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Renocortical Necrosis: Partial Recovery After 49 Days of Oliguria

Renocortical Necrosis: Partial Recovery After 49 Days of Oliguria Abstract IN PATIENTS with acute renal failure, recovery may be delayed1,2 and has occurred as late as 28 to 34 days.3-6 Persistence of oliguria or anuria beyond that time carries a grave prognosis. Nevertheless, the survival of patients after prolonged periods of oliguria7 suggests that the outlook is not invariably hopeless and that late return of some renal function may unexpectedly occur. It is therefore pertinent to report a patient with renocortical necrosis who made a partial recovery after being maintained by peritoneal dialysis during a period of 49 days of anuria and oliguria. Serial biopsies were a poor guide to prognosis in this case. Report of a Case A 26-year-old housewife was admitted to the Presbyterial-St. Luke's Hospital on Feb 7, 1966, in the sixth month of her fourth pregnancy. A diagnosis of preeclampsia was made during previous pregnancies and elevation of the blood pressure was noted References 1. Dougherty, J.C., et al: Recovery From Acute Renal Failure After 23 Days of Anuria , JAMA 186:68-69. 1963.Crossref 2. Persoff. D.: Recovery From Prolonged Oliguria in Acute Glomerulonephritis , Lancet 1:347-350, 1965.Crossref 3. Kelemen, W.A., and Kolff, W.J.: Survey of Dialyses for Acute Renal Failure at Cleveland Clinic Hospital in 1958 , Cleveland Clin Quart 26:227-234, 1958.Crossref 4. Derot, M., et al: Deux cas de necrose corticale du rein , Bull Soc Med Hop Paris 76:812-819, 1960. 5. Maher, J.F., and Schreiner, G.E.: Metabolic Problems Related to Prolonged Dialvtic Maintenance of Life in Oliguria , JAMA 176:3[ill] 403, 1961.Crossref 6. Nakamoto, S., et al: Treatment of Oliguric Glomerulonephritis With Dialysis and Steroids , Ann Intern Med 63:359-368, 1965.Crossref 7. Alwall, N.: Erfahrungen Mit Der Kunstlichen , Arch Klin Chir 287:579-590, 1957. 8. Vernon-Parry, J., and Williams, R.T.: Renal Cortical Necrosis With Survival , Brit Med J 2:903-904, 1963.Crossref 9. Brun, C.: Acute Anuria: A Study Based on Renal Function Tests and Aspiration Biopsy of the Kidney , Copenhagen: Ejnar Munksgaard, 1954. 10. Muehrcke, R.C., et al: Renal Biopsy: Technique and Clinical Application , Proc Roy Soc Med 49:327-330, 1956. 11. Milne, M.D.: Ciba Symposium on Renal Biopsy , London: J. & A. Churchill Ltd, 1961, p 189. 12. Annotation: Oliguric Acute Glomerulonephritis , Lancet 1:1429-1430, 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Renocortical Necrosis: Partial Recovery After 49 Days of Oliguria

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.00290230156007
Publisher site
See Article on Publisher Site

Abstract

Abstract IN PATIENTS with acute renal failure, recovery may be delayed1,2 and has occurred as late as 28 to 34 days.3-6 Persistence of oliguria or anuria beyond that time carries a grave prognosis. Nevertheless, the survival of patients after prolonged periods of oliguria7 suggests that the outlook is not invariably hopeless and that late return of some renal function may unexpectedly occur. It is therefore pertinent to report a patient with renocortical necrosis who made a partial recovery after being maintained by peritoneal dialysis during a period of 49 days of anuria and oliguria. Serial biopsies were a poor guide to prognosis in this case. Report of a Case A 26-year-old housewife was admitted to the Presbyterial-St. Luke's Hospital on Feb 7, 1966, in the sixth month of her fourth pregnancy. A diagnosis of preeclampsia was made during previous pregnancies and elevation of the blood pressure was noted References 1. Dougherty, J.C., et al: Recovery From Acute Renal Failure After 23 Days of Anuria , JAMA 186:68-69. 1963.Crossref 2. Persoff. D.: Recovery From Prolonged Oliguria in Acute Glomerulonephritis , Lancet 1:347-350, 1965.Crossref 3. Kelemen, W.A., and Kolff, W.J.: Survey of Dialyses for Acute Renal Failure at Cleveland Clinic Hospital in 1958 , Cleveland Clin Quart 26:227-234, 1958.Crossref 4. Derot, M., et al: Deux cas de necrose corticale du rein , Bull Soc Med Hop Paris 76:812-819, 1960. 5. Maher, J.F., and Schreiner, G.E.: Metabolic Problems Related to Prolonged Dialvtic Maintenance of Life in Oliguria , JAMA 176:3[ill] 403, 1961.Crossref 6. Nakamoto, S., et al: Treatment of Oliguric Glomerulonephritis With Dialysis and Steroids , Ann Intern Med 63:359-368, 1965.Crossref 7. Alwall, N.: Erfahrungen Mit Der Kunstlichen , Arch Klin Chir 287:579-590, 1957. 8. Vernon-Parry, J., and Williams, R.T.: Renal Cortical Necrosis With Survival , Brit Med J 2:903-904, 1963.Crossref 9. Brun, C.: Acute Anuria: A Study Based on Renal Function Tests and Aspiration Biopsy of the Kidney , Copenhagen: Ejnar Munksgaard, 1954. 10. Muehrcke, R.C., et al: Renal Biopsy: Technique and Clinical Application , Proc Roy Soc Med 49:327-330, 1956. 11. Milne, M.D.: Ciba Symposium on Renal Biopsy , London: J. & A. Churchill Ltd, 1961, p 189. 12. Annotation: Oliguric Acute Glomerulonephritis , Lancet 1:1429-1430, 1964.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: May 1, 1967

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