Journal article
Mistaken identity: normotensive scleroderma renal crisis
BMJ case reports, Vol.2014(may29 1), pp.bcr2013202566-bcr2013202566
2014
DOI: 10.1136/bcr-2013-202566
PMCID: PMC4039838
PMID: 24876209
Abstract
A patient presented with neuromuscular, respiratory and cardiac symptoms and was initially diagnosed with amyotrophic lateral sclerosis (ALS), myocardial ischaemia and pneumonia. He developed unexplained progressive kidney failure over the ensuing week, and his kidney biopsy showed thrombotic microangiopathy that led to the correct diagnosis of normotensive scleroderma renal crisis. His clinical presentation and course were consistent with systemic sclerosis and normotensive scleroderma renal crisis. He was treated with an ACE inhibitor (ACEi) and haemodialysis with significant functional improvement over the next 3 months to his prior baseline with the exception of kidney failure. This case highlights a diagnostic challenge requiring astute history and physical examination skills, and the value of a kidney biopsy in providing the final diagnosis.
Details
- Title: Subtitle
- Mistaken identity: normotensive scleroderma renal crisis
- Creators
- Arwa Aburizik - University of IowaSiddharth Singh - Mayo ClinicLaith Al-Rabadi - University of IowaChristopher Blosser - University of Washington
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.2014(may29 1), pp.bcr2013202566-bcr2013202566
- DOI
- 10.1136/bcr-2013-202566
- PMID
- 24876209
- PMCID
- PMC4039838
- NLM abbreviation
- BMJ Case Rep
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 2014
- Academic Unit
- Psychiatry; Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984359857002771
Metrics
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