Severe pericardial effusion heralding scleroderma renal crisis : a case report and the literature review
Joint Authors
Darai, Murtada
Nili, Fatimah
Muradi, Muhammad Husayn Shuja
Khatami, Muhammad Rida
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 21, Issue 5 (31 May. 2019), pp.1-5, 5 p.
Publisher
Publication Date
2019-05-31
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Introduction: Both scleroderma renal crisis and severe pericardial effusion are rare and life-threatening complications of systemic sclerosis.
This article describes a case of scleroderma renal crisis heralded by severe pericardial effusion.
Case Presentation: The patient was a 39-year-old woman with a history of 8 years diffuse cutaneous scleroderma and extensive skin involvement who referred to Imam Khomeini Hospital Complex, Tehran, Iran, with worsening dyspnea and pleuritic chest pain.
Echocardiography revealed severe pericardial effusion, which was drained by the pericardial window.
Thereafter, the patient became gradually anuric and her blood pressure was uncontrolled despite maximum doses of antihypertensive agents, including captopril.
The serum creatinine level was increased progressively; thus, hemodialysis started.
Concomitantly, microangiopathic hemolytic anemia complicated the course of the disease, which responded to plasma exchange.
Kidney biopsy revealed pieces of evidence indicating thrombotic microangiopathy.
Conclusions: This case report denotes to a probable association between scleroderma the renal crisis and severe pericardial effusion.
Therefore, physicians should be vigilant about the renal crisis in patients with systemic sclerosis and pericardial effusion.
American Psychological Association (APA)
Darai, Murtada& Khatami, Muhammad Rida& Nili, Fatimah& Muradi, Muhammad Husayn Shuja. 2019. Severe pericardial effusion heralding scleroderma renal crisis : a case report and the literature review. Iranian Red Crescent Medical Journal،Vol. 21, no. 5, pp.1-5.
https://search.emarefa.net/detail/BIM-901408
Modern Language Association (MLA)
Darai, Murtada…[et al.]. Severe pericardial effusion heralding scleroderma renal crisis : a case report and the literature review. Iranian Red Crescent Medical Journal Vol. 21, no. 5 (May. 2019), pp.1-5.
https://search.emarefa.net/detail/BIM-901408
American Medical Association (AMA)
Darai, Murtada& Khatami, Muhammad Rida& Nili, Fatimah& Muradi, Muhammad Husayn Shuja. Severe pericardial effusion heralding scleroderma renal crisis : a case report and the literature review. Iranian Red Crescent Medical Journal. 2019. Vol. 21, no. 5, pp.1-5.
https://search.emarefa.net/detail/BIM-901408
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5
Record ID
BIM-901408