A previously healthy 48-year-old male developed diabetic ketoacidosis and severe hypophosphatemia. Within a few hours, acute respiratory insufficiency developed with a marked discrepancy between the pulmonary pathology and the very poor oxygenation seen. We argue that this was due to the effect of h
Acute renal failure after cerebral arteriography in a diabetic patient
β Scribed by L. A. Weinrauch; S. R. Friedberg; J. A. D'Elia
- Publisher
- Springer
- Year
- 1977
- Tongue
- English
- Weight
- 283 KB
- Volume
- 12
- Category
- Article
- ISSN
- 0028-3940
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β¦ Synopsis
A case of acute renal failure after cerebral arteriography with iodinated contrast material in a patient with diabetes and azotemic nephropathy is described. A review of the literature concerning acute renal failure after radiographic contrast material is included. The main risk factors reported in the literature appear to be the presence of diabetic nephropathy and the administration of fairly large doses of iodinated contrast material. Azotemic patients should be kept well hydrated and receive doses of less than 50 cc/m2 of body surface area when studied with such materials. Careful monitoring of urinary output and serum creatinine and ready access to dialytic therapy will aid in the detection and subsequent treatment of this problem.
π SIMILAR VOLUMES
## Abstract We report a case of a 66 year old insulinβtreated Type 2 diabetic patient who developed a rapid onset nephrotic syndrome, with evidence of diabetic nephropathy in the renal biopsy. The absence of proteinuria preceding the illness and the spontaneous resolution of the nephrotic syndrome