SCLERODERMA RENAL CRISIS WITH MINIMAL SKIN INVOLVEMENT AND NO SEROLOGIC EVIDENCE OF SYSTEMIC-SCLEROSIS

被引:29
作者
GONZALEZ, EA
SCHMULBACH, E
BASTANI, B
机构
[1] Department of Internal Medicine, Division of Nephrology, St Louis University Medical Center, St Louis, Missouri
关键词
ACUTE RENAL FAILURE; RENAL FAILURE; MALIGNANT HYPERTENSION; PROGRESSIVE SYSTEMIC SCLEROSIS; HYPERTENSION;
D O I
10.1016/S0272-6386(12)80990-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We describe a 75-year-old male patient who developed end-stage renal failure secondary to scleroderma renal crisis. The patient had cutaneous involvement limited to his fingers and feet, and had repeatedly negative serologic tests for antinuclear antibodies. This case illustrates that scleroderma renal crisis should be considered in the differential diagnosis of unexplained acute renal failure in patients with suspected systemic sclerosis, even if they lack the typical extensive cutaneous changes and the expected serologic findings. © 1994, National Kidney Foundation. All rights reserved. All rights reserved.
引用
收藏
页码:317 / 319
页数:3
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