A G Umolu1, R Venn2, D Maxwell2, Z Al Shiekh Ali3, D C Howlett1. 1. Department of Radiology, East Sussex Healthcare NHS Trust, East Sussex, UK. 2. Department of Respiratory Medicine, East Sussex Healthcare NHS Trust, East Sussex, UK. 3. Department of Histopathology, East Sussex Healthcare NHS Trust, East Sussex, UK.
Abstract
INTRODUCTION: Hyperechoic renal cortex in a normal-sized kidney has a range of causes, some of which irreparably damage the kidney and should initiate further investigations. CASE REPORT: We present a 72-year-old woman with longstanding bronchiectasis, noticed to have worsening renal function. Renal tract ultrasonography showed hyperechoic normal-sized kidneys. Renal biopsy confirmed amyloidosis. DISCUSSION: Imaging findings in renal amyloidosis tend to be non-specific and are not always present. However, ultrasonography findings of hyperechoic cortex in normal-sized kidneys should not be ignored. CONCLUSION: Renal impairment from blood chemistry in addition to hyperechoic kidneys may be the key to diagnosing secondary amyloidosis in a patient with bronchiectasis, a rare association but important to recognise.
INTRODUCTION: Hyperechoic renal cortex in a normal-sized kidney has a range of causes, some of which irreparably damage the kidney and should initiate further investigations. CASE REPORT: We present a 72-year-old woman with longstanding bronchiectasis, noticed to have worsening renal function. Renal tract ultrasonography showed hyperechoic normal-sized kidneys. Renal biopsy confirmed amyloidosis. DISCUSSION: Imaging findings in renal amyloidosis tend to be non-specific and are not always present. However, ultrasonography findings of hyperechoic cortex in normal-sized kidneys should not be ignored. CONCLUSION: Renal impairment from blood chemistry in addition to hyperechoic kidneys may be the key to diagnosing secondary amyloidosis in a patient with bronchiectasis, a rare association but important to recognise.
Authors: Merrill D Benson; Joel N Buxbaum; David S Eisenberg; Giampaolo Merlini; Maria J M Saraiva; Yoshiki Sekijima; Jean D Sipe; Per Westermark Journal: Amyloid Date: 2019-01-07 Impact factor: 7.141
Authors: Claudio Rapezzi; Giampaolo Merlini; Candida C Quarta; Letizia Riva; Simone Longhi; Ornella Leone; Fabrizio Salvi; Paolo Ciliberti; Francesca Pastorelli; Elena Biagini; Fabio Coccolo; Robin M T Cooke; Letizia Bacchi-Reggiani; Diego Sangiorgi; Alessandra Ferlini; Michele Cavo; Elena Zamagni; Maria Luisa Fonte; Giovanni Palladini; Francesco Salinaro; Francesco Musca; Laura Obici; Angelo Branzi; Stefano Perlini Journal: Circulation Date: 2009-09-14 Impact factor: 29.690
Authors: J E Page; S H Morgan; J B Eastwood; S A Smith; D J Webb; S A Dilly; J Chow; A Pottier; A E Joseph Journal: Clin Radiol Date: 1994-12 Impact factor: 2.350