AI Article Synopsis

  • Renal amyloidosis (RA) is a frequently underestimated complication of Behcet's disease (BD), with this paper highlighting three cases from a study of 105 BD patients.
  • All patients showed symptoms like edema or hypotension and had nephrotic syndrome, with one experiencing renal failure; biopsies confirmed amyloid deposits type AA.
  • Despite treatment with Colchicine, results were poor, and all three patients had significantly reduced life expectancy, passing away within ten years to just four weeks post-RA diagnosis.

Article Abstract

Renal amyloidosis (RA) is known to be one of the many complications of Behcet's disease (BD) but its frequency has been often underestimated. In this paper, we report on three cases of RA in a series of 105 patients with BD. RA was clinically suspected in our patients by the presence of edema and/or hypotension. The nephrotic syndrome was present in all of them and one patient had associated renal failure. Renal biopsy showed amyloid deposits type AA in all cases.Our patients received Colchicine at doses of 1 mg per day but with disappointing results. Their prognosis was significantely impaired with our three patients dying at ten years, six months and four weeks after diagnosis of RA. We will try, through this clinical experience and based on the relevant literature to better understand this kind of morbid association.

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