Thrombotic microangiopathy as an initial manifestation in HIV patients

被引：5

作者：

Dineshkumar, Thanigachalam ^{[1
]}

Dhanapriya, Jeyachandran ^{[1
]}

Jaganathan, Palanivel ^{[1
]}

Sakthirajan, Ramanathan ^{[1
]}

Gopalakrishnan, Natarajan ^{[1
]}

Balasubramaniyan, T. ^{[1
]}

机构：

[1] Rajiv Gandhi Govt Gen Hosp, Dept Nephrol, Madras Med Coll, Chennai 600003, Tamil Nadu, India

来源：

INDIAN JOURNAL OF CRITICAL CARE MEDICINE | 2016年 / 20卷 / 06期

关键词：

Antiretroviral therapy; HIV; renal failure; thrombotic microangiopathy;

D O I：

10.4103/0972-5229.183903

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Thrombotic microangiopathy (TMA) is characterized by microangiopathic hemolytic anemia, thrombocytopenia, microvascular thrombosis, and various organ dysfunctions. TMA usually occurs in a more advanced stage of HIV disease. TMA as an initial presenting feature is rare. We here report a male patient who presented with oliguric renal failure. Investigations revealed anemia, thrombocytopenia, schistocytes in peripheral smear, and HIV-positive. Renal biopsy revealed TMA. He was treated with hemodialysis and started on highly active antiretroviral therapy.

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收藏

页码：374 / 376

页数：3

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