title: Normotensive scleroderma renal crisis in a patient with progressive systemic sclerosis: case report and review of literature.
abstract: Scleroderma renal crisis (SRC) is a rarebut severe complication of systemic sclerosis. SRC usually occurs in the presence of high blood pressure but may be seen in patients with normal blood pressure. Normotensive SRC cases have a poorer prognosis and failure to recognize this condition can result in a fatal outcome, depriving the patient of the potential benefits of ACE inhibitors. We present a case of diffuse cutaneous systemic sclerosis with early onset normotensive SRC and oliguric acute renal failure.
authors.affiliation: Louisiana State University Health Sciences Center, Shreveport, USA. drfahdsaeed@yahoo.com
authors.forename: Fahd
authors.initials: F
authors.lastname: Saeed
authors.forename: Ann
authors.initials: A
authors.lastname: Parke
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001706:Biopsy; D003422:Critical Care; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D007668:Kidney / Q000473:pathology; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D012595:Scleroderma, Systemic / Q000150:complications / Q000175:diagnosis / Q000276:immunology / Q000503:physiopathology / Q000628:therapy; D012698:Serologic Tests; D012867:Skin / Q000473:pathology
chemical_list: D000959:Antihypertensive Agents