Format

Send to

Choose Destination
Actas Urol Esp. 2010 Jan;34(1):111-5.

[Secondary amyloidosis of the bladder and massive hematuria].

[Article in Spanish]

Author information

1
Servicio de Urología, Hospital Txagorritxu, Vitoria, Alava, España. agareslo@telefonica.net

Abstract

OBJECTIVE:

To report four additional cases of secondary amyloidosis of the bladder, an extremely rare condition, as shown by the cases reported in the literature.

MATERIALS AND METHODS:

Four clinical cases are reported, all of them occurring as hematuria, which was massive and fulminant and resulted in death in three patients.

RESULTS:

Secondary amyloidosis of the bladder is of the AA type, which is more common in females and mainly secondary to rheumatoid arthritis, but also to ankylosing spondylitis and long-standing chronic inflammatory conditions. Hematuria is the main and virtually only symptom. A pathological and immunohistochemical study confirmed diagnosis. All three patients who experienced massive, fatal hematuria had an intercurrent condition requiring urethral catheterization, which was the triggering factor.

CONCLUSIONS:

Despite its rarity, as shown by the few cases reported, secondary amyloidosis of the bladder should be considered in patients already diagnosed with systemic amyloidosis and/or the conditions reported who require simple urethral catheterization.

PMID:
20223142
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center