Haaskjold Yngvar Lunde, Nylund Kim, Skrunes Rannveig
Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Case Rep Nephrol Dial. 2021 Feb 12;11(1):63-68. doi: 10.1159/000512228. eCollection 2021 Jan-Apr.
Unilateral cortical necrosis is a rare condition, and only described in a few case reports. We present a case of a previously healthy 24-year-old male with acute unilateral cortical necrosis, where contrast-enhanced ultrasound (CEUS) became a valuable diagnostic tool. Antiphospholipid syndrome was subsequently diagnosed. Primary antiphospholipid syndrome is a well-known, but rare cause of cortical necrosis. It promotes thrombosis in renal arteries, capillaries and veins, and usually affects both kidneys. Unilateral cortical necrosis due to antiphospholipid syndrome has, to our knowledge, not been previously described.
单侧皮质坏死是一种罕见病症，仅在少数病例报告中有描述。我们报告一例既往健康的24岁男性急性单侧皮质坏死病例，其中超声造影（CEUS）成为一种有价值的诊断工具。随后诊断为抗磷脂综合征。原发性抗磷脂综合征是一种已知但罕见的皮质坏死病因。它会促进肾动脉、毛细血管和静脉血栓形成，通常累及双侧肾脏。据我们所知，此前尚未有抗磷脂综合征导致单侧皮质坏死的相关描述。
