Primary amiloidoz kidneys. The greatest difficulties

you in section: Primary amiloidoz kidneys

The Greatest difficulties for differential diagnostics represent cases so-called sharply arising amiloidoza at patients at whom in the past analyses of urine or were not made, or changes in it were absent, and disease proceeded is hidden and showed suddenly by a picture of nephritic insufficiency.

to O.M.Vinogradova with co-authors (1978) in differential diagnostics primary amiloidoza attach significance to following indicators: to presence of fiber of Bens-Johns, the test termopretsipitatsii, tendencies to increase IgG-globulinov (at secondary amiloidoze raise IgM-globuliny). Sometimes at elektroforeticheskom fiber research the atypical tooth located between an alpha-2 and beta fractions is found out.

The Most authentic method of diagnostics is biopsija kidneys, muscles, a skin, a hypodermic fatty basis, a mucous membrane of a rectum, etc. with use of modern methods of verification amiloidnogo substances.

Treatment includes a diet rich lipotropnymi with substances, appointment kolhamina, delagila, plakvenila, geparina, unitiola, dekarisa, timozina by the standard techniques, and also all arsenal of symptomatic means (diuretic, warm glikozidy etc.). The program hemodialysis and a renal transplantation are counter-indicative.

Sharp nephritic insufficiency of a rare aetiology

Sharp nephritic insufficiency understand slozhnyi polietiologichesky simptomokompleks, arising communications with quickly coming prekrashcheniemdejatelnosti.