Missed renal infarction presenting as the nephrotic syndrome : a case report
Joint Authors
al-Wakil, Jamal S.
Abu Ayshah, Hasan
Tarif, Numan
Mutawalli, Ahmad Hassan
Patel, Pravin Chandra
al-Smayer, Salih Ali
Najm, Hani Kamal
Qudsi, Abdu
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 13, Issue 2 (30 Apr. 2002), pp.176-180, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2002-04-30
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
Aortic dissection may be associated with renal disease.
The presentation, especially in the later stages of the process, includes proteinuria, hematuria and impairment of renal function.
Thus the clinical picture may be confused with glomerulonephritis or hypertension.
We present a case of ischemic nephropathy resulting from involvement of the right kidney by an aortic dissection.
The patient presented with the nephrotic syndrome some two and a half months after the probable time when the aortic disection had occurred.
At that time the initial back and flank pains had disappeared.
Ultrasound examination revealed a smaller right kidney, compared to the left one.
Imaging techneques, initaited for suspected renal artery stenosis, revealed aortic dissection involving the right renal artery starting from the descending aorta, distal to the origin of the left subclavian artery and extending down to the right common iliac artery ; occluding the right renal artery.
The medical literature is reviewed for patients presenting with ischemic nephropathy and the mechanisms of proteinuria discussed.
We conclude that ischemic nephropathy can clinically mimic glomerulonephritis and can be missed if it is not included in the differential diagnosis of patients who present with heavy proteinuria and hypertension.
American Psychological Association (APA)
Tarif, Numan& Mutawalli, Ahmad Hassan& al-Wakil, Jamal S.& Patel, Pravin Chandra& al-Smayer, Salih Ali& Najm, Hani Kamal…[et al.]. 2002. Missed renal infarction presenting as the nephrotic syndrome : a case report. Saudi Journal of Kidney Diseases and Transplantation،Vol. 13, no. 2, pp.176-180.
https://search.emarefa.net/detail/BIM-61080
Modern Language Association (MLA)
Tarif, Numan…[et al.]. Missed renal infarction presenting as the nephrotic syndrome : a case report. Saudi Journal of Kidney Diseases and Transplantation Vol. 13, no. 2 (Dec. 2002), pp.176-180.
https://search.emarefa.net/detail/BIM-61080
American Medical Association (AMA)
Tarif, Numan& Mutawalli, Ahmad Hassan& al-Wakil, Jamal S.& Patel, Pravin Chandra& al-Smayer, Salih Ali& Najm, Hani Kamal…[et al.]. Missed renal infarction presenting as the nephrotic syndrome : a case report. Saudi Journal of Kidney Diseases and Transplantation. 2002. Vol. 13, no. 2, pp.176-180.
https://search.emarefa.net/detail/BIM-61080
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 180
Record ID
BIM-61080