Renal amyloidosis versus diabetic nephropathy, apropos of the clinical method: report of a patient

Abstract

The case of a female patient in the sixth decade of life suffering from type 2 diabetes with five years of evolution, controlled by diet and a low dose oral hypoglycaemic, and presenting with a nephrotic syndrome is reported. In the clinical examination, and while assessing the results of the diagnostic procedures performed, it found that the patient did not to meet the criteria for a diabetic nephropathy. With these elements, and no presence of any disease process to justify the nephrotic syndrome, the clinical discussion was oriented towards the possibility of primary or secondary glomerular disease, versus diabetic nephropathy. It was proposed performing a renal biopsy to establish the diagnosis, which was: renal amyloidosis with a minimal mesangial pattern class II, this approach allowed the clarification of a questionable or inconclusive clinical statement.

Keywords

• amiloidosis/diagnóstico
• nefropatías diabéticas