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NDT Advance Access published online on April 4, 2008
Nephrology Dialysis Transplantation, doi:10.1093/ndt/gfn156
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org


No way in & no way out: a case of renal failure due to both pre- and post-renal obstruction

Oliver Monfredi, Colin Jones and Niall Warnock*

* Departments of Renal Medicine and Radiology, York Hospital, Wiggington Road, York YO31 8HE, UK

Correspondence and offprint requests to: Oliver Monfredi, Department of Renal Medicine, York Hospital, Wiggington Road, York YO31 8HE, UK. Tel: +44-01904-631313 Ext 5374; Fax: +44-01904-726354; E-mail: oliver.monfredi@manchester.ac.uk

Keywords: Erdheim–Chester disease; histiocytosis; imaging; Langerhans cell histiocytosis; renal failure

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



   Introduction
 
Causes of renal failure can be classified as pre-renal, intra-renal and post-renal. We discuss a case of combined pre- and post-renal failure due to an unusual presentation of a rare disease. The case illustrates the usefulness of combining imaging modalities in investigating complex renal disease.



   Case discussion
 
A 46-year–old lady presented to the renal physicians in 2002 with a biopsy diagnosis of Langerhans cell histiocytosis (LCH). Initial presentation had been with maxillary and retro-orbital disease. A CT scan of the . . . [Full Text of this Article]



   Discussion
 

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