rss
Ann Rheum Dis 2003;62:1133-1134 doi:10.1136/ard.2002.002295
  • Lesson of the month

An unusual cause of acute renal failure in systemic sclerosis

  1. S Mpofu1,
  2. J M Rhodes2,
  3. C M A Mpofu2,
  4. R J Moots1
  1. 1University Hospital Aintree, Academic Rheumatology Unit, University of Liverpool, Liverpool L9 7AL, UK
  2. 2Gastroenterology Research group, Department of Medicine, University of Liverpool, Liverpool L69 3GA, UK
  1. Correspondence to:
    Dr S Mpofu
    Academic Rheumatology Unit, University Hospital Aintree, Lower Lane, L9 7AL, UK; smpofuliv.ac.uk
  • Accepted 2 February 2003

Abstract

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.

Footnotes

  • Series editor: Anthony D Woolf

This Article

  1. Abstract
  2. Full text
  3. PDF

Responses

  1. Submit a response
  2. No responses published

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.