title: Acute kidney injury in a diabetic haemophiliac: one step at a time.
abstract: We present a young man with type 1 diabetes mellitus and haemophilia A; who presented with oliguric acute kidney injury (AKI). He is also known to have chronic hepatitis C virus infection. On presentation, he had an active urinary sediment warranting a renal biopsy for definitive diagnosis and management. Although he was at high risk for bleeding we elected for renal biopsy with appropriate factor VIII supplementation and monitoring. Ultrasound-guided percutaneous renal biopsy was successful with no immediate or long-term complications. Biopsy revealed advanced diabetic glomerulosclerosis with mild chronic interstitial inflammation.
authors.affiliation: Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
authors.forename: Mohammed Mahdi
authors.initials: MM
authors.lastname: Althaf
authors.forename: Maged Hassan
authors.initials: MH
authors.lastname: Hussein
authors.forename: Mohamed Said
authors.initials: MS
authors.lastname: Abdelsalam
authors.forename: Sadiq Mohammed
authors.initials: SM
authors.lastname: Amer
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology*; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003928:Diabetic Nephropathies / Q000175:diagnosis* / Q000209:etiology*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods; D006467:Hemophilia A / Q000150:complications*; D019698:Hepatitis C, Chronic / Q000150:complications; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D009846:Oliguria / Q000209:etiology