Abstract
Chronic ambulatory peritoneal dialysis (CAPD) is reported to be an effective treatment for chronic renal failure caused by primary amyloidosis.
Our case was a twenty-year-old Japanese male with progressive renal failure. Although hemodialysis was unsuccessful because of prominent hypotension and troubles with vascular access, CAPD was successful in improving his physical condition without any complications. During treatment an amyloid goiter appeared associated with severe hypothyroidism which caused myxedema coma. Replacement therapy with thyroid hormone brought about a complete remission.
We would like to emphasize the importance of thoroughly investigating thyroid function in the early stages of chronic renal failure.
