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Case Reports
. 2011:2011:268370.
doi: 10.4061/2011/268370. Epub 2011 Jun 2.

A patient with hemoptysis and renal failure

Pranavkumar Dalal  1 , Gautam Phadke, Amandeep Gill, Kurtis Tarwater, Madhukar Misra, Nicole Pele, Brian Odum
Affiliations
Case Reports

A patient with hemoptysis and renal failure

Pranavkumar Dalal et al. Int J Hypertens. 2011.

Abstract

Pulmonary-renal syndrome is a medical emergency; etiology of which has broad differential diagnosis. Delay in both diagnosis and initiation of management may result in end-organ damage. Management decisions may have to be empiric till a rapid, definitive tissue diagnosis is established. We present such a case where prompt recognition and immediate treatment was initiated, although the patient sustained irreversible end-organ damage. The case also highlights the need to interpret the kidney biopsy data (namely, immunofluroscence findings) in the context of clinical presentation.

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Figures

Figure 1
Figure 1
(a) Glomerular fibrinoid necrosis (∗) and a crescent (∗∗). (b) Arteriole with fibrinoid necrosis (∧) with luminal narrowing.
Figure 2
Figure 2
Changes due to chronic hypertension. (a) Periglomerular fibrosis (♦), thick capillary walls (∧). (b) Arteriole with myointimal hyperplasia (★).
See this image and copyright information in PMC

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