Rapidly progressive renal failure followed by respiratory failure in an elderly woman

Clinical approach to rapidly progressive renal failure.

Rapidly progressive renal failure (RPRF) is an initial clinical diagnosis in patients who present with progressive renal impairment of short duration. The underlying etiology may be a primary renal disease or a systemic disorder. Important differential diagnoses include vasculitis (systemic or renal-limited), systemic lupus erythematosus, multiple myeloma, thrombotic microangiopathy and acute i...

[Rapidly progressive renal failure as the onset of an IgA nephropathy in an elderly patient].

Rapidly progressive renal failure associated with successful pharmacotherapy for obesity.

Reply Sir, We thank Drs Calo and Davis for highlighting their interesting studies. We were, in fact, aware of these studies and have used them as background in grant applications in the broader context. Our paper was not intended to be a review of the literature, since this area, we believe, is still evolving. It is always a subjective decision which references to include or not in any given pu...

Rapidly progressive renal failure associated with successful pharmacotherapy for obesity

A 55-year-old woman presented with recurrent episodes of hypoglycaemia over 4 weeks. She had had type 1 diabetes mellitus (DM) for 35 years, managed by an insulin basal bolus regime. Her comorbidities included retinopathy, chronic renal failure, (presumed to be on the basis of diabetic nephropathy), hypertension, obesity, gout and an ischaemic stroke 15 years earlier. Over 5 years of follow-up,...

traumatic aneurysm of innominate artery resulting in tracheal stenosis and rapidly progressive respiratory failure; a case report and literature review

traumatic injuries to great vessels are relative common in trauma practice. blunt thoracic trauma may result in dissection injury to aorta and innominate artery. we herein present a late presentation of traumatic innominate artery aneurysm. a29-year-old woman presented with dyspnea to our emergency department. she had previous motor-vehicle accident a month before presentation for which had und...