A case of early onset normotensive scleroderma renal crisis in a patient with diffuse cutaneous systemic sclerosis

Hany G. Bashandy, Jason S. Javillo, Steven R. Gambert

Research output: Contribution to journalArticlepeer-review

Abstract

Scleroderma renal crisis (SRC) has classically been defined as a new onset of accelerated arterial hypertension associated with a rapid increase in serum creatinine concentration and/or microangiopathic hemolytic anemia. SRC occurs in approximately 20% of patients with systemic sclerosis who have diffuse cutaneous manifestations. In addition, 10% of reported cases of SRC with diffuse cutaneous involvement have normal blood pressures; in the majority of these cases, SRC occurs after treatment with corticosteroids. We describe a patient who presented with an early onset SRC in the setting of diffuse cutaneous systemic sclerosis in evolution without prior accelerated arterial hypertension or corticosteroid use.

Original languageEnglish (US)
Pages (from-to)870-872
Number of pages3
JournalSouthern medical journal
Volume99
Issue number8
DOIs
StatePublished - Aug 1 2006

Keywords

  • Normotensive renal crisis
  • Scleroderma renal crisis
  • Systemic sclerosis

ASJC Scopus subject areas

  • Medicine(all)

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