RENAL AMYLOIDOSIS DURING BEHCET’S DISEASE. Study of one case.

Authors

  • Samira Azzabi Service de Médecine Interne B. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Lamia Ben Hassine Service de Médecine Interne B. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Eya Cherif Service de Médecine Interne B. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Chekib Kooli Service de Médecine Interne B. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Zouleikha Kaouache Service de Médecine Interne B. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Rim Goucha Service de Médecine Interne et de néphrologie. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Adel Khedher Service de Médecine Interne et de néphrologie. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Fatma Ben Moussa Service de Médecine Interne et de néphrologie. Hôpital Charles Nicolle. Tunis. Tunisie.
  • Narjes Khalfallah Service de Médecine Interne B. Hôpital Charles Nicolle. Tunis. Tunisie.

Abstract

Background: Amyloidosis in Behçet’s disease is rare and has a poor outcome.
Aim : Report a new case.
Case: We report a case of a 38-year-old tunisian woman who presented with Behçet’s disease and nephrotic syndrome. Renal biopsy showed amyloid deposition consistent with AA type. She had not any associated disease that might be an additional cause of secondary amyloidosis. She was treated by colchicine. After 3 years, proteinuria had disappeared and persisted negative 11 years after the diagnosis. A second renal biopsy showed the persistence of amyloidosis.
Conclusion: As amyloidosis is one of the prognostic factors affecting survival in Behçet’s disease, patients with this disease should be screened for amyloidosis. Administration of colchicine to these patients may be beneficial.

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References

Akpolat T, Akkoyunlu M, Akpolat I, Dilek M, Odabas AR, Ozen S. Renal Behcet's disease: a cumulative analysis. Semin Arthritis Rheum 2002;31:317-37.

Hamza M. Maladie de Behçet. In Maladies et syndromes systémiques. Flammarion Médecine-sciences Paris ;2001 : 883-924.

Aksu K, Kocanaogullari H, Keser G, Inal V, Kabasakal Y, Oksel F et al. A case of Behcet's disease with pulmonary arterial aneurysm and secondary amyloidosis. Rheumatology (Oxford) 2002;41:831-2.

Zahiri K, Hachim K, Zamd A, Fatihi E, Benghanem MG, Ramdani B et al. L'atteinte rénale au cours de la maladie de Behçet. A propos de six observations. Rev Med Interne 2003 ;24:4-10.

Hamza M, Wechler B, Godeau P, Hamza H, Ayed K. Intestinal amyloidosis: an unusual complication of Behcet's disease. Am J Gastroenterol 1988;83:793-4.

Ben Moussa F, Turki S, Ben Taarit C, Chabouni L, Goucha R, Ben Maiz H. Renal involvement in Behçet's disease. In Hamza M, éd. Behçet's disease. Proceedings of the 7th International Congress on Behçet's disease; 10-11 Octobre 1996; Tunis: Pub Adhoua; 1997:371-6.

Ben Ghorbel I, Ayadi Z, Ben Hafsa I, KhanfirM, Lamloum M, Miled M, Houman MH. Association maladie de Behçet et amylose rénale. À propos de trois observations. Rév méd interne 2007 ;28 : S83-S160

Hassikou H. Atteinte rénale au cours la maladie de Behçet. Rev Rhum2006 ;73 :1089-1259

Akpolat I, Akpolat T, Danaci M, Baris YS, Kaya N, Kandemir B. Behçet's disease and amyloidosis. Scand J Rheumatol 1997; 26:477-9.

Dilsen N, Koniçe M, Aral O, Erbengi T, Uysal V, Koçak N et al. Behçet's disease associated with amyloidosis in Turkey and in the world. Ann Rheum Dis 1988;47:157-63.

Akpolat T, Akpolat I, Kandemir B. Behçet's disease and AA-type amyloidosis. Am J Nephrol 2000;20:68-70.

Akpolat T, Diri B, Oguz Y, Yilmaz E, Yavuz M, Dilek M. Behcet's disease and renal failure. Nephrol Dial Transplant 2003;18:888-91.

Nadir I, Gultekin F, Yonem O, Yildiz E. A Behcet case with renal amyloidosis. Ren Fail 2003;25:323-6.

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