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Nephrol Dial Transplant (2004) 19: 742-744
Nephrol Dial Transplant Vol. 19 No. 3 (c) ERA-EDTA 2004; all rights reserved

Teaching Point
(Section Editor: K. Kühn)

Supported by an educational grant from

A 63-year-old man with acute abdominal pain and laboratory signs of rapid progressive renal disease

Gunter Wolf1, Claus Schneider2, Susan Petri3, Udo Helmchen3 and Rolf A. K. Stahl1

1Department of Medicine, Division of Nephrology and Osteology, 2Department of Surgery and 3Institute for Pathology, University of Hamburg, Hamburg, Germany

Correspondence and offprint requests to: Professor Dr Gunter Wolf, Department of Medicine, Division of Nephrology and Osteology, University of Hamburg, University Hospital Eppendorf, Pavilion 61, Martinistrasse 52, D-20246 Hamburg, Germany. Email: Wolf@uke.uni-hamburg.de

Keywords: ANCA; cyclophosphamide; rapid progressive glomerulonephritis; vasculitis

The first 10% of the full text of this article appears below.



   Case
 
A 63-year-old previously healthy man complained of increasing dyspnoea for 2 weeks. A cardiologist saw him, and an echocardiograph showed a mild pericardial effusion. Serum creatinine concentration was 4.6 mg/dl, and the patient was admitted to our clinic for further diagnostic work-up. He had no history of renal disease, a routine serum creatinine was normal 6 months previously, and he was taking no regular medication. In addition to the dyspnoea, the patient complained of abdominal pain in the right lower quadrant that began 24 h before admission. Physical examination revealed normal pulmonary and cardiac findings (BP 150/90 mmHg), but a local . . . [Full Text of this Article]



   Discussion
 


   Teaching points
 

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