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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 50, 2004, No. 4, p. 318 - 320 |
An Unusual Cause of
Acute Anuric Renal Failure Říhová Z.1, Honsová E.2, Špička I.1, Žabka J.1, Merta M.1, Tesař V.1 1I. interní klinika 1. lékařské fakulty UK a VFN, Praha, přednosta prof.MUDr. Pavel Klener, DrSc. 2Patologicko-anatomické pracoviště IKEM, Praha, vedoucí pracoviště MUDr. Eva Honsová |
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Summary: We present a case of a 79-years old woman with acute anuric renal failure due to biopsy confirmed
immunotactoid glomerulonephritis. Despite biclonal gammopathy IgG lambda, no hematologic
or any other underlying malignancy was found. A possible association with viral hepatitis,
cryoglobulinemia or autoimmune disease was also excluded. The patient was treated with pulse
i.v. dexamethasone with very good results. Diuresis resumed and renal function gradually normalized.
Our patient is one of the oldest patients with immunotactoid glomerulonephritis described.
The presentation by acute renal failure with an improvement of renal function after therapy has
not been previously published.
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