Renal Cortical Necrosis in Systemic Lupus Erythematosus

Hj, Baer; Rl, Winer

doi:10.1097/00007611-198401000-00023

Cited by 3 publications

(1 citation statement)

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“…Our data showed that its occurrence was strongly dependent on the severity of SLE and, therefore, might parallel lupus flare. In addition, diathesis for intravascular coagulation may provide another explanation for postoperative rapid deterioration of renal function in a patient with SLE 34. Thrombotic tendencies in SLE may precipitate glomerular thrombosis,35 which in some cases characterises acute renal failure in patients with SLE35–37; heparin and aspirin have thus been proposed as important adjuvant treatments to save the kidneys 36–38…”

Section: Discussionmentioning

confidence: 99%

Adverse outcomes after major surgery in patients with systemic lupus erythematosus: a nationwide population-based study

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Adverse outcomes after major surgery in patients with systemic lupus erythematosus: a nationwide population-based study

et al. 2013

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Renal cortical necrosis at presentation in a patient with systemic lupus erythematosus: an autopsy case report

et al. 2010

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Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder. Renal involvement has the worst prognosis. However, renal cortical necrosis is extremely unusual in SLE. In this case report, we describe the autopsy findings in a young female patient with SLE presenting with renal failure. At autopsy, there was Libmann-Sacks endocarditis with multiorgan infarcts and renal cortical necrosis. Secondary antiphospholipid antibodies contribute to the cardiac and renal manifestations in SLE. We discuss the incidence and pathogenesis of endocarditis with differential diagnosis for cortical necrosis in a patient of SLE.

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The ossicle‐cup prosthesis: Five years later

Schuring

Lippy

1986

Otolaryngol.--head neck surg.

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The ossicle-cup prosthesis is a semibiologic prosthesis that incorporates a synthetic portion into the remaining (or transplant) ossicle. This assembly is positioned on the stapes capitulum, with the synthetic cup forming a dynamic joint. During 1978, 114 patients underwent surgical procedures in which an ossicle cup prosthesis was used. After 1 year 84% of these patients were within 20 dB of their preoperative bone hearing levels. Patients with a concurrent mastoidectomy did worse than those who underwent only a tympanoossiculoplasty. Five years later, 74% of the successful cases were still within 20 dB of the preoperative hearing levels. Eighteen patients underwent a revision surgical procedure to regain hearing. The postoperative hearing results at 1 year were 50% within 20 dB. The causes of failure included further ossicle necrosis (28%), a laterally healed tympanic membrane (39%), and fixation of the prosthesis (33%). Extrusion of the prosthesis during the 5-year period was between 1% and 2%. Overall, the ossicle cup prosthesis has proved to be a stable assembly, easy to revise, and longlasting. Once successful, three of four cases will retain successful hearing for more than 5 years.

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Renal Cortical Necrosis in Systemic Lupus Erythematosus

Cited by 3 publications

References 0 publications

Adverse outcomes after major surgery in patients with systemic lupus erythematosus: a nationwide population-based study

Adverse outcomes after major surgery in patients with systemic lupus erythematosus: a nationwide population-based study

Renal cortical necrosis at presentation in a patient with systemic lupus erythematosus: an autopsy case report

The ossicle‐cup prosthesis: Five years later

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