무뇨를 동반하고 콩팥조직 검사로 증명된 심한 급성 세뇨관 괴사

• 영문명: An Unusual Case of Biopsy Proven Severe Acute Tubular Necrosis with Anuria
• 발행기관: 조선대학교 의학연구원
• 저자명: 김형남(Hyung Nam Kim) 신병철(Byung Chul Shin) 홍 란(Ran Hong) 김현리(Hyun Lee Kim) 정종훈(Jong Hoon Chung)
• 간행물 정보: 『The Medical Journal of Chosun University』제40권 제3호, 73~75쪽, 전체 3쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.09.30

영문 초록

Acute tubular necrosis (ATN) is a syndrome of intrinsic renal injury secondary to ischemic or toxic causes without parenchymal damages and usually non-oliguria. A 20-year old man presented with acute renal failure preceded by 2 days of watery diarrhea. He had been anuria for 48hr with intravenous fluid therapy. Oliguria persisted for 10 days and he required hemodialysis support for 6 days before renal recovery. He denied the use of any regular medication and any intravenous drug use. Renal biopsy revealed severe ATN. Histopathologic findings were marked desquamation of proximal tubular epithelial cells with intact distal tubules and normal glomeruli. We report an unusual case of ATN with anuria and clinically severe features.

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키워드

Acute tubular necrosis Anuria Renal biopsy Acute kidney injury