The Case | An unusual cause of renal impairment and hematuria in aortic dissection

A 71-year-old with Stanford type B aortic dissection treated with Cook Medical (Bloomington, IN) ProForm ™ stent grafts 3 years previously was referred to the nephrology outpatient clinic for asymptomatic new-onset renal impairment. Other comorbidities were chronic hepatitis B, diabetes mellitus, and hypertension. Clinic blood pressure was 152/80 mm Hg, but physical examination was otherwise unremar kable. Serum creatinine was 142 μmol/l, urine protein-to-creatinine ratio 4.07 g/g, and glomerular hematuria was present (210 red cells) without pyuria on urine microscopy.

Source: Kidney International - June 19, 2019 Category: Urology & Nephrology Authors: Cynthia C. Lim, Jia Liang Kwek, Jason C.J. Choo, Alwin Loh Tags: Make Your Diagnosis Source Type: research