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She had bilateral small and contracted kidneys on a renal ultrasound, and the underlying reason for her renal failure was unknown.
However, since she had bilaterally contracted kidneys, we did not performed a renal biopsy.
The presence of small contracted kidneys, cardiac disease, chronic diarrhea, typical FMF attacks, a family history of FMF, or the absence of any personal history of nephrotic syndrome may necessitate missed diagnoses of amyloidosis and nephrotic syndrome prior to renal transplantation.
Hippocrates had noticed white clouds in urine, and the 13th-century Italian physician Saliceto provided a classic description of dropsy, scanty urine, and contracted kidneys.