Journal of Nephropathology (Apr 2021)

Pigment cast nephropathy; time to revisit the diagnosis

  • Ahmed Waheed Kashif,
  • Toyaja Jadhav,
  • Sanjay Kimar Panda

DOI
https://doi.org/10.34172/jnp.2021.14
Journal volume & issue
Vol. 10, no. 2
pp. e14 – e14

Abstract

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Pigment cast nephropathy is one of the most severe complications of rhabdomyolysis. It is an important cause of renal failure requiring renal replacement therapy. We report the case of a 23-year-old man who presented with short febrile illness with hyperpyrexia and altered sensorium. Non-contrast CT-brain and CSF analysis were normal. He later developed petechial rashes with thrombocytopenia followed by frank hematuria and worsening renal functions. A kidney biopsy was performed, which revealed findings of myoglobin cast nephropathy

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