My Bleeding Nephrons!
Anticoagulation-related nephropathy (ARN) is an uncommon diagnosis that should be considered in patients presenting with unexplained acute kidney injury (AKI) and coagulopathy. In this article, we present the case of a 70-year-old male with a history of cirrhosis and portal vein thrombosis on Coumad...
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Online Access: | https://doi.org/10.1177/2324709619858126 |
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doaj-c72f325334d04aa9b393969acb2ae0a82020-11-25T02:50:00ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962019-06-01710.1177/2324709619858126My Bleeding Nephrons!Jiemin Li MD0Sandeep Anand Padala MD1George Hinnant DO2Anusha Vakiti MD3Azeem Mohammed MD4Medical College of Georgia, Augusta, GA, USAAugusta University Medical Center, Medical College of Georgia, Augusta, GA, USAAugusta University Medical Center, Medical College of Georgia, Augusta, GA, USAMedstar Washington Hospital Center, Washington, DC, USAAugusta University Medical Center, Medical College of Georgia, Augusta, GA, USAAnticoagulation-related nephropathy (ARN) is an uncommon diagnosis that should be considered in patients presenting with unexplained acute kidney injury (AKI) and coagulopathy. In this article, we present the case of a 70-year-old male with a history of cirrhosis and portal vein thrombosis on Coumadin who presented to the hospital with gross hematuria. The patient was diagnosed with AKI on chronic kidney disease (CKD) secondary to ARN superimposed on sclerosing IgA nephropathy. ARN, also known as warfarin-associated nephropathy, is an uncommon condition in which AKI from glomerular hemorrhage develops in a patient with an international normalized ratio greater than 3. The most common risk factor for development of ARN is CKD. AKI in our patient unearthed preexisting CKD due to IgA nephropathy as evidenced by the biopsy.https://doi.org/10.1177/2324709619858126 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jiemin Li MD Sandeep Anand Padala MD George Hinnant DO Anusha Vakiti MD Azeem Mohammed MD |
spellingShingle |
Jiemin Li MD Sandeep Anand Padala MD George Hinnant DO Anusha Vakiti MD Azeem Mohammed MD My Bleeding Nephrons! Journal of Investigative Medicine High Impact Case Reports |
author_facet |
Jiemin Li MD Sandeep Anand Padala MD George Hinnant DO Anusha Vakiti MD Azeem Mohammed MD |
author_sort |
Jiemin Li MD |
title |
My Bleeding Nephrons! |
title_short |
My Bleeding Nephrons! |
title_full |
My Bleeding Nephrons! |
title_fullStr |
My Bleeding Nephrons! |
title_full_unstemmed |
My Bleeding Nephrons! |
title_sort |
my bleeding nephrons! |
publisher |
SAGE Publishing |
series |
Journal of Investigative Medicine High Impact Case Reports |
issn |
2324-7096 |
publishDate |
2019-06-01 |
description |
Anticoagulation-related nephropathy (ARN) is an uncommon diagnosis that should be considered in patients presenting with unexplained acute kidney injury (AKI) and coagulopathy. In this article, we present the case of a 70-year-old male with a history of cirrhosis and portal vein thrombosis on Coumadin who presented to the hospital with gross hematuria. The patient was diagnosed with AKI on chronic kidney disease (CKD) secondary to ARN superimposed on sclerosing IgA nephropathy. ARN, also known as warfarin-associated nephropathy, is an uncommon condition in which AKI from glomerular hemorrhage develops in a patient with an international normalized ratio greater than 3. The most common risk factor for development of ARN is CKD. AKI in our patient unearthed preexisting CKD due to IgA nephropathy as evidenced by the biopsy. |
url |
https://doi.org/10.1177/2324709619858126 |
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