Abstract
Anticoagulant-related nephropathy (ARN) is a rare but important disease and often misdiagnosed. The hallmark of the diagnosis is acute kidney injury (AKI) superimposed on preexisting kidney disease due to anticoagulation-induced glomerular hemorrhage with histologic features of widespread tubular obstruction by red blood cells and red cell casts. As ARN is a diagnosis of exclusion only proven by renal biopsy, the diagnosis is often unlikely to be confirmed histologically because of fear of biopsy-related bleeding during anticoagulant therapy. Given the large differential diagnosis in AKI, diagnosing ARN remains a challenge for clinicians. A case report and the pitfalls related to diagnosis and management will be discussed in this paper.
Original language | English |
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Pages (from-to) | 284-289 |
Number of pages | 6 |
Journal | Clinical nephrology |
Volume | 100 |
Issue number | 6 |
DOIs | |
Publication status | Published - 1 Dec 2023 |
Keywords
- anticoagulant-related nephropathy
- chronic kidney disease
- glomerular hemorrhage
- renal biopsy
- tubular obstruction