Poster
Contents

Abstract

Introduction

Case

Clinical course

Discussion
& Conclusion

References

Discussion
Board

Acute renal failure due to renal artery occlusion in a patient with polycythemia vera.

Urasaki, Y (First department of Internal Medicine, Fukui Medical University, Japan);
Amaya, N (First department of Internal Medicine, Fukui Medical University, Japan);
Kiriba, C (First department of Internal Medicine, Fukui Medical University, Japan);
Shirasaki, A (Central Clinical Laboratory, Fukui Medical University, Japan);
Fukumoto, M (First department of Internal Medicine, Fukui Medical University, Japan);
Kimura, H (Central Clinical Laboratory, Fukui Medical University, Japan);
Suzuki, S (Department of Clinical and Laboratory Medicine, Fukui Medical University, Japan);
Inagaki, R (Department of Radiology, Fukui Medical University, Japan);
Hayashi, N (Department of Radiology, Fukui Medical University, Japan);
Gejyo, F (Department of Clinical and Laboratory Medicine, Fukui Medical University, Japan)
Ueda, T (First department of Internal Medicine, Fukui Medical University, Japan)

Contact Person: Yoshimasa Urasaki (urasakiy@fmsrsa.fukui-med.ac.jp)

Abstract

A 51 years old Japanese female referred to our department for the examination and the treatment of her polycythemia. In peripheral blood counts, RBC was 6.63 x10¹² /l, WBC 20.7 x10⁹ /l and PLT count 889 x10⁹ /l. Judging from the result of blood count and bone marrow aspiration, she was diagnosed as having polycythemia vera (PV). She was treated by hydroxyurea and cytarabine ocfosfate to reduce her blood counts. At first her renal function was almost normal. But in rapidly worsening way renal dysfunction was occurred to her. At last her laboratory examination became as follows, blood urea nitrogen (BUN) was 85mg/dl, creatinine (Cr) 7.2mg/dl, uric acid 15.2mg/dl. Therefore she needed hemodialysis because of uremia. The renal arterial angiography showed the bilateral renal artery occlusion. The percutaneous transluminal angioplasty (PTA) successfully recanalised the artery and the value of BUN and Cr recovered to nearly normal. To our knowledge, there was no previous report that renal artery occlusion was the cause of acute renal failure in PV patients and PTA was effective to recover from it.

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Poster Number PAurasaki0629
Keywords: Polycythemia, renal failure, artery occlusion, angioplasty

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