|
| 전신성 홍반성 낭창에서 동반된 거대한 자발성 신피막하 출혈 1예 |
| 배창환 , 윤진 , 이기형 , 김문재 |
|
|
| Abstract |
|
Systemic lupus erythematosus (SLE) is a disease of unknown etiology characterized by inflammation in many different organ systems associated with the pro- duction of antibodies reactive with nuclear, cytoplas- mic, and cell membrane antigerns. The variable;severity and extent of involvement in SLE dictate individualized treatment. The degeneration of vessel, thrombocytopenia, prolongation of PTT, and antibodies react with dotting facters VIIII, IX, XI, XII, XIII may be responsible for clinically important bleed- ing. A few authors reported spontaneous intracranial and pulmonary hemorrhage in SLE patient. We reported a case of SLE associated with. Massive subcapsular renal hemorrhage which had developed without any recent trauma. A 31-year-old female suddenly developed from a severe left flank pain, general weakness and high fever. She had a progressive anemia and a growing palpable left abdominal mass on admission. Ultrasonography showed left huge renal mass and abdominal CT scans revealed marked enlargement of the left kidney with massive supcabsular hemorrhage and extension into retroperitoneal space. There were neither evidence of trauma nor trial of renal biopsy which might have led to the development of perirenal hematoma. Four weeks later subcapsular renal hematoma was removed out with left flank incision. |
|
PDF Links
Download Citation
