左腎皮膜外形質細胞芽腫による続発性腎アミロイドーシスの1例

概要

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A case of renal amyloidosis caused by a perirenal plasma cell granuloma is reported. A 27-year-old man had been with an elevated E.S.R, since 1972. The patient with epigastragia and weight loss had been treated without remission in the Internal Medicine of our hospital under a diagnosis of duodenal ulcer since January 1974. He had been rehospitalized with fever, general fatigability, weight loss and albuminuria in July 1976. Laboratory findings during the admission revealed gross albuminuria, markedly elevated E.S.R. and polyclonal hyper-γ-globuminemia. Radiographical examination suggested a left renal tumor. A mass, which was at the upper ventral portion of the left resected kidney, was localized closely outside of its fibrous capsule. The mass revealed plasma cell granuloma histologically. The following histological examination revealed amyloidosis of the bilateral kidneys. His chief complaints have been diminished except for slight albuminuria by the conservative treatment in the Internal Medicine. In last 10 years, 1967-1976, about 409 cases of amyloidosis have been reviewed in Japanese literature, which have include 78 cases of secondary amyloidosis. No case of renal amyloidosis caused by plasma cell granuloma in renal region has been reviewed previously.
社団法人日本泌尿器科学会の論文
1978-08-20