12. Renal infarction as an initial presentation of systemic Lupus erythematosus in children
Main Article Content
Abstract
Although systemic lupus erythematosus (SLE) has a high incidence of arterial and venous thrombosis, especially in patients with antiphospholipid antibodies (aPL), renal infarction is rarely reported and often misdiagnosed as other conditions. We report a case of a 15-year-old male child admitted to the hospital with abdominal pain, fever and arthritis. Computed tomography (CT) of the abdomen showed bilateral kidney infarction. Investigative tests performed confirmed that patient met the diagnostic criteria for SLE with positive antiphospholipid antibodies. The patient responded well when treated with anticoagulants, corticosteroids combined with hydroxychloroquine. Renal infarction can be the initial manifestation of systemic lupus erythematosus in children, requiring a comprehensive diagnostic approach to the causes of renal thrombosis for appropriate treatment.
Article Details
Keywords
Renal infarction, lupus, systemic lupus erythematosus, children
References
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