Malignant Hypertension Causing a Pulmonary-Renal Syndrome. (17th December 2018)

• Record Type: Journal Article
• Authors: Yong, Bryan; Power, David A.
• Other Names: Steinman Theodore I. Academic Editor.
• Is Part Of: Case reports in nephrology. Volume 2018(2018)
• Publication Date: 2018-12-17
• Subjects: Nephrology -- Periodicals; Kidneys -- Diseases -- Periodicals; Nephrology; Kidneys -- Diseases; Nephrology; Periodicals; Electronic journals; Periodicals; 616.61
• DOI: 10.1155/2018/3273695
• Languages: English
• ISSNs: 2090-6641

Abstract

Abstract : Background. Pulmonary-renal syndrome is characterised by acute kidney injury, haematuria, and haemoptysis and is a well-recognised presentation of diseases such as ANCA vasculitis that require urgent immunosuppression. Case Presentation. A patient presented with a brief history of haemoptysis, acute renal failure, microscopic haematuria, and severe hypertension. The diagnosis was initially not clear so he was treated with antihypertensives, renal replacement therapy, and immunosuppression. Renal biopsy subsequently showed evidence of malignant hypertension. Autoantibodies were uniformly negative. Conclusions. This case demonstrates that malignant hypertension can present as pulmonary-renal syndrome.