Urological and Kidney Involvements in Amyloidosis

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2023
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SPRINGER INTERNATIONAL PUBLISHING
Citação
Feitosa, V. A.; Onuchic, L. F.; de Lourdes Noronha, I.. Urological and Kidney Involvements in Amyloidosis. In: . Amyloidosis and Fabry Disease: a Clinical Guide: SPRINGER INTERNATIONAL PUBLISHING, 2023. p.67-82.
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Resumo
Amyloidosis is a group of disorders in which soluble proteins aggregate and deposit extracellularly in tissues as insoluble fibrils, causing organ dysfunction. Clinical management depends on the subtype of deposited protein and the affected organs. Systemic amyloidosis may stem from anomalous proteins such as immunoglobulin light chains and serum amyloid proteins in chronic inflammatory settings or derive from hereditary disorders. The kidney is the organ most commonly involved in systemic amyloidosis. Renal amyloidosis is characterized by acellular pathologic Congo red-positive deposition of amyloid fibrils in glomeruli, vessels, and/or interstitium. This disease manifests with heavy proteinuria, nephrotic syndrome, and/or progression to end-stage kidney failure. In addition to renal involvement, familial amyloidotic polyneuropathy often leads to urological dysfunction, and primary localized amyloidosis has been reported in the genitourinary tract, including limited deposition in the renal pelvis, ureters, or bladder. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.
Palavras-chave
AA amyloidosis, AL amyloidosis, Hereditary amyloidosis, Localized amyloidosis, Renal amyloidosis, Urinary dysfunction
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