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Clinical Medicine Insights: Case Reports

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Bilateral Renal Infarction in a Lupus Patient: An Unusual Pathology

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Publication Date: 23 May 2013

Type: Case report

Journal: Clinical Medicine Insights: Case Reports

Citation: Clinical Medicine Insights: Case Reports 2013:6 87-91

doi: 10.4137/CCRep.S11633

Abstract

Acute renal infarction is still an underdiagnosed pathology. Most cases are secondary to arterial embolism in patients with atrial fibrillation or other cardiac illnesses; however, a less known etiology is the vascular affection of systemic lupus erythematosus (SLE). Renal infarction in lupus patients normally appears with positive antiphospholipid antibodies or lupus anticoagulant in the context of an antiphospholipid syndrome (APS). This is characterized by a state of hypercoagulability potentially affecting all segments of the vascular bed with thrombosis. A differential diagnosis with lupus nephritis, a very common pathology in SLE patients, must be carried out.

We have to suspect this pathology in patients with SLE and APS who come to the emergency department complaining of abdominal pains or a renal colic.

We present the case of a 69-year-old woman who was diagnosed of bilateral segmental renal infarction in the context of recently diagnosed SLE with no other vascular manifestations.


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What Your Colleagues Say About Clinical Medicine Insights: Case Reports
It was a pleasure participating as a reviewer for Clinical Medicine Insights: Case Reports. The online access was smooth and very user-friendly. The navigation process for submission of reviewer comments was  flawless.Overall, a very pleasant process. The case report that I reviewed was a very interesting one, very well written and with many interesting points for readers.
Macaulay Onuigbo (Associate Professor, College of Medicine, Mayo Clinic, Rochester, MN Nephrologist/Transplant, Physician/Hypertension Specialist, Midelfort Clinic, Mayo Health System, Eau Claire, WI, Regional Direct)
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