Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Anticentromere Antibody-positive Scleroderma Renal Crisis Requiring Dialysis
Masamitsu UbukataAtsushi MitsuhashiYuki NishizawaTeruhiro FujiiMasaki HaraAkihito OhtaKosaku Nitta
Author information
JOURNALS OPEN ACCESS

2018 Volume 57 Issue 23 Pages 3479-3483

Details
Abstract

A 70-year-old man with prior Raynaud's phenomena developed hypertension and renal insufficiency. Raynaud's phenomena, finger skin thickening, interstitial lung disease, and positive anticentromere antibody findings indicated systemic sclerosis (SSc). Based on the presence of SSc, severe hypertension with rapidly progressive renal failure, and proliferative and obliterative arteriolar vasculopathy, scleroderma renal crisis (SRC) was diagnosed. Despite good blood pressure control with antihypertensive drugs, hemodialysis was initiated and could not be withdrawn owing to unimproved renal dysfunction. Although SRC in anticentromere antibody-positive limited cutaneous SSc is extremely rare, some patients may develop SRC, and their renal prognosis may be poor.

Information related to the author
© 2018 by The Japanese Society of Internal Medicine
Previous article Next article
feedback
Top