Advertisment Nexovas Cilnidipine
Indian Journal of Nephrology About us |  Subscription |  e-Alerts  | Feedback | Login   
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
 Home | Current Issue | Archives| Ahead of print | Search |Instructions |  Editorial Board  

Users Online:469

Official publication of the Indian Society of Nephrology
 
CASE REPORT
Ahead of Print

Partially reversible acute renal cortical necrosis secondary to hyperhomocysteinemia – A case report and literature review


1 Department of Medicine, Serdang Hospital, Malaysia
2 Department of Pathology, Universiti Putra Malaysia, Malaysia
3 Unit of Nephrology, Department of Medicine, Universiti Putra Malaysia, Serdang, Malaysia

Correspondence Address:
Christopher Thiam Seong Lim,
Nephrology Unit, Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia - 43400, Serdang
Malaysia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.IJN_153_18

Acute renal cortical necrosis (ACN) is a potentially fatal renal condition. Our objective is to report a case of ACN in a young man who had developed premature atherosclerotic vascular disease and required intermittent hemodialysis support. His renal biopsy showed diffuse cortical necrosis. Subsequently, 2 weeks after the renal insult, he developed a cardioembolic stroke and was anticoagulated with low-molecular-weight heparin. Thrombophilia screen revealed elevated serum homocystein and he was treated with folate supplement and vitamin B12 injection. With these treatments, he had partial renal recovery and became dialysis independent. In conclusion, this is a rare case of ACN, which may have occurred as a complication of hyperhomocysteinemia.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Tan W
    -  Abd Ghani F
    -  Seong Lim CT
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed64    
    PDF Downloaded5    

Recommend this journal

Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07