Recurrent and reversible acute renal failure in a patients with hematuria and Schönlein- Henoch purpura

Torregrosa de Juan, E.; Hernández Jaras, J.; Sánchez Canell, J. J.; Pin, M.; Tamarit, E.; Rico, I.; Calvo Gordo, C.; García Pérez, H.; Pons Prades, R.; Rius, A.; Fenollosa, M. A.
December 2008
Nefrologia;Dec2008, Vol. 28 Issue 6, p649
Academic Journal
Sumary Henoch- Schönelin purpura (HSP) is a small vessel vasculitis characterized by deposition of inmune complexes, mainly IgA and C3. It is a multisystem disorder affecting predominantly the skin, joints, gastrointestinal tract and kidneys. Clinical expression of nephritis ranges from transient isolated microscopic haematuria to rapidly progressive nephropathy. Acute renal failure is rare and is associated with episodes of macroscopic hematuria. These episodes are frequently associated with tubular damage and tubular obstruction by erythrocyte casts. We describe a patient with two episodes of acute renal failure after the onset of gross hematuria. Both episodes were reversible after six and four months respectively on hemodialysis.


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