Missed Renal Infarction Presenting as the Nephrotic Syndrome: a Case Report

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dc.contributor.authorHassan Abu-Aisha
dc.contributor.authorNauman Tarif
dc.contributor.authorAhmed Hasan Mitwalli
dc.contributor.authorJamal Saleh Al-Wakeel
dc.contributor.authorPravin Chandra Patel
dc.contributor.authorSaleh Ali Al-Smayer
dc.contributor.authorHani Kamal Najm
dc.contributor.authorAbdoo Qudsi
dc.date.accessioned2023-01-10T10:05:05Z
dc.date.available2023-01-10T10:05:05Z
dc.date.issued2002
dc.description.abstractAortic 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 pateint 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.
dc.identifier.citationTarif, N., Mitwalli, A.H., Al-Wakeel, J.S., Patel, P.C., Al-Smayer, S.A., Najm, H.K., Qudsi, A. and Abu-Aisha, H., 2002. Missed renal infarction presenting as the nephrotic syndrome: a case report. Saudi Journal of Kidney Diseases and Transplantation, 13(2), p.176.
dc.identifier.urihttp://dspace.napata.edu.sd/handle/123456789/188
dc.language.isoen
dc.titleMissed Renal Infarction Presenting as the Nephrotic Syndrome: a Case Report
dc.typeArticle
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