| Literature DB >> 29574675 |
Hiroki Ishii1, Keiji Hirai2, Katsunori Yanai1, Taisuke Kitano1, Mitsutoshi Shindo1, Haruhisa Miyazawa1, Kiyonori Ito1, Yuichiro Ueda1, Yoshio Kaku1, Taro Hoshino1, Honami Mori1, Susumu Ookawara1, Yoshihiko Ueda3, Yoshiyuki Morishita1.
Abstract
A 55-year-old man with Marfan syndrome taking warfarin for anticoagulant therapy after aortic valve replacement developed acute kidney injury (serum creatinine level of 9.01 mg/dL) and gross macrohematuria. Renal biopsy showed red cell casts in the renal tubules, glomerular crescent formation in the glomeruli with immunoglobulin A deposition, and global sclerosis. Based on these findings, the patient was diagnosed with warfarin-related nephropathy with acute kidney injury characterized by immunoglobulin A nephropathy with crescents. The warfarin was withdrawn, and his hematuria and renal function improved without immunosuppressive agents.Entities:
Keywords: Acute kidney injury; Crescents; Immunoglobulin A nephropathy; Warfarin-related nephropathy
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Year: 2018 PMID: 29574675 PMCID: PMC6181879 DOI: 10.1007/s13730-018-0325-2
Source DB: PubMed Journal: CEN Case Rep ISSN: 2192-4449