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Phlebologie 2021; 50(06): 384-389
DOI: 10.1055/a-1171-4974
Kasuistik

Ein interessanter Fall: Exanthem bei akuter Niereninsuffizienz

An interesting case: acute renal failure with exanthema
Sandra Schreiner
  Universitätsklinikum Hamburg-Eppendorf
,
Stefan Werner Schneider
  Universitätsklinikum Hamburg-Eppendorf
,
Wilhelm Kath
  Universitätsklinikum Hamburg-Eppendorf
› Author Affiliations
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Zusammenfassung

Wir berichten über einen Patienten, der ein Exanthem im Sinne palpabler Purpura bei akuter Niereninsuffizienz zeigte. Die Histologie der Haut und direkte Immunfluoreszenz wiesen eine IgA-Vaskulitis nach. In der Urinuntersuchung zeigten sich Akanthozyten, die diagnostische Nierenbiopsie bestätigte den Verdacht einer begleitenden Glomerulonephritis. Unter hochdosierter Steroidtherapie kam es zur Besserung des Hautbefundes und der Retentionsparameter.

Abstract

We report about a patient with palpable purpura in combination with an acute renal failure. The biopsy of the skin and direct immunofluorescence show the appearence of an IgA-vasculitis. In the urine tests acanthoyctes were shown, the diagnostic renal biopsy confirms the suspected accompanyoning glomerulonephritis. After treatment with highdose corticosteroids the skin lesions and the renal function improve.

Schlüsselwörter

IgA-Vaskulitis - palpable Purpura - Glomerulonephritis

Key words

IgA-Vaculitis - palpable purpura - glomerulonepritis


Publication History

Article published online:
09 October 2020

© 2020. Thieme. All rights reserved.

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