Pre-renal hypercreatininemia in an elderly patient: response of a senile kidney to a hypoperfusion state
Abstract
Classically, pre-renal acute renal failure is described as a clinical picture characterized by presenting with high uremia and normal creatininemia (pre-renal azotemia). It has also been described in the literature that prerenal renal failure in elderly people (age ≥ 65 years) usually present with high serum values not only of urea (hyperazoemia) but also of creatinine (hypercreatininemia).
In this report, we present the case of an 86-year-old woman who presents with acute renal failure with pre-renal hypercreatininemia and also discusses the pathophysiological basis of this phenomenon.
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