A Case Report of Acute Kidney Injury Induced by Polyarteritis Nodosa with ANCA(+) in the Aged and the Literatures Review*

Author:HOU Shuang

affiliation: Department of Nephrology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China

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Abstract

Objective To investigate the clinical characteristics, diagnosis and treatment of 1 case of acute kidney injury induced by polyarteritis nodosa with ANCA(+) in an old male, and to review the literatures about diagnosis and treatment of polyarteritis nodosa. Methods Early diagnosis was performed with the renal biopsy and the laboratory examinations. The patient was treated with the immunosuppressive therapy in time. Results The patient recovered well, urine output became normal, renal function improved. He was away from dialysis. Conclusion Polyarteritis nodosa can go with ANCA(+).Elderly patients with acute kidney injury need to be excluded polyarteritis nodosa. Active immunosuppressive therapy is helpful to improve the prognosis.

【Keyword】Polyarteritis Nodosa; Acute Kidney Injury; Old Men; ANCA

【Chart number】R543.1+1

【Document Identification Number】A

【DOI】10.3969/j.issn.1009-3257.2017.04.018