Korean J Nephrol.
2003 Jul;22(4):457-463.
The Three Cases of Idiopathic Renal Infarction in Healthy Adult without Unlerlying Disease
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, Korea. kwlee@cnu.ac.kr
- 2Department of Radiology, College of Medicine, Chungnam National University, Daejeon, Korea.
Abstract
- Renal infarction usually occurs in patients with atrial fibrillation, valvular heart disease, trauma, renal artery stenosis, atherosclerosis and coagulopathy. However it may occur rarely in patients without such underlying disease. We report on 3 patients who developed renal infarction and had no underlying disease. In two cases, renal artery thrombosis occured. And in the other case, renal artery dissection occured. All patients of the renal infarction experienced severe flank pain. And increased serum LDH, ALT and ALP was noted. The differential diagnosis of renal artery dissection and renal artery thrombosis was established by renal artery angiography. In two patients with renal artery thrombosis, anticoagulation therapy was performed. In the other patient with renal artery dissection, only conservative therapy was performed. All 3 patients of renal infarction preserved normal renal function. but developed hypertension. Two patients were given anti-hypertensive agents. In the other patient, hypertension was normalized spontaneously.
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