From Polyuria to Renal Mass: An Unexpected Link

Slides:

Advertisements

Similar presentations

Pierre Loulergue, MD, MSc, Agnès Guerre, MD

Advertisements

Pleomorphic Adenoma of the Parotid Gland

Restoring Balance: Paraneoplastic Cerebellar Degeneration

Massive: Hemorrhagic Adrenal Pseudocyst

Ankit Maheshwari, MD, Robert J. Bache, MD

Tophaceous Gout of Lumbar Spine with Fever Mimicking Infection

Abdominal Tuberculosis Presenting as a Malignant Masquerader

Crowned Dens Syndrome The American Journal of Medicine

A Pain in the Neck: Thyroid Abscess

Acute Cerebrovascular Manifestation of Takayasu Arteritis

Dysgeusia: An Atypical and Neglected Psychiatric Symptom Induced by Fibrillary Astrocytoma Michele D. Mignogna, MD, DMD, Daniela Adamo, DMD, Jessica.

Curious Case of Wheezing: Carcinoid Heart Disease

Pierre Loulergue, MD, MSc, Agnès Guerre, MD

Not Your Typical Renal Cyst

Common Symptoms with Rare Entity: A Giant Pericardial Cyst

Cholangiocarcinoma Presenting as Metastases to the Cervical Spine

A Rare Cause of Multiple Bone Lesions: Metastasis or Not?

An Iatrogenic Metastasis

All in His Head: An Unexpected Space-occupying Lesion

Gastric Diverticulum: A Rare Cause of Refractory Epigastric Pain

Localization of Staphylococcus Lugdunensis Clavicular Osteomyelitis Using FDG- PET/CT Hian Liang Huang, MBChB, MRCP, Michelle Soo Rui Ting, MBChB, Dariusz.

Dialysis-Related Spondyloarthropathy with Cervical Amyloidoma

Pleomorphic Adenoma of the Parotid Gland

TB Determined: Tuberculous Osteomyelitis

Urinary Ascites and Renal Failure from Unrecognized Bladder Rupture

An Overlooked Cause of Hypokalemia

Sarcoma of the Chest Wall: A Rare Tumor

Quiz page answers january 2004

Cardiac Pheochromocytoma Presenting as Shortness of Breath

Nosocomial Vertebral Osteomyelitis

Garcin syndrome associated with metastatic colorectal carcinoma

Stop, You're Making Me Blush

Height Loss and Generalized Pain in a 35-year-old Man

The Enemy Within: Anti-N-Methyl D-Aspartate Receptor Encephalitis

Digging Deep: High Output Heart Failure in Renal Cell Carcinoma

Noninfective Endocarditis in Rheumatoid Arthritis

Non-Hodgkin Lymphoma of the Cranial Vault

Leptomeningeal Infiltration, the Hallmark of Neurosarcoidosis

Cat Bite: An Unusual Cause of Foot Drop

Relapsing Polychondritis with Myelodysplastic Syndrome: A Case Report

Myasthenia of the Heart

Incidental Cerebral Toxocarosis as Confirmed by Cerebrospinal Fluid Cytology Alexander Emmer, MD, Alexey Surov, MD, PhD, Malte E. Kornhuber, MD, PhD

Alexey Surov, MD, Michael Hainz, MD, Malte Kornhuber, MD

Hemispheric Cerebral Edema

Are We Missing Diagnosis of Large Vessel Vasculitis

Clinical Implication of T2

Lump in Scrotum and Abnormal Chest X-Ray: What Is the Link?

Fluorine-18 Fluorodeoxyglucose Positron Emission Tomography Hypermetabolism of Vertebral Arteries Revealing Giant Cell Arteritis Aurélie Daumas, MD,

Sipan Mathevosian, MS, Sunny R.K. Singh, MD, Chan Yeu Pu, MD

Solitary Lung Masses Due to Occult Aspiration

Yasuo Miura, MD, PhD, Mitsuru Tsudo, MD, PhD Mayo Clinic Proceedings

Kaustubh Limaye, MD, Ashutosh P. Jadhav, MD, PhD

Nicolás Fayed, MD, Pedro J. Modrego, MD, Humberto Morales, MD

Kirsten Brukamp, MD, Simin Goral, MD, Raymond R. Townsend, MD, Frank E

Small Cell Lung Cancer Presenting as a Cardiac Mass with Embolic Phenomena Mark D. Duncan, MD, Alec J. Swinburne, MD, Sheila Sahni, MD, Jonathan E. Zuckerman,

Axillary Mass and Hypercalcemia: The Value of a Physical Examination

Kyle W. Mahoney, MD, Jules B. Lipoff, MD, Bennett W. Clark, MD

An Uncommon Cause of Portal Hypertension: Schistosomiasis

An IRIS to Remember The American Journal of Medicine

Unusual Cause of Adrenal Insufficiency

Unexpected Venous Thrombosis in the Superior Vena Cava

Unexpected Etiology of Atypical Chest Pain

Beware of Underlying Malignancy: Acquired Ichthyosis

Small Lymphocytic Lymphoma Presenting with Hypopituitarism

Quiz Page December 2015 American Journal of Kidney Diseases

Rivaroxaban for Cancer-associated Cardiac Thrombosis

Parapharyngeal Tumor The American Journal of Medicine

Transient Unilateral Neck Swelling After Unusual Exertion

Rajesh Janardhanan, MD, MRCP, FACC, FASE, Arun Kannan, MD

Provoked Dizziness from Bow Hunter's Syndrome

Presentation transcript:

From Polyuria to Renal Mass: An Unexpected Link Frédéric Vandergheynst, MD, Paraskevi Kazakou, MD, PhD, Bruno Couturier, MD, Nicolas Dumarey, MD, Rose Ghanooni, MD, Agnieszka Pozdzik, MD, PhD, Sandrine Rorive, MD, PhD, Daniel Van Gansbeke, MD, Agnès Burniat, MD, PhD The American Journal of Medicine Volume 128, Issue 10, Pages e15-e18 (October 2015) DOI: 10.1016/j.amjmed.2015.05.009 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 Pituitary magnetic resonance imaging study. (A) Gadolinium-enhanced coronal T1-weighted image (March 2014). Slightly enlarged pituitary gland (12.8 mm; solid arrow) and thickened stalk (3.9 mm; dotted arrow). (B) Sagittal T1-weighted image (March 2014). Loss of the normal hyperintense signal of the posterior pituitary (solid arrow). (C) Gadolinium-enhanced coronal T1-weighted image (March 2015). Normalization of pituitary size (solid arrow) and stalk width (dotted arrow). (D) Sagittal T1-weighted image (March 2015). Persistent loss of the normal posterior lobe T1 hyperintensity (solid arrow). The American Journal of Medicine 2015 128, e15-e18DOI: (10.1016/j.amjmed.2015.05.009) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 2 [18F]-Fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT). (A) Hypermetabolic lesion in the right kidney (March 2014). (B) Expansion of the lesion in the right kidney and appearance of new lesions in the left kidney (September 2014). The American Journal of Medicine 2015 128, e15-e18DOI: (10.1016/j.amjmed.2015.05.009) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 3 Histopathological examination of the renal biopsy specimen revealed granulomatous inflammation with multinucleated giant cells, extra-capillary proliferation and fibrinoid necrosis which confirmed the diagnosis of granulomatosis with polyangiitis. The American Journal of Medicine 2015 128, e15-e18DOI: (10.1016/j.amjmed.2015.05.009) Copyright © 2015 Elsevier Inc. Terms and Conditions