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Tuesday slide seminar, March 17th 2009
Anne Räisänen-Sokolowski
Division of Pathology, HUSLAB, University Central Hospital, Helsinki, Finland
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Case 1
67-yrs-old previously healthy female with rapidly progressive renal
failure. Crea 353, no proteinuria, no hematuria. Hypercalcemia, serum
ACE increased.
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Diagnosis & discussion |
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Case 2
30-yrs-old female, 1,5 months ago during upper respiratory infection
developed oligouria, proteinuria 6 g/day, edema in lower extremities,
Crea 80-90, BP 120/80.
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Diagnosis & discussion |
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Case 3
77-yrs-old previously healthy female. During past month febrile,
coughing, increasing Crea ad 242, Mild proteinuria (0,5 g/day),
hematuria, CRP high, La 89.
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Diagnosis & discussion |
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Case 4
50-yrs-old female, treated by rheumatologist with cyclosporin A and
metotrexate. A couple of months ago ARDS with acute renal failure
treated with dialysis. Plasmaexchage, pulse steroid and immunoglobulin
treatments. Now proteinuria 0,5 g/day, Crea 406, no hematuria.
Creatine starts increasing again.
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Diagnosis & discussion |
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Case 5
35-yrs-old female, renal transplantation 14 yrs ago due to
vesico-urethral reflux. Medication cyclosporin A, steroids. Creatine
slowly increasing, no hematuria, no proteinuria.
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Diagnosis & discussion |
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Case 6
31-yrs-old female, liver transplantation three years ago due to
Budd-Chiari syndrome. Postoperatively vena-occlusion and transjugular
intrahepatic portosystemic shunt done. ALAT, ASAT normal. A month ago
shunt open, however, ALAT increases ad 155.
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Diagnosis & discussion |
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