PT  - JOURNAL ARTICLE
AU  - Muhammad Khizar Rafiq
TI  - A dilemma solved
AID  - 10.1136/bcr.09.2008.0921
DP  - 2009 Jan 01
TA  - BMJ Case Reports
PG  - bcr0920080921
VI  - 2009
4099  - http://casereports.bmj.com/content/2009/bcr.09.2008.0921.short
4100  - http://casereports.bmj.com/content/2009/bcr.09.2008.0921.full
AB  - 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.