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SM ISO690:2012 GUTU, Biatricia, COVTUN, Anna, CAIPAC, Alina, RĂZLOG, Tatiana, AGACHI, Svetlana, PASCAL, Rodica, ROTARU, Larisa. Features of amyloidosis in young people. Clinical case. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 107. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 107-107 | ||||||
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Background. Amyloidosis (AL) remains a medical enigma in diagnosis and treatment, especially in young people. Objective of the study. Presenting an AL case with a rapidly progressive evolution of the disease in an 18-year-old patient. Material and Methods. The patient was in the Nephrology department of IMSP SCR "Timofei Moșneaga" in March 2021 for diagnosis and treatment. The patient was investigated clinically, paraclinically and instrumentally (gingival and renal biopsy). Results. The 18-year-old patient firstly addressed to the hospital in October 2020 with marked edema in the lower limbs, albumin 16,9gl, total protein 42,0gl, proteinuria 4,4g24h, and normal levels of urea and creatinine. Has been established the diagnosis of acute glomerulonephritis with nephrotic syndrome, received treatment with cytostatics. The patient was urgently hospitalized in the same department, after 6 months, with generalized edema, albumin 5,8gl, total protein 34,9gl, proteinuria 18,5g24h, urea 4,5gl and creatinine 34,2umoll. By biopsy was established the diagnosis of AL. The hemodialysis sessions were initiated (urea 40,4mmoll, creatinine 514,0umoll). Conclusion. With certainty AL in young people is a very rare condition that involves its particularities of diagnosis and treatment that must be included in the differential diagnosis with other renal disease. It is necessary to develop a national clinical protocol. |
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Cuvinte-cheie renal amyloidosis, hemodialysis, nephrotic syndrome, amiloidoza renală, hemodializa, sindrom nefrotic |
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