ACE Inhibitor-induced Acute Renal Failure in a Patient with Progressive Systemic Sclerosis: Ischemic Nephropathy Mimicking PSS Renal Crisis
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概要
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A 79-year-old woman with progressive systemic sclerosis (PSS) presented with acute pulmonary edema, hypertension and renal failure. Administration of angiotensin-converting enzyme (ACE) inhibitor under suspicion of PSS renal crisis resulted in worsening of the renal function, which necessitated hemodialysis. Magnetic resonance arteriogram (MRA) demonstrated stenosis of the right renal artery, and ischemic nephropathy was diagnosed. Renal function improved after the discontinuation of ACE inhibitor. ACE inhibitor/angiotensin II receptor blocker (ARB), which is recommended for PSS renal crisis, should be avoided in ischemic nephropathy. In elderly PSS patients, careful exclusion of ischemic nephropathy is warranted before the administration of ACE inhibitor/ARB.
- 社団法人 日本内科学会の論文
著者
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KUWAHARA Takashi
Department of Nephrology, Saiseikai Nakatsu Hospital
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Tanaka Atsuo
Department Of Applied Physics Faculty Of Engineering Osaka University
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Washida Naoki
Department Of Materials Science And Engineering University Of Fukui
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Kojima Hirohisa
Department Of Aerospace Engineering Tokyo Metropolitan Institute Of Technology
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Kuwahara Takashi
Department Of Bioengineering Faculty Of Engineering Nagaoka University Of Technology
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Ueda Satoshi
Department Of Electronic Engineering Faculty Of Engineering Kobe University:(present Address)fujitsu
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Shinohara Miho
Department of Nephrology, Saiseikai Nakatsu Hospital
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Kojima Hirohisa
Department of Medicine, Saiseikai Shinsennan Hospital
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Washida Naoki
Department of Nephrology, Saiseikai Nakatsu Hospital
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