title: Acute renal failure with polyarteritis nodosa and multiple myeloma.
abstract: A patient who presented with acute renal failure due to renal cortical necrosis is described. Renal biopsy showed cortical infarction and angiography demonstrated aneurysms in the renal, splenic and hepatic circulations. Concurrently he was found to have an IgA kappa paraprotein with bone marrow changes diagnostic of multiple myeloma. He was treated with haemodialysis, immunosuppressive drugs and plasma exchange but died 3 months after presentation.
authors.forename: A J
authors.initials: AJ
authors.lastname: Williams
authors.forename: A C
authors.initials: AC
authors.lastname: Newland
authors.forename: F P
authors.initials: FP
authors.lastname: Marsh
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D007673:Kidney Cortex Necrosis / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000150:complications*; D010488:Polyarteritis Nodosa / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D013157:Splenic Artery / Q000000981:diagnostic imaging