Cardelli R, Gurioli L, Manzione A, D'Amicone M, Priasca G, Grott G, Biselli L, Bay A, Quaranta S
Servizio di Nefrologia e Dialisi, Ospedale Maggiore di Chieri, Torino.
Minerva Urol Nefrol. 1994 Mar;46(1):77-81.
Atheroembolic disease is a complication of atheromatous disease and is quite often misunderstood. A precise diagnosis can be made difficult, by the lack of specific tests. The first case, in which we identified this disease, resulted from a bladder biopsy, in the instance of a patient with a suspected carcinoma. The experience, with this initial patient, led us to identification of a further 3 cases, within our previous 2 years case histories. One must consider the possibility of atheroembolic disease during the differential diagnosis of acute renal failure in geriatric patients, given the serious prognosis.
动脉粥样硬化栓塞性疾病是动脉粥样硬化性疾病的一种并发症,常常被误解。由于缺乏特异性检查,精确诊断可能会很困难。我们确诊的首例这种疾病是在一名疑似患有膀胱癌的患者进行膀胱活检时发现的。对这名首例患者的诊治经验,使我们在过去两年的病例记录中又发现了另外3例。鉴于预后严重,在老年患者急性肾衰竭的鉴别诊断过程中必须考虑动脉粥样硬化栓塞性疾病的可能性。