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Protéinurie chez une femme sans pouls ¡


Annales de Biologie Clinique. Volume 62, Number 4, 441-5, Juillet-Août 2004, Pratique quotidienne


Résumé   Summary  

Author(s) : C. Garcia, C. Renard, H. Delacour, Y. El Jahiri, A. Merens, O. Berets, P. Vest , Service de biochimie, Hôpital d’instruction des armées Percy, Clamart biochimiepercyfreesurf.fr Service de biochimie, Hôpital d’instruction des armées du Val de Grâce, Paris Service de médecine interne, Hôpital d’instruction des armées Percy, Clamart .

Summary : Takayasu arteritis, also called pulseless women disease, is a chronic vasculitis of unknown aetiology, which primarily involves the aorta, its branches and coronary and pulmonary arteries. It is an uncommon disease with a variety of presentations and most frequently found in Asia than in Europe. We report a case of a 52‐year‐olded woman, suffering from Takayasu arteritis for 19 years. She was admitted to the hospital for diffuse pain and œdema. Biological tests pointed out proteinuria with renal failure, which was confirmed by a renal biopsy. The association of Takayasu arteritis and renal failure is unusual. This review focuses on the biological manifestations of Takayasu arteritis and on the link between this disease and the renal failure observed in this case.

Keywords : Takayasu arteritis, nephrotic syndrome, amylosis

Pictures

Figure 1. Électrophorèse des protéines urinaires de Madame F. (technique Hydragel protéinurie sur gel d’agarose, Sebia®).

Figure 2. Électrophorèse des protéines totales sériques de Madame F. (technique Hydragel β1 β2 sur gel d’agarose, appareil Hydrasys, intégrateur Hyrys II, Sebia®).

Figure 3. Mécanismes responsables de l’hyperhydratation globale dans le syndrome néphrotique [11].


 

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