| Idiopathic renal infarction. | |
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MedLine Citation:
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PMID: 16564787 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Renal infarction may be an underrecognized disorder. Classical teaching holds that cardioemboli, notably in the setting of arterial fibrillation, are responsible. The expanding use of contrast enhanced computed tomography (CT) in patients with acute abdomen may change the spectrum of renal infarction. METHODS: Twenty-seven consecutive patients presenting to a single university hospital with nontraumatic CT-documented acute renal infarction were studied and stratified according to the presence or absence of cardiac disease, either obvious at presentation or detected during work-up. RESULTS: Eleven patients (41%) had obvious cardiac disease, including atrial fibrillation in all but one. Sixteen patients (59%) had no discernible structural or arrhythmic cardiac disease and were classified as idiopathic group. Patients in the idiopathic group were significantly younger (median age in years [interquartile range]: 48 [41-53] versus 75 [53-82] years, P = .003) and, besides smoking, had fewer traditional cardiovascular risk factors. CONCLUSION: Acute renal infarction may occur in individuals of middle age without risk factors for cardioembolism. In patients with renal colic without lithiasis the diagnosis of renal infarction should be considered especially if serum lactate dehydrogenase is elevated, even in the absence of atrial fibrillation. |
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Authors:
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Rob Bolderman; Raymond Oyen; Anton Verrijcken; Daniël Knockaert; Steven Vanderschueren |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of medicine Volume: 119 ISSN: 1555-7162 ISO Abbreviation: Am. J. Med. Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-03-27 Completed Date: 2006-04-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0267200 Medline TA: Am J Med Country: United States |
Other Details:
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Languages: eng Pagination: 356.e9-12 Citation Subset: AIM; IM |
Affiliation:
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Department of General Internal Medicine, University Hospital, Leuven, Belgium. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Aged Aged, 80 and over C-Reactive Protein / metabolism Diagnosis, Differential Female Hematuria / etiology Humans Infarction / diagnosis* Kidney / blood supply*, radiography Kidney Diseases / diagnosis*, enzymology, pathology, radiography L-Lactate Dehydrogenase / blood Leukocyte Count Male Middle Aged Prospective Studies Retrospective Studies Risk Factors |
| Chemical | |
Reg. No./Substance:
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9007-41-4/C-Reactive Protein; EC 1.1.1.27/L-Lactate Dehydrogenase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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