Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure

A 26-year-old Japanese man without hypouricemia and with 3 previous episodes of seizures concurrent with acute kidney injury (AKI) was admitted due to an epileptic seizure, lower back pain and AKI. His creatinine kinase levels were slightly elevated. Patchy renal ischemia on contrast-enhanced comput...

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Autores principales: Maekawa, Michitaka, Imaizumi, Takahiro, Yamakawa, Taishi, Ito, Yasuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577077/
https://www.ncbi.nlm.nih.gov/pubmed/28768971
http://dx.doi.org/10.2169/internalmedicine.56.8328
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author Maekawa, Michitaka
Imaizumi, Takahiro
Yamakawa, Taishi
Ito, Yasuhiko
author_facet Maekawa, Michitaka
Imaizumi, Takahiro
Yamakawa, Taishi
Ito, Yasuhiko
author_sort Maekawa, Michitaka
collection PubMed
description A 26-year-old Japanese man without hypouricemia and with 3 previous episodes of seizures concurrent with acute kidney injury (AKI) was admitted due to an epileptic seizure, lower back pain and AKI. His creatinine kinase levels were slightly elevated. Patchy renal ischemia on contrast-enhanced computed tomography and persistent residual contrast medium was observed, consistent with acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE). Diffusion-weighted imaging (DWI) demonstrated signal changes in the corresponding area. ALPE should be considered a cause of AKI following seizures. We recommend DWI as an alternative diagnostic modality.
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spelling pubmed-55770772017-09-01 Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure Maekawa, Michitaka Imaizumi, Takahiro Yamakawa, Taishi Ito, Yasuhiko Intern Med Case Report A 26-year-old Japanese man without hypouricemia and with 3 previous episodes of seizures concurrent with acute kidney injury (AKI) was admitted due to an epileptic seizure, lower back pain and AKI. His creatinine kinase levels were slightly elevated. Patchy renal ischemia on contrast-enhanced computed tomography and persistent residual contrast medium was observed, consistent with acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE). Diffusion-weighted imaging (DWI) demonstrated signal changes in the corresponding area. ALPE should be considered a cause of AKI following seizures. We recommend DWI as an alternative diagnostic modality. The Japanese Society of Internal Medicine 2017-08-01 /pmc/articles/PMC5577077/ /pubmed/28768971 http://dx.doi.org/10.2169/internalmedicine.56.8328 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Maekawa, Michitaka
Imaizumi, Takahiro
Yamakawa, Taishi
Ito, Yasuhiko
Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure
title Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure
title_full Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure
title_fullStr Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure
title_full_unstemmed Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure
title_short Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure
title_sort acute renal failure with severe loin pain and patchy renal vasoconstriction in a patient without hypouricemia, provoked by epileptic seizure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577077/
https://www.ncbi.nlm.nih.gov/pubmed/28768971
http://dx.doi.org/10.2169/internalmedicine.56.8328
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