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Malignant Hypertension Complicated By Renal Thrombotic Micro Angiopathy: Role Of Adam 13 Mutational Analyses

  • Dubai Hospital

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

We report a case of a 38-year-old U.A.E national who presented with malignant hypertension and features of thrombotic microangiopathy. He presented with oliguria, renal failure, thrombocytopenia and haemolytic anaemia. He required several sessions of renal replacement therapy. ADAM 13 mutational analysis was sent to differentiate Thrombotic micro angiopathy due to thrombotic thrombocytopenic purpura (TTP) or malignant hypertension. Renal biopsy revealed histopathological features of malignant arteriolar nephrosclerosis (MANS). Haemolytic parameters improved after control of blood pressure and he was subsequently discharged with early nephrology follow up.

Original languageEnglish
Pages (from-to)502-505
Number of pages4
JournalJournal of Ayub Medical College, Abbottabad : JAMC
Volume29
Issue number3
StatePublished - 1 Jul 2017

Keywords

  • HUS
  • Haemolytic uremic syndrome
  • MANS
  • Malignant arteriolar nephrosclerosis
  • Malignant hypertension
  • TTP
  • Thrombotic Microangiopathy
  • Thrombotic thrombocytopenic purpura

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