Acute reversible renal failure in a patient with paroxysmal nocturnal hemoglobinuria.
We present the case of a young male with 2-month history of intermittent upper abdominal pain who developed diarrhea, anorexia, tea-color urine, and decreased urine output. He was found to be in severe acute renal failure requiring hemodialysis, four sessions in 10-day period. By the end of the second week of hospitalization renal function gradually improved with total recovery of function to a baseline creatinine of 1.1 mg/dl 25 days after the diagnosis of acute renal failure. His workup included Ham's test, water sugar test, and RBC fragility test which confirmed the diagnosis of paroxysmal nocturnal hemoglobinuria.
Mooraki
A
A
Division of Nephrology, Iran University of Medical Sciences, Tehran.
Boroumand
B
B
Mohammad Zadeh
F
F
Ahmed
S H
SH
Bastani
B
B
D015746:Abdominal Pain / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy / Q000652:urine; D000328:Adult; D000855:Anorexia / Q000209:etiology; D003404:Creatinine / Q000097:blood; D003967:Diarrhea / Q000209:etiology; D004912:Erythrocytes / Q000473:pathology; D006457:Hemoglobinuria, Paroxysmal / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D009846:Oliguria / Q000209:etiology; D006435:Renal Dialysis
D003404:Creatinine