2016
DOI: 10.22265/acnef.3.2.220
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Vasculitis ANCA and Systemic Scleroderma

Abstract: ResumenLa esclerosis sistémica es una enfermedad autoinmune de etiología incierta que se caracteriza por la inflamación y fibrosis de la piel y de múltiples órganos. Quienes la padecen pueden experimentar complicaciones renales severas y de carácter amenazante para la vida, o de un curso insidioso y benigno. Así, el compromiso más frecuente es la crisis renal esclerodérmica, que se presenta en 5-10 % de los casos, requiere tratamiento con hipotensores y empeora con el uso de esteroide. Las vasculitis asociadas… Show more

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“…In almost all cases, renal failure is present at the time of diagnosis, consistent with the group of Arroyo et al 6 The patient had a creatinine from two weeks prior of 2 mg/dl and at admission presented with a creatinine of 19.68 mg/dl, which suggested a rapid loss of >50% of renal function. Initially, the etiology of the AKF was started to be assessed, performing volume replacement, obstructive processes were discarded through renal ultrasound and CT urography, glomerulonephritis was suspected due to edema, arterial hypertension, oliguria and uremia symptoms, in addition to the urinalysis findings: hematuria, proteinuria, and hematic casts, clinical manifestations compatible with nephritic syndrome, this being the most frequent form of clinical presentation in other cases reported by Hurtado, Wang, Wilches and collaborators 7,8,9 .…”
Section: Discussionmentioning
confidence: 99%
“…In almost all cases, renal failure is present at the time of diagnosis, consistent with the group of Arroyo et al 6 The patient had a creatinine from two weeks prior of 2 mg/dl and at admission presented with a creatinine of 19.68 mg/dl, which suggested a rapid loss of >50% of renal function. Initially, the etiology of the AKF was started to be assessed, performing volume replacement, obstructive processes were discarded through renal ultrasound and CT urography, glomerulonephritis was suspected due to edema, arterial hypertension, oliguria and uremia symptoms, in addition to the urinalysis findings: hematuria, proteinuria, and hematic casts, clinical manifestations compatible with nephritic syndrome, this being the most frequent form of clinical presentation in other cases reported by Hurtado, Wang, Wilches and collaborators 7,8,9 .…”
Section: Discussionmentioning
confidence: 99%