Base de dados : HANSEN
Pesquisa : AMILOIDOSE/SANGUE [Descritor de assunto]
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Id:25406
Autor:Shuttleworth, J. S; Ross, S. H
Título:Secondary amyloidosis in leprosy
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Fonte:s.l; s.n; 1956. 16p p. .
Resumo:Secondary amyloidosis is the leading cause of death in lepromatous leprosy in this country. The mortality is directly caused by amyloid involvement of the kidneys, which occurred in 100% of this series. The diagnosis of this complication depends largely on the development of a persistent proteinuria, Congo red absorption, hepatosplenomegaly and, to a lesser degree, altered serum proteins and perhaps liver biopsy in selected cases. the correlation between the Congo red test and the degree of amyloidosis is poor, and unless this test shows 80 to 100% dye absorption in one hour the diagnosis cannot be made from this finding alone. Serum protein and lipoid changes occur in lepromatous leprosy per se, and in a study of the various protein fractions no consistent alteration occurred in cases complicated by amyloidosis. The average duration of life after the onset of proteinuria in amyloidosis was 38.33 months, with a fairly wide range above and below this figure. The development of anemia and a progressive elevation of the nonprotein nitrogen are unfavorable prognostic signs.
Descritores:HANSENIASE/clas
HANSENIASE/compl
AMILOIDOSE/sangue
AMILOIDOSE/diag
AMILOIDOSE/etiol
AMILOIDOSE/imunol
VERMELHO CONGO/uso diag
ALBUMINURIA/etiol
 ALBUMINURIA/epidemiol
 IMUNOGLOBULINAS/anal
 IMUNOGLOBULINAS/sangue
Limites:HUMANO
Localização:BR191.1; 01797/s


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Id:18050
Autor:McAdam, K. P; Anders, R. F; Smith, S. R; Russell, D. A; Price, M. A
Título:Association of amyloidosis with erythema nodosum leprosum reactions and recurrent neutrophil leucocytosis in leprosy
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Fonte:s.l; s.n; September 27, 1975. 4 p. tab, graf.
Resumo:Rectal biopsy in 190 inpatients at a leprosy hospital in the Highlands of Papua New Guinea disclosed 16 patients with secondary amyloidosis. This represented 20% of the patients who had had polar lepromatous leprosy (L.L.) for more than 2 years. Patients with amyloidosis characteristically had either a history of recurrent attacks of erythema nodosum leprosum (E.NH) reactions or chronic trophic ulcers. Levels of the serum component (protein SAA) antigenically related to the amyloid fibril protein AA were monitored, at varying intervals for three months, in lepromatous patients with E.N.L. reaction. The SAA levels rose during E.N.L. reactions in parallel with the neutrophil count. SAA occurred with greatest frequency among patients with LH, while most non-lepromatous patients with detectable SAA had chronic trophic ulcers. The correlation between raised neutrophil count and elevated SAA concentration, observed in this and other studies, suggests that neutrophils are associated with the production of SAA.(AU).
Descritores:AMILOIDOSE/sangue
AMILOIDOSE/etiol
CONTAGEM DE LEUCOCITOS
RECIDIVA
HANSENIASE/sangue
HANSENIASE/compl
LEUCOCITOSE/sangue
ERITEMA NODOSO/compl
ERITEMA NODOSO/etiol
Limites:HUMANO
Meio Eletrônico: - .
Localização:BR191.1; 01790/s



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