There are many known renal complications of rheumatoid arthritis. These complications can develop by the extraarticular aspect of rheumatoid arthritis or the use of disease modifying antirheumatic drugs or pain-killer. The most common renal disease induced by use of disease modifying antirheumatic drugs is membranous nephropathy. We report on a case of bucillamine induced nephropathy with prominent proteinuria and hypoalbuminemia. The renal biopsy result was stage I to II membranous nephropathy. After withdrawal of bucillamine the proteinuria improved and hypoalbuminemia recovered. Even in cases of accompanying prominent proteinuria and hypoalbuminemia, bucillamine nephropathy can be treated with withdrawal of bucillamine and immunosuppressant drugs are not required.

Stress induced cardiomyopathy is characterized by transient systolic dysfunction of the apical segment of the left ventricle, in the absence of obstructive coronary artery disease. The clinical presentation of stress induced cardiomyopathy is similar to that of an acute myocardial infarction. Onset of stress induced cardiomyopathy is frequently triggered by intense emotional or physical stress. Hypoglycemia is one type of physical stress that causes stress induced cardiomyopathy. We report on a case of this syndrome associated with hypoglycemia.