scholarly journals Percutaneous transhepatic obliteration for hepatic encephalopathy accompanied with chronic renal failure in a super-elderly patient: A case report

Kanzo ◽  
2015 ◽  
Vol 56 (12) ◽  
pp. 668-674
Author(s):  
Yusuke Watanabe ◽  
Toru Ishikawa ◽  
Satoshi Abe ◽  
Ryousuke Inoue ◽  
Tomoyuki Sugano ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Renal Failure ◽  
Case Report ◽  
Hepatic Encephalopathy ◽  
Chronic Renal Failure

Apresentação e Evolução Atípicas da Granulomatose de Wegener: Relato de Caso/Atypical Presentation and Evolution of Wegener's Granulomatosis: Case Report

1970 ◽  
Vol 5 (3) ◽  
pp. 53-67
Author(s):  
Aline Dos Santos ◽  
Ana Caroline Balducci Scafi ◽  
Luciene Azevedo Morais ◽  
Pablo Girardelli Mendonça Mesquita
Keyword(s):  
Renal Failure ◽  
Renal Function ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Early Diagnosis ◽  
Wegener’S Granulomatosis ◽  
Immunosuppressive Treatment ◽  
Clinical Manifestations ◽  
Wegener's Granulomatosis ◽  
Creatinine Concentration

RESUMOIntrodução: A Granulomatose de Wegener (GW) é uma vasculite rara e idiopática associada à presença do anticorpo Anticitoplasma de Neutrófilo (ANCA) que acomete, preferencialmente, os pequenos vasos. As manifestações clínicas são diversas, ocorrendo em mais de 90% dos casos, sintomas do trato respiratório. O comprometimento renal é tardio e preditor de mau prognóstico.  Sua morbidade a médio e longo prazo inclui insuficiência renal crônica. A probabilidade de sucesso de manutenção da função renal depende da concentração sérica de creatinina ao início do tratamento, o que indica a importância do diagnóstico e terapêutica adequada precoces. Casuística: Relata-se o caso de uma paciente do sexo feminino, 61 anos, portadora de GW com comprometimento renal avançado à apresentação não precedido por sintomas pulmonares esperados. O tratamento imunossupressor associado a plasmaferese permitiu a melhora da função renal da paciente poupando-a de tornar-se dialítica- dependente. Discussão: A paciente iniciou a doença através de insuficiência renal assintomática, com valores de função renal compatíveis com o estágio mais avançado de doença renal crônica, ultrassonografia dos rins sem alterações compatíveis e sem os sintomas respiratórios esperados. Segundo a literatura, a combinação de imunossupressores e plasmaferese associa-se à recuperação renal em três meses com sobrevivência sem necessidade de diálise por 12 meses, no caso relatado, obteve-se tal resultado em 22 dias sem a necessidade de diálise após um ano. Conclusão: Devido ao diagnóstico precoce, o tratamento adequado foi instalado rapidamente proporcionando à paciente um aumento da expectativa e da qualidade de vida, evitando dependência de terapia renal substitutiva.Palavras-Chave: Granulomatose de Wegener, Plasmaferese, Doença renal crônica.  ABSTRACTIntroduction: The Wegener's Granulomatosis (WG) is a rare and idiopathic vasculitis associated with the presence of Antineutrophil Cytoplasmic Antibody (ANCA), that affects, preferentially, the small vessels. The clinical manifestations are diverse, occurring in over 90% of cases, symptoms in the respiratory tract. Kidney damage is a late and bad prognostic predictor. Morbidity in the medium and long term includes chronic renal failure. The probability of renal function maintenance success depends on serum creatinine concentration at the beginning of treatment that indicates the importance of early diagnosis and deployment of an appropriate therapy. Case Report: We present a case of a 61-year-old female patient, carrier of GW with advanced renal impairment presentation, not preceded by expected pulmonary symptoms. The immunosuppressive treatment associated with plasmapheresis allowed the improvement of the patient’s renal function, saving her from becoming dialysis-dependent Discussion: The patient developed the disease through asymptomatic renal failure, renal function with values that are compatible with the most advanced stage of chronic kidney disease, ultrasound of the kidneys without compatible changes and without the expected respiratory symptoms. According to the literature, the combination of immunosuppressive drugs and plasmapheresis is associated with renal recovery in three months with survival without dialysis for 12 months. In this case, a result was obtained in 22 days without the need for dialysis after one year. Conclusion: Due to the early diagnosis, appropriate treatment was quickly installed giving the patient increased life expectancy and quality, preventing dependence on renal replacement therapy.Keywords: Wegener’s granulomatosis, Plasmapheresis, Chronic renal failure.

scholarly journals Posterior migration of lumbar disc herniation - imaging dilemma due to contrast contraindication: a case report

2012 ◽  
Vol 45 (3) ◽  
pp. 170-172 ◽  
Author(s):  
Fabrício Guimarães Gonçalves ◽  
Prasad Baladev Hanagandi ◽  
Carlos Ignacio Torres ◽  
Raquel DelCarpio-O'Donovan
Keyword(s):  
Magnetic Resonance Imaging ◽  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Resonance Imaging ◽  
Diagnostic Dilemma ◽  
Diagnostic Modality ◽  
Posterior Migration

Disc herniation with posterior epidural migration is a rare and often symptomatic entity. Multiple are the natural barriers that prevent this pattern of migration. Enhanced magnetic resonance imaging is the diagnostic modality of choice in these cases. The diagnostic dilemma in this case was the contraindication to the use of contrast since the patient was known to have chronic renal failure.

scholarly journals Amlodipine-induced gingival hyperplasia in chronic renal failure: a case report

2013 ◽  
Vol 12 (4) ◽  
Author(s):  
NM Aldemir ◽  
H Begenik ◽  
H Emre ◽  
FM Erdur ◽  
Y Soyoral
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Gingival Hyperplasia

scholarly journals Tumoral calcinosis, a diagnostic dilemma: a case report

2020 ◽  
Vol 7 (8) ◽  
pp. 1286
Author(s):  
Javed Altaf ◽  
Tajamul Rashid ◽  
Musharraf Husain ◽  
Mohammad Arif ◽  
Manzoor Ahmad
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Soft Tissue ◽  
Medical Therapy ◽  
Surgical Intervention ◽  
Tumoral Calcinosis ◽  
Diagnostic Dilemma ◽  
Biochemical Assessment ◽  
Rare Diagnosis

Tumoral calcinosis is a rare diagnosis characterized by deposition of calcium salts in peri-articular soft tissue regions. It is divided into primary and secondary varieties. The primary tumoral calcinosis is further divided into two types; primary hyperphosphatemic type and primary normophosphatemic type. The secondary variety occurs in association with chronic renal failure. Biochemical assessment and typical radiographic features help in diagnosis. Mainstay of treatment for primary variety is surgical. Secondary variety is mainly treated by medical measures. Surgical intervention is reserved for patients who do not respond to medical therapy.

scholarly journals A Case Report on a Patient with Chronic Renal Failure Who Bled Massively from Gastric Erosion

1997 ◽  
Vol 50 (0) ◽  
pp. 254-255
Author(s):  
Nehiro Kuriyama ◽  
Shin-ichi Satoh ◽  
Akiko Soyama ◽  
Motonobu Nishimura ◽  
Ken-ichi Kusume ◽  
...  
Keyword(s):  
Renal Failure ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Gastric Erosion
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