TY - JOUR T1 - A dilemma solved JF - BMJ Case Reports DO - 10.1136/bcr.09.2008.0921 VL - 2009 SP - bcr0920080921 AU - Muhammad Khizar Rafiq Y1 - 2009/01/01 UR - http://casereports.bmj.com/content/2009/bcr.09.2008.0921.abstract N2 - A 63-year-old woman with severe symptomatic postural hypotension was treated unsuccessfully, and no underlying cause was found for 3 years until she was noted to have hypoalbuminaemia and proteinuria. A renal biopsy led to the diagnosis of amyloidosis. Despite being an established cause for autonomic neuropathy, amyloidosis was not suspected early enough. Although a diagnosis was reached and treatment started, the patient died as a complication of chemotherapy. ER -