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Spontaneous Regression Of Bilateral Surrenal Haematoma And Subclinical Hypoaldosteronism In A Patient With Renal Amyloidosis Secondary To Familial Mediterranean Fever

Kara, A. 2000Kidney cancer

Kara, & Paydaş, S. (2000). spontaneous regression of bilateral surrenal haematoma and subclinical hypoaldosteronism in a patient with renal amyloidosis secondary to Familial Mediterranean Fever. International urology and nephrology, 32(2), 291–292. https://doi.org/10.1023/a:1007196926394

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Abstract

This report describes a patient with Familial Mediterranean Fever (FMF) associated with renal amyloidosis, bilaretal surrenal haematomas and hypoaldosteronism which was clinically asymptomatic. The deposition of AA amyloide was found on the renal and bone marrow biopsies. Bilateral surrenal haematoma regressed after six month from the first events. Colchicine therapy controlled the attacks of the disease.

Case Details

Disease Location

Kidney/adrenal glands bilateral

Personal Characteristics

38 years old woman. Operated of appendicitis at the age of 5. At 26 right oophorectomy. At 37 ovarian cystectomy. Patient had smoked one pack of cigarettes daily for 20 years.

Clinical Characteristics

Nausea, vomiting and abdominal pain. 10 years suffering from periodic abdominal and fever attacks. Familial mediterrean fever diagnosed.

Remission Characteristics

After 6 months from the first admission her abdominal CT and usg revealed total regression of surreal haematoma.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Colcihine 1 mg/day