A 37-Year-Old Man With Symptoms of Fatigue, Malaise, and Dizziness

This case reviews the presentation, workup, management, and clinical
course of a patient with renal amyloid associated amyloidosis
resulting in nephrotic syndrome.

A common abnormal test result in adults in any primary care practice is proteinuria, whose cause can range from the benign to the more serious. Urinary protein excretion of more than 3 g per 24 hours is likely a result of a glomerular disease and defines the nephrotic syndrome when associated with hypoalbuminemia, edema, hyperlipidemia, and lipiduria.