© 2003 by BMJ Publishing Group Ltd & European League Against Rheumatism
LESSON OF THE MONTH
An unusual cause of acute renal failure in systemic sclerosis
Series editor: Anthony D Woolf
1 University Hospital Aintree, Academic Rheumatology Unit, University of Liverpool, Liverpool L9 7AL, UK
2 Gastroenterology Research group, Department of Medicine, University of Liverpool, Liverpool L69 3GA, UK
Correspondence to:
Correspondence to:
Dr S Mpofu
Academic Rheumatology Unit, University Hospital Aintree, Lower Lane, L9 7AL, UK; smpofu{at}liv.ac.uk
Background: Scleroderma renal crisis is one of the most life threatening complications of scleroderma. Enteric hyperoxaluria complicates extensive disease or resection of the small intestine in the presence of an intact colon, and is associated with calcium oxalate nephrolithiasis. This cause of renal failure may be underestimated and should be considered in all patients with malabsorption and renal failure.
Case report: A 78 year old woman with systemic sclerosis affecting the bowel developed acute renal failure caused by oxalate nephropathy.
Results: The patient’s renal failure improved on an oxalate free diet.
Keywords: scleroderma; enteric hyperoxaluria; angiotensin converting enzyme inhibitor; oxalate nephropathy; diuretics
Abbreviations: ACE, angiotensin converting enzyme; SRC, scleroderma renal crisis
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
