Sign up for email alerts to receive notifications of new articles published in Clinical Medicine Insights: Case Reports
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.
PDF (1.50 MB PDF FORMAT)
RIS citation (ENDNOTE, REFERENCE MANAGER, PROCITE, REFWORKS)
BibTex citation (BIBDESK, LATEX)
This is the first time I have published published an article in Clinical Medicine Insights Case Report. I was pleased to find that the publishing staff were helpful in guiding my submission and I was impressed by the prompt processing and speed of publication.