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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
ENIGMATIC EVOLUTION OF THE ASSOCIATION OF TUBERCULOSIS PERITONITIS AND PRIMARY AMYLOIDOSIS
Author
Haider A Omer1, Mohammed Assiri2, Mohammed A Alzahrani3, Mohammed Y Alasmary4, Abdullah S Alghamdi5, Awad M Al-Qahtani*6
Email
dr.awad2009@hotmail.com
keyword
Tuberculosis, Peritonitis, Amyloidosis, Enigamatic Evolution.
Abstract
Amyloidosis is a group of pathologies characterized by extracellular deposition of fibrillar proteins having a beta-pleated sheet tertiary structure. The disease can be categorized as primary or secondary. Secondary amyloidosis can occur as sequel of chronic inflammation such as Tuberculosis. However, this is not the case with our patient. We report a 47 years old female patient who was admitted to our hospital for investigation for ascites and nephrotic range proteinuria. A diagnosis of TB peritonitis was made and anti-tuberculosis was started. After the completion of anti-TB course, the nephrotic syndrome did not improve. Several investigations were done for nephrotic syndrome and histological examination of renal tissue revealed AL amyloidosis. Coexistence of TB peritonitis and primary amyloidosis must also be considered in such cases.
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