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Nephrol Dial Transplant (1999) 14: 2502-2504
© 1999 European Renal Association-European Dialysis and Transplant Association

Teaching Point

Renal colic in a patient with anti-phospholipid antibodies and factor V Leiden mutation

Osnat Klein1, Jacques Bernheim1, Jacob Strahilevitz2, Jonathan Lehmann3 and Ze'ev Korzets1

1 Department of Nephrology and Hypertension, 2 Department of Internal Medicine E and the 3 Unit of Vascular Surgery, Sapir Medical Center, Meir Hospital, Kfar-Saba, and the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Correspondence and offprint requests to: Professor J. Bernheim, Department of Nephrology, Meir Hospital, Kfar-Saba 44281, Israel.

Introduction

Pain due to urolithiasis may present as either a dull ache in the renal angle or, more classically, as renal (ureteric) colic [1]. The latter is a severe flank pain which typically radiates from the loin to the groin, perineum, labia, scrotum or penis, often associated with vomiting. However, although renal colic is thought of almost pathognomonically as representing a kidney stone, other diagnoses should be borne in mind. We observed a patient with anti-phospholipid antibodies (APLA) and factor V Leiden mutation who was admitted with ureteric colic. Initial misdiagnosis as urolithiasis resulted in almost total loss of function of her left kidney and the . . . [Full Text of this Article]

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