%0 Journal Article
%T Celiac Disease and Secondary Amyloidosis: A Possible Causal Association?
%A Ankit Chhoda
%A Deepanshu Jain
%A Mradul Kumar Daga
%A Vineeta Batra
%J Archive of "ACG Case Reports Journal".
%D 2018
%R 10.14309/crj.2018.24
%X We report a rare case of secondary renal amyloidosis in a patient with probable celiac disease presenting as nephrotic syndrome. A 30-year-old man with chronic diarrhea presented with progressive anasarca for 2 years. On further evaluation, he had hypoalbuminemia, significant nephrotic-range proteinuria, and elevated levels of anti-tissue transglutaminase. Renal biopsy suggested deposition of amorphous Congo red¨Cpositive material in the glomerular mesangium, positive for amyloid A amyloidosis. Endoscopic duodenal biopsy suggested blunting of the villous architecture and chronic inflammation of the lamina propria. The patient subsequently developed massive pulmonary embolism and died due to refractory cardiogenic shock
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5876448/