Regression of amyloidosis secondary to granulomatous ileitis following surgical resection and colchicine administration.

Acta hepato-gastroenterologica Pub Date : 1979-12-01
M Ravid, J Shapira, I Kedar, D Feigl
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Abstract

A patient with nephrotic syndrome was found to have amyloidosis secondary to an otherwise asymptomatic Crohn's disease. Resection of a major portion of the affected bowel and long-term colchicine therapy were followed by a complete clinical remission of the nephrotic syndrome, most probably due to a significant resolution of amyloidosis. The combination of resection of affected bowel segments, together with long-term colchicine therapy may offer a better prognosis than either method alone.

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肉芽肿性回肠炎继发淀粉样变性在手术切除和秋水仙碱治疗后的消退。
患者肾病综合征被发现有淀粉样变继发于其他无症状克罗恩病。切除大部分受影响的肠道和长期秋水仙碱治疗后,肾病综合征的临床完全缓解,很可能是由于淀粉样变的显著缓解。联合切除受影响的肠段,加上长期秋水仙碱治疗,可能比单独使用任何一种方法都有更好的预后。
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