[Sclerodermic renal crisis: case report].
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.
Zbiti
Najoua
N
Service de néphrologie-dialyse-transplantation rénale, CHU Ibn Sina, Rabat, Maroc. zbitinajoua@live.fr
Houssaini
Tarik Sqalli
TS
Benkirane
Aicha
A
Alhamany
Zaitouna
Z
Rhou
Hakima
H
Benamar
Loubna
L
Ezaitouni
Fatima
F
Bayahia
Rabia
R
Ouzeddoun
Naima
N
D000328:Adult; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D051437:Renal Insufficiency / Q000209:etiology*; D012595:Scleroderma, Systemic / Q000150:complications*