein in 15 of 19 (79%) and all 6 cases, respectively. Nephrotic syndrome was more frequent in patients with AL amyloidosis; notably, all patients with perimembranous type had nephrotic syndrome irrespective of the extent of glomerular amyloid deposits. Chronic renal failure and renal death appeared more common in mesangial nodular type in which the extent of glomerular amyloidosis correlated with that of vascular amyloid deposits. The results obtained suggest that the chemical type of glomerular amyloid protein (AA vs AL) is associated with significant differences in the morphological, clinical and prognostic features of the renal involvement. More... »

PAGES

197-204

References to SciGraph publications

  • 1980-07. Human glomerular amyloidosis — with special regard to proteinuria and amyloidogenesis in JOURNAL OF MOLECULAR MEDICINE
  • 1975-06. Morphological and clinical features of renal amyloidosis in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • 1977-09. The influence of glomerular and interstitial factors on the serum creatinine concentration in renal amyloidosis in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • 1981-01. Early glomerular lesions in amyloidosis in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • 1978-06. Investigations on the cause of the nephrotic syndrome in renal amyloidosis in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/bf00737143

    DOI

    http://dx.doi.org/10.1007/bf00737143

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1014092531

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/3124341


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