Nephrol Dial Transplant (2001) 16: 2434-2436
© 2001 European Renal Association-European Dialysis and Transplant Association
Images in Nephrology
Destruction of a cervical vertebra in a patient with end-stage renal failure
(Section Editor: G. H. Neild)
Department of Renal Medicine, St James's University Hospital, Leeds, UK
Keywords: lupus erythematosus; sclerotic bone disease; end-stage renal failure; tertiary hyperparathyroidism
Case
We present a patient who was diagnosed with systemic lupus erythematosus (SLE) in 1979 at the age of 19 years. Six months after presentation she developed nephrotic syndrome and was treated with prednisolone and azathioprine. However, in the following 4 years she progressed to end-stage renal failure (ESRF) and started haemodialysis. In 1984 she received a cadaveric renal transplant but underwent a transplant nephrectomy 1 month later, due to steroid-resistant rejection. In 1986, she received a second cadaveric renal transplant but returned to dialysis 2 years later due to chronic allograft nephropathy. After a brief period of time on haemodialysis she changed modality to peritoneal dialysis.
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