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Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis

Spontaneous perinephric hematoma (SPH) is a rare entity whose diagnosis is challenging because of its varied clinical presentation and lack of any specific etiology. We report a 34-year-old African-American male who presented with left flank pain and was found to have a large left perinephric hemato...

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Autores principales: Raina, Rupesh, Nadig, Vidya, Patel, Deven, Jegalian, Armin, Silver, Bernard, Heyka, Robert J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421590/
https://www.ncbi.nlm.nih.gov/pubmed/25984124
http://dx.doi.org/10.1093/ndtplus/sfq217
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author Raina, Rupesh
Nadig, Vidya
Patel, Deven
Jegalian, Armin
Silver, Bernard
Heyka, Robert J.
author_facet Raina, Rupesh
Nadig, Vidya
Patel, Deven
Jegalian, Armin
Silver, Bernard
Heyka, Robert J.
author_sort Raina, Rupesh
collection PubMed
description Spontaneous perinephric hematoma (SPH) is a rare entity whose diagnosis is challenging because of its varied clinical presentation and lack of any specific etiology. We report a 34-year-old African-American male who presented with left flank pain and was found to have a large left perinephric hematoma, in the setting of undiagnosed AL amylodosis. The case illustrates that while a SPH due to the vascular angiopathy of amyloid is rare, when amyloidosis is associated with abnormal coagulation studies or bleeding at multiple sites, it should be considered because of its protean systemic manifestations and potential response to chemotherapy.
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spelling pubmed-44215902015-05-15 Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis Raina, Rupesh Nadig, Vidya Patel, Deven Jegalian, Armin Silver, Bernard Heyka, Robert J. NDT Plus Clinical Reports Spontaneous perinephric hematoma (SPH) is a rare entity whose diagnosis is challenging because of its varied clinical presentation and lack of any specific etiology. We report a 34-year-old African-American male who presented with left flank pain and was found to have a large left perinephric hematoma, in the setting of undiagnosed AL amylodosis. The case illustrates that while a SPH due to the vascular angiopathy of amyloid is rare, when amyloidosis is associated with abnormal coagulation studies or bleeding at multiple sites, it should be considered because of its protean systemic manifestations and potential response to chemotherapy. Oxford University Press 2011-04 2011-02-14 /pmc/articles/PMC4421590/ /pubmed/25984124 http://dx.doi.org/10.1093/ndtplus/sfq217 Text en © The Author 2011. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Clinical Reports
Raina, Rupesh
Nadig, Vidya
Patel, Deven
Jegalian, Armin
Silver, Bernard
Heyka, Robert J.
Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis
title Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis
title_full Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis
title_fullStr Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis
title_full_unstemmed Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis
title_short Spontaneous perinephric hematoma due to acquired factor X deficiency in AL amyloidosis
title_sort spontaneous perinephric hematoma due to acquired factor x deficiency in al amyloidosis
topic Clinical Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421590/
https://www.ncbi.nlm.nih.gov/pubmed/25984124
http://dx.doi.org/10.1093/ndtplus/sfq217
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