RENAL MICROANGIOPATHY IN THE PRIMARY ANTIPHOSPHOLIPID SYNDROME - A CASE-REPORT WITH LITERATURE-REVIEW

被引:22
作者
DOMRONGKITCHAIPORN, S
CAMERON, EC
JETHA, N
KASSEN, BO
SUTTON, RAL
机构
[1] VANCOUVER GEN HOSP,DEPT MED,DIV NEPHROL,VANCOUVER,BC,CANADA
[2] UNIV BRITISH COLUMBIA HOSP,DEPT INTERNAL MED,VANCOUVER,BC,CANADA
[3] UNIV BRITISH COLUMBIA HOSP,DEPT ANAT PATHOL,VANCOUVER,BC,CANADA
来源
NEPHRON | 1994年 / 68卷 / 01期
关键词
ANTIPHOSPHOLIPID SYNDROME; RENAL MICROANGIOPATHY; ACUTE RENAL FAILURE;
D O I
10.1159/000188231
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 report the case of a 52-year-old male patient with recurrent thrombosis from 'primary antiphospholipid syndrome' who developed renal microangiopathy. Despite anticoagulant therapy with coumadin, serum creatinine progressively increased from 398 to 592 mu mol/l and platelets decreased to 43,000. The patient responded to high-dose methylprednisolone and aspirin and the renal function improved. A review of the literature disclosed 4 other cases of association between primary antiphospholipid syndrome and renal microangiopathy. The clinical characteristics of these cases are discussed.
引用
收藏
页码:128 / 132
页数:5
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