A shocking hematuria

Autor: R. Sandrini, A.C. Mehl, Gibran Avelino Frandoloso, Pedro Henrique Isaacson Velho, B. Araujo, Maria Aparecida Pachaly, Mauricio Carvalho, G.B.G. Silva
Rok vydání: 2012
Předmět:
Zdroj: QJM : monthly journal of the Association of Physicians. 108(1)
ISSN: 1460-2393
Popis: A 28-year-old patient was admitted because of painless, massive hematuria (Figure 1), accompanied by severe hypotension and hemodynamic instability. It was the fifth episode in the last 3 months. He has been previously treated for epilepsy, diagnosed in childhood and had moderate to severe cognitive impairment. The skin exam of the patient revealed several lesions: angiofibromas, over the nose, nasolabial folds, cheeks and chin (Figure 2), brown colored connective tissue nevi and periungueal fibromas. A magnetic resonance angiography (MRA) revealed multiple echogenic, nodular areas with a cystic component in …
Databáze: OpenAIRE