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Renal failure caused by undiagnosed atheroembolic disease  
DOI: 10.1102/1473-1827.2003.0015
 
Paramit Chowdhury, Patrick O’Donnell and John E Scoble    
 
Departments of Nephrology and Histopathology      
                                Guy’s Hospital      
                                London      
  UK  
 
Corresponding address: John E Scoble, Departments of Nephrology and Transplantation, 4th Floor, Thomas Guy House, Guy’s Hospital, St.Thomas’ Street, London SE19RT, UK.
E-mail: john.scoble@gstt.sthames.nhs.uk
 
Abstract
 
Atheroembolic disease remains a potentially under-diagnosed cause of renal failure, particularly in the elderly. As well as causing an acute deterioration in renal function following invasive procedures or the use of anticoagulants and thrombolytics, a chronic form with gradual decline in renal function has also been described, and can occur without a clear precipitating event. We describe a case of unexplained renal failure where the potential diagnosis of renal atheroembolic disease was stumbled on retrospectively,as is often the case.

             
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