title: [Sclerodermic renal crisis: case report].
abstract: Sclerodermic renal crisis is defined as a severe arterial hypertension or rapidly progressive glomerulonephritis in a sclerodermic patient, associated with anuria due to no other cause but systemic sclerodermia. It constitutes a rare and dangerous complication. The renal prognosis can be effectively improved by converting enzyme inhibitors, allowing a better arterial hypertension control. However, the associated mortality remains high, a follow up must be instaured in order to prevent the apparition of renal lesions in all sclerodermic patients. We report a case of rapidly progressive renal failure with hypertension in a patient with no previous problems, which preceded the development of scleroderma diffuse cutaneous form. The biopsy showed a microangiopathy in the context of scleroderma renal crisis. The evolution was marked by the presence of chronic renal insufficiency which necessitated the dialysing start.
authors.affiliation: Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc. zbitinajoua@live.fr
authors.forename: Najoua
authors.initials: N
authors.lastname: Zbiti
authors.forename: Tarik Sqalli
authors.initials: TS
authors.lastname: Houssaini
authors.forename: Aicha
authors.initials: A
authors.lastname: Benkirane
authors.forename: Zaitouna
authors.initials: Z
authors.lastname: Alhamany
authors.forename: Hakima
authors.initials: H
authors.lastname: Rhou
authors.forename: Loubna
authors.initials: L
authors.lastname: Benamar
authors.forename: Fatima
authors.initials: F
authors.lastname: Ezaitouni
authors.forename: Rabia
authors.initials: R
authors.lastname: Bayahia
authors.forename: Naima
authors.initials: N
authors.lastname: Ouzeddoun
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D051437:Renal Insufficiency / Q000209:etiology*; D012595:Scleroderma, Systemic / Q000150:complications*