caa a22 4500 445882557 CHVBK 20180317145548.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10157-010-0363-3 doi (NATIONALLICENCE)springer-10.1007/s10157-010-0363-3 Atheroembolic renal disease with rapid progression and fatal outcome [Elektronische Daten] [Bernardo Faria, Joana Vidinha, Cátia Pêgo, Jesus Garrido, Sérgio Lemos, Carla Lima, Giovanni Sorbo, Edgar Gomes, Teresa Carvalho, Paulo Loureiro, Tânia Sousa] Atheroembolic renal disease is caused by foreign-body reaction to cholesterol crystals flushed from the atherosclerotic plaques into the small-vessel system of the kidneys. It is an underdiagnosed entity, mostly related to vascular procedures and/or anticoagulation, and prognosis is considered to be poor. Besides the benefit of aggressive medical prevention of further embolic events, use of steroid therapy has been associated with greater survival. Here we report a case of a patient with a multisystemic presentation of the disease days after performance of percutaneous coronary intervention and anticoagulation initiation due to an episode of myocardial infarction. Renal, cutaneous, ophthalmic, neurological, and possibly muscular and mesenteric involvement was diagnosed. Although medical treatment with corticosteroids and avoidance of further anticoagulation was applied, the patient rapidly progressed to end-stage renal disease requiring hemodialysis and died 6months after diagnosis. This is a case of catastrophic progression of the disease resistant to therapeutic measures. Focus on diagnosis and more efficient preventive and therapeutic protocols are therefore needed. Japanese Society of Nephrology, 2010 Atheroembolic nationallicence Corticosteroids nationallicence Hemodialysis nationallicence Anticoagulation nationallicence Faria Bernardo Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Vidinha Joana Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Pêgo Cátia Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Garrido Jesus Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Lemos Sérgio Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Lima Carla Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Sorbo Giovanni Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Gomes Edgar Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Carvalho Teresa Department of Pathology, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Loureiro Paulo Department of Ophthalmology, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Sousa Tânia Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut Clinical and Experimental Nephrology Springer Japan 15/1(2011-02-01), 159-163 1342-1751 15:1<159 2011 15 10157 https://doi.org/10.1007/s10157-010-0363-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10157-010-0363-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Faria Bernardo Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Vidinha Joana Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Pêgo Cátia Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Garrido Jesus Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Lemos Sérgio Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Lima Carla Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Sorbo Giovanni Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Gomes Edgar Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Carvalho Teresa Department of Pathology, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Loureiro Paulo Department of Ophthalmology, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 700 1- Sousa Tânia Nephrology and Dialysis Unit, Hospital São Teotónio-Viseu, Av. Rei Dom Duarte, 3504 509, Viseu, Portugal aut NATIONALLICENCE 773 0- Clinical and Experimental Nephrology Springer Japan 15/1(2011-02-01), 159-163 1342-1751 15:1<159 2011 15 10157 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer