Several cases of systemic amyloidosis associated with polymyalgia rheumatic
a (PMR) or giant-cell arteritis (GCA) have been described. Nevertheless, th
e type of amyloid deposit has not been characterized in most of them. Here
we report on two patients with PMR (one with associated GCA) who developed
nephrotic syndrome and end-stage renal failure caused by massive amyloid de
position. Immunohistochemical analysis showed that the amyloid deposits wer
e of AA type (secondary amyloidosis) in both cases. (C) 2000 by the Nationa
l Kidney Foundation, Inc.