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 |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Shock Hemorrhagic Magnetic resonance angiography Epilepsy Renal Artery Tuberous Sclerosis medicine Humans Cognitive impairment Nose Connective tissue nevus Hematuria medicine.diagnostic_test business.industry General Medicine medicine.disease Angiofibromas Aneurysm Embolization Therapeutic Chin Surgery Radiography medicine.anatomical_structure Radiology business Previously treated |
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 |
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