CEN case reports · 2024
A case of hypertensive emergency with alveolar hemorrhage and thrombotic microangiopathy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Ubara Yoshifumi, Kurihara Shigekazu, Tsuchiya Yoshiki, Oba Yuki, Ikuma Daisuke, Mizuno Hiroki, Yamanouchi Masayuki, Suwabe Tatsuya, Imase Atsuko, Shibata Nobumitsu, Kono Kei, Kinowaki Keiichi, Ohashi Kenichi, Ogata Kentaro, Sawa Naoki
Аннотация
A 28-year-old woman with a 5-year history of untreated hypertension was admitted for respiratory distress, hemoptysis, and retinopathy. Computed tomography showed diffuse plaques in both lung fields. Acute kidney injury, hemolytic anemia, and thrombocytopenia were noted. Kidney biopsy showed thrombosis with fibrinoid necrosis and edematous intimal thickening and luminal narrowing of the small renal artery, indicating thrombotic microangiopathy; the majority of glomeruli were collapsed. After 8 weeks of treatment with antihypertensive drugs, serum creatinine decreased to 1.0 mg/dL, and the patient recovered. In the absence of any other underlying disease, malignant nephrosclerosis associated with a hypertensive emergency was diagnosed.