[Renal emergencies in cases of collagenosis and vasculitis].
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[Renal emergencies in cases of collagenosis and vasculitis]. / Janneck, Matthias; Iking-Konert, Christof.
In: Z RHEUMATOL, Vol. 71, No. 4, 4, 2012, p. 270-277.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Renal emergencies in cases of collagenosis and vasculitis].
AU - Janneck, Matthias
AU - Iking-Konert, Christof
PY - 2012
Y1 - 2012
N2 - Renal involvement or complications in systemic diseases occur frequently and crucially influence patient outcomes. In addition to functional renal failure caused by medications (especially nonsteroidal antirheumatic agents), typical nephrological complications in rheumatology include manifestations of the underlying condition which range from mild disorders of renal function to severe and partially irreversible disease progression. The primary physician thus plays a key role in ensuring rapid and specific diagnostic workup and initiating appropriate treatment measures. Sonography and examination of urine sediment still take priority in the differential diagnosis. The indication for kidney biopsy should be broadly defined. Early initiation of immunosuppression in systemic diseases can decisively improve renal prognosis. Despite the current availability of considerably improved pharmacological options, numerous questions about the ideal therapeutic regimen still remain open.
AB - Renal involvement or complications in systemic diseases occur frequently and crucially influence patient outcomes. In addition to functional renal failure caused by medications (especially nonsteroidal antirheumatic agents), typical nephrological complications in rheumatology include manifestations of the underlying condition which range from mild disorders of renal function to severe and partially irreversible disease progression. The primary physician thus plays a key role in ensuring rapid and specific diagnostic workup and initiating appropriate treatment measures. Sonography and examination of urine sediment still take priority in the differential diagnosis. The indication for kidney biopsy should be broadly defined. Early initiation of immunosuppression in systemic diseases can decisively improve renal prognosis. Despite the current availability of considerably improved pharmacological options, numerous questions about the ideal therapeutic regimen still remain open.
KW - Humans
KW - Critical Care/methods
KW - Acute Kidney Injury/diagnosis/etiology/therapy
KW - Collagen Diseases/complications/diagnosis/therapy
KW - Emergency Medical Services/methods
KW - Vasculitis/complications/diagnosis/therapy
KW - Humans
KW - Critical Care/methods
KW - Acute Kidney Injury/diagnosis/etiology/therapy
KW - Collagen Diseases/complications/diagnosis/therapy
KW - Emergency Medical Services/methods
KW - Vasculitis/complications/diagnosis/therapy
M3 - SCORING: Zeitschriftenaufsatz
VL - 71
SP - 270
EP - 277
JO - Z RHEUMATOL
JF - Z RHEUMATOL
SN - 0340-1855
IS - 4
M1 - 4
ER -
