Narrative Review of Hypercoagulability in Small-Vessel Vasculitis.
crescentic
glomerulonephritis
hypercoagulation
thrombosis
vasculitis
Journal
Kidney international reports
ISSN: 2468-0249
Titre abrégé: Kidney Int Rep
Pays: United States
ID NLM: 101684752
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
08
10
2019
revised:
03
12
2019
accepted:
31
12
2019
entrez:
15
5
2020
pubmed:
15
5
2020
medline:
15
5
2020
Statut:
epublish
Résumé
Pauci-immune necrotizing and crescentic glomerulonephritis (GN) is the most common etiology of rapidly progressive GN. Clinical presentation in those afflicted is usually related to rapid loss of kidney function. We report the case of a 70-year-old woman who came to medical attention for signs and symptoms related to lower-extremity deep vein thrombosis (DVT). At presentation, the patient had biochemical abnormalities consistent with active GN, which quickly progressed to rapid loss in kidney function requiring renal replacement therapy. Kidney biopsy revealed small-vessel vasculitis with glomerular crescents. Serologic studies were negative for antineutrophil cytoplasmic antibody antibodies and other causes of acute GN. Plasmapheresis, immunosuppressive, and anticoagulant therapies were prescribed. Absence of other apparent end-organ involvement with vasculitis pointed toward renal-limited small-vessel vasculitis, yet presence of
Identifiants
pubmed: 32405580
doi: 10.1016/j.ekir.2019.12.018
pii: S2468-0249(20)30005-X
pmc: PMC7210611
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
586-599Informations de copyright
© 2020 International Society of Nephrology. Published by Elsevier Inc.
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