Lei Su
China
Commentary
Systemic Amyloidosis in a Patient with Type 2 Diabetes Mellitus as a Uncommon Cause of Non-Diabetic Renal Disease
Author(s): Ying-Ying Gong, Lei Su, Min Lin, Jin Li, Mei-lin Ding and Hai-peng XiaoYing-Ying Gong, Lei Su, Min Lin, Jin Li, Mei-lin Ding and Hai-peng Xiao
Background: The incidence of non-diabetic renal disease is very high in type 2 diabetic patients. Systemic amyloidosis as one of the non-diabetic renal disease rarely occur in type 2 diabetes mellitus subjects and may have the high risk of early mortality.
Case report and management: We report a case in a 66-year-old patient with legs edema, inappetence and frothy urine for 2 weeks. The patient was diagnosed type 2 diabetes on routine testing 10 years ago without any symptoms. The blood glucose was adequately controlled with diet and exercise. Physical examination showed edema of lower extremities and hepatomegaly. 24 hrs urinary protein was 4.7 g. Blood investigation showed slightly impaired liver function while other results incluing serological studies and bone marrow aspirate showed negative or in normal range. Funduscopy s.. View More»
