Uncommon cause of progressive renal function decline

César Agost Carreño Servicio de Nefrología, Sanatorio La Trinidad Mitre, Buenos Aires
María Soledad Rumiz Servicio de Nefrología, Sanatorio La Trinidad Mitre, Buenos Aires
Marta María Paz Servicio de Nefrología, Sanatorio La Trinidad Mitre, Buenos Aires
Claudio Orquera Servicio de Clínica Médica, Sanatorio La Trinidad Mitre, Buenos Aires
Paula Grill Servicio de Clínica Médica, Sanatorio La Trinidad Mitre, Buenos Aires
Teresa Castiglioni Centro de Patología Dr. Boris Elsner, Buenos Aires

Keywords: renal function, rapidly progressive deterioration, etiology, diagnosis

Abstract

Whenever there is a 50% drop in glomerular filtration over 3 months we are in the presence of what is defined as rapidly progressive deterioration of renal function. If it is also accompanied by an active urinary sediment, it is inferred that one of these may be taking place: a rapidly progressive glomerulonephritis, a thrombotic microangiopathy, an atheroembolic renal disease or an interstitial nephritis. In most cases the speed with which the treatment is initiated impacts on its result, which often requires that it is done empirically. However, as the therapy used is not innocuous, we must maximize diagnostic measures to define the etiology; this case is an example of this.

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Published

2017-12-09

How to Cite

Agost Carreño C, Rumiz MS, Paz MM, Orquera C, Grill P, Castiglioni T. Uncommon cause of progressive renal function decline. Rev Nefrol Dial Traspl. [Internet]. 2017Dec.9 [cited 2024Jul.27];37(4):215-9. Available from: http://revistarenal.org.ar/index.php/rndt/article/view/202