MILDRED LAM, M.D.; EDMOND S. RICANATI, M.D.; MUHAMMAD A. KHAN, M.D., M.R.C.P., F.A.C.P.; IRVING KUSHNER, M.D., F.A.C.P.
Renal failure in systemic sclerosis, with or without malignant hypertension, is regarded as progressive and irreversible, leading to death within weeks to months (1, 2). We have recently seen a patient with systemic sclerosis and severe renal involvement who showed marked improvement in renal function while receiving chronic renal dialysis and antihypertensive therapy, permitting discontinuation of dialysis 1 year after onset of renal failure.
A 48-year-old black woman was hospitalized in June 1976 with a 1-month history of anorexia and fatigue, and shortness of breath on
LAM M, RICANATI ES, KHAN MA, KUSHNER I. Reversal of Severe Renal Failure in Systemic Sclerosis. Ann Intern Med. ;89:642–643. doi: 10.7326/0003-4819-89-5-642
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Published: Ann Intern Med. 1978;89(5_Part_1):642-643.
Nephrology, Rheumatology, Scleroderma.
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