The loin-pain/haematuria syndrome

Nine patients with the loin-pain/haematuria syndrome are described. The previously reported clinical features of severe recurrent loin pain and tenderness in young women, the relationship of symptoms to use of oral contraceptives, and the demonstration of intrarenal vascular abnormalities by angiogr...

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Veröffentlicht in:The Lancet (British edition) 1979-04, Vol.1 (8122), p.897
Hauptverfasser: Burden, R P, Dathan, J R, Etherington, M D, Guyer, P B, MacIver, A G
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container_issue 8122
container_start_page 897
container_title The Lancet (British edition)
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creator Burden, R P
Dathan, J R
Etherington, M D
Guyer, P B
MacIver, A G
description Nine patients with the loin-pain/haematuria syndrome are described. The previously reported clinical features of severe recurrent loin pain and tenderness in young women, the relationship of symptoms to use of oral contraceptives, and the demonstration of intrarenal vascular abnormalities by angiography are confirmed. Histology revealed minor non-specific abnormalities, and electron microscopy showed fibrin in the afferent arteriole and in glomerular capillaries of one patient only. No diagnostic changes were found on renography. In all patients except one the heparin-thrombin clotting-time was abnormal, suggesting increased platelet activity or release and providing further evidence of a vascular disorder.
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The previously reported clinical features of severe recurrent loin pain and tenderness in young women, the relationship of symptoms to use of oral contraceptives, and the demonstration of intrarenal vascular abnormalities by angiography are confirmed. Histology revealed minor non-specific abnormalities, and electron microscopy showed fibrin in the afferent arteriole and in glomerular capillaries of one patient only. No diagnostic changes were found on renography. 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The previously reported clinical features of severe recurrent loin pain and tenderness in young women, the relationship of symptoms to use of oral contraceptives, and the demonstration of intrarenal vascular abnormalities by angiography are confirmed. Histology revealed minor non-specific abnormalities, and electron microscopy showed fibrin in the afferent arteriole and in glomerular capillaries of one patient only. No diagnostic changes were found on renography. In all patients except one the heparin-thrombin clotting-time was abnormal, suggesting increased platelet activity or release and providing further evidence of a vascular disorder.</abstract><cop>England</cop><pmid>86667</pmid></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Back Pain - diagnosis
Colic - diagnosis
Colic - etiology
Diagnosis, Differential
Estradiol Congeners - adverse effects
Female
Hematuria - diagnosis
Hematuria - etiology
Humans
Kidney - blood supply
Kidney Diseases - diagnosis
Kidney Diseases - etiology
Recurrence
Syndrome
Thrombosis - chemically induced
Thrombosis - complications
Thrombosis - diagnosis
title The loin-pain/haematuria syndrome
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