A long way to diagnosis: clinical case of acute renal injury in a patient with Takayasu arteritis

The purpose of the study. Demonstration differential diagnostic search for causes acute kidney injury (AKI) in a young man. Materials and methods. Clinical observation patient with Takayasu arteritis (TAK). Results. presented clinical describes late diagnosis TAK at stage severe ischemic lesions internal organs (myocardial infarction, cerebral occlusion lumen arteries left lower limb development gangrene, renal outcome shrive­ling). Most likely, thrombotic right caused AKI. During examination, was made, other possible nosologies were excluded. Taking into account disease, minimal severity inflammatory process, high risk complications, therapy glucocorticoids small dose, anticoagulants carried out. Against this background, recovery intrarenal blood flow diuresis noted, but rates azotemia remained, requiring continued dialysis. After 3 months, loss functions detected. Conclusions. vascular signs critical ischemia (heart, brain, vessels extremities, kidneys, etc.) patients, dictates need cause, first all, exclusion systemic process (systemic vasculitis, antiphospholipid syndrome, diffuse con­nective tissue diseases). It is important to accumulate experience managing patients order timely diagnose, start early prevent irreversible organs.