A RARE CASE OF YOUNG PATIENT WITH REFRACTORY HYPOTENSION WITH NEPHROTIC RANGE PROTEINURIA DIAGNOSED TO BE AMYLOIDOSIS

*Dr. Anand Prasad, Dr. Navya Jaiswal, Dr. Apoorv Sharma, Dr. Srikanth Sakhamuri

ABSTRACT

This case report describes a patient presenting with facial puffiness, bilateral pitting edema, dizziness, Refractory
hypotension and postural hypotension. Initial evaluation revealed dyslipidemia, hypothyroidism, and nephrotic
range proteinuria. Further investigations, including fat biopsy and renal biopsy, confirmed the diagnosis of
amyloidosis. Treatment with midodrine was initiated for postural hypotension. This case highlights the importance
of considering amyloidosis in patients with nephrotic range proteinuria, Refractory hypotension and postural
hypotension.

Keywords: Amyloidosis, nephrotic syndrome, Refractory hypotension, postural hypotension, proteinuria, renal biopsy.