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Exam questionKROK 2Medicine · 2020

A 45-year-old man has been suffering from ankylosing spondylitis for 15 years. For the last 3 years he has been noticing facial swelling and edemas of the limbs. Objectively, he assumes a "beggar's" position. X-ray shows "bamboo spine" changes in the thoracic and lumbar segnients. Heart ultrasound shows aortic regurgitation. Complete blood count: Hb-106 g/L; leukocytes - 8.9 × 109/L; ESR - 40 mm/hour. Daily proteinuria 9.6 grams per 24 hours. Blood creatinine -230 mcmol/L. What is the cause of kidney failure in this case?

Answer options

  1. Renal amyloidosis
  2. Concomitant heart disease
  3. Pyelonephritis
  4. Medicine side effects
  5. Urolithiasis
Correct answer

Renal amyloidosis

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