Document Detail

Reversible arterial spasm in an adolescent with primary oxalosis.
MedLine Citation:
PMID:  3063419     Owner:  NLM     Status:  MEDLINE    
A 16-year-old girl with primary oxalosis type I presented with progressive claudication soon after being treated with chronic intermittent hemodialysis. Arterial insufficiency of the lower limbs was confirmed clinically (purple discoloration of the skin and absence of arterial pulses) and with Doppler sonography. The arteriogram showed diffuse and symmetric narrowing with smooth vessel walls. Treatment with sodium nitroprusside had a spectacular effect; nifedipine was less effective. Renal transplantation with the father's kidney resulted in a rapid, complete and sustained reversal of the ischemic features. Magnesium withdrawal is assumed to be a pathogenic factor of the vascular spasm in this patient.
R van Damme-Lombaerts; W Proesmans; G Alexandre; M van Dyck; M Serrus; G Wilms
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical nephrology     Volume:  30     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1989-03-03     Completed Date:  1989-03-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  235-8     Citation Subset:  IM    
Department of Pediatrics, University Hospital Gasthuisberg, Leuven, Belgium.
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MeSH Terms
Femoral Artery*
Hyperoxaluria / complications*
Hyperoxaluria, Primary / complications*
Ischemia / etiology,  therapy
Leg / blood supply
Popliteal Artery*
Spasm / etiology*

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