Bilateral renal artery thrombosis in inherited thrombophilia: a rare cause of acute kidney injury.
We describe the case of a 47-year-old man who developed significant acute, and subsequently chronic, kidney injury due to bilateral renal infarction. This occurred in the context of a combined inherited thrombophilia including antithrombin III deficiency and a prothrombin gene mutation. Bilateral renal artery thrombosis developed despite prophylactic treatment for thromboembolism. Arterial thrombosis is rare in the context of inherited thrombophilia and bilateral renal infarction is an unusual cause of acute kidney injury. Bilateral renal infarction due to primary renal artery thrombosis has not been previously described in antithrombin III deficiency, either as an isolated defect or in combination with other hereditary thrombophilia.
Department of Medicine, Mid Essex Hospital Services NHS Trust, Chelmsford, UK.
Kate S
KS
Wiles
Department of Medicine, Mid Essex Hospital Services NHS Trust, Chelmsford, UK.
Laura
L
Hastings
Department of Medicine, Mid Essex Hospital Services NHS Trust, Chelmsford, UK.
Vasantha Muthu
VM
Muthuppalaniappan
Department of Radiology, Mid Essex Hospital Services NHS Trust, Chelmsford, UK.
Muhammad
M
Hanif
Department of Medicine, Mid Essex Hospital Services NHS Trust, Chelmsford, UK.
Sumith
S
Abeygunasekara
AKI; antithrombin; prothrombin; renal infarction; renal thrombosis