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2017 ; 56
(15
): 2001-2005
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Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a
Patient without Hypouricemia, Provoked by Epileptic Seizure
#MMPMID28768971
Maekawa M
; Imaizumi T
; Yamakawa T
; Ito Y
Intern Med
2017[]; 56
(15
): 2001-2005
PMID28768971
show ga
A 26-year-old Japanese man without hypouricemia and with 3 previous episodes of
seizures concurrent with acute kidney injury (AKI) was admitted due to an
epileptic seizure, lower back pain and AKI. His creatinine kinase levels were
slightly elevated. Patchy renal ischemia on contrast-enhanced computed tomography
and persistent residual contrast medium was observed, consistent with acute renal
failure with severe loin pain and patchy renal ischemia after anaerobic exercise
(ALPE). Diffusion-weighted imaging (DWI) demonstrated signal changes in the
corresponding area. ALPE should be considered a cause of AKI following seizures.
We recommend DWI as an alternative diagnostic modality.