Contrast-induced nephropathy developing acute renal failure in a child with juvenile idiopathic arthritis: case report

Abstract

Contrast-induced nephropathy(CN) has clinically become an important cause of iatrogenic acute renal failure. Especially baseline renal dysfunction and diabetes mellitus increase the occurrence of CN. We report on a 10 year old girl with systemic-onset juvenile idiopathic arthritis in whom CN developing acute renal failure occurred without preexisting renal dysfunction. She accompanied sepsis, DIC and endotoxicemia. We suggest that even if baseline serum creatinine level is within normal range, contrast administration in cases of suspected renal impairment due to sepsis, DIC and endotoxicemia should be strictly limited.