Secondary amyloidosis associated with multiple sclerosis

J Clin Neurol. 2009 Sep;5(3):146-8. doi: 10.3988/jcn.2009.5.3.146. Epub 2009 Sep 30.

Abstract

Background: Multiple sclerosis (MS) is a demyelinating disease of the central nervous system. Secondary amyloidosis can occur as a complication of chronic systemic inflammatory and infectious diseases. Until now there has been no report of secondary amyloidosis associated with MS. We report herein a case of renal biopsy-proven secondary amyloidosis in a patient with MS.

Case report: A 41-year-old woman with MS was hospitalized due to aggravated quadriparesis and edema in both lower extremities. Laboratory findings showed nephrotic-range proteinuria and hypoalbuminemia. A percutaneous renal biopsy procedure was performed, the results of which revealed secondary amyloid-A-type amyloidosis associated with MS.

Conclusions: This is the first report of secondary amyloidosis associated with MS.

Keywords: multiple sclerosis; nephrotic syndrome; secondary amyloidosis.