This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Allen C. Alfrey, MD; Owen W. Rottschafer, MD; Martin P. Hutt, MD

Arch Intern Med. 1967;119(2):214-217.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ANURIA is a rare complication of retrograde pyelography. Early reports considered the mechanism "reflex."¹ Bilateral ureteral obstruction has been demonstrated as the cause in a number of cases.^2,3 This report describes a case in which bilateral ureteral obstruction was not present and suggests another pathogenesis for this complication: intrarenal obstructive nephropathy.

Report of Case

A 41-year-old man (No. 238301) was in good health until December 1964 when he noted the gradual onset of edema of the ankles, hands, and face. Urinalysis revealed 4+ protein and 3 to 5 red blood cells (RBC) per high power field and an occasional RBC cast. Urine protein excretion was 5 gm/24 hr and an intravenous pyelogram was normal. He was treated with prednisone, 60 mg daily, for at least six weeks without either clinical or laboratory improvement.

On May 21, 1965, the patient was admitted to another hospital. Proteinuria and microscopic hematuria . . . [Full Text PDF of this Article]

Author Affiliations
Denver

From the Department of Medicine, University of Colorado School of Medicine, Denver.

Footnotes
Received for publication Aug 17, 1966; accepted Oct 18.

Reprint requests to 4200 E Ninth Ave, Denver 80220 (Dr. Alfrey).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?