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==Overview== | |||
* [[Renal papillary necrosis]] is associated with damaging the [[renal]] [[medullary]] and [[papillary]] cells due to many diseases such as [[diabetes]], [[sickle cell disease]], [[urinary tract obstruction]], [[renal vein thrombosis]], [[pyelonephritis]], [[tuberculosis]], [[vasculitis]], [[cirrhosis]], [[renal]] [[transplant rejection]] and long term [[analgesics]] and [[alcohol]] abuse. In infants, it is associated with [[asphyxia]], [[dehydration]], and [[sepsis]]. | |||
<br> | |||
==Causes== | |||
*Common causes of [[renal papillary necrosis]] include<ref name="pmid12512867">{{cite journal| author=Brix AE| title=Renal papillary necrosis. | journal=Toxicol Pathol | year= 2002 | volume= 30 | issue= 6 | pages= 672-4 | pmid=12512867 | doi=10.1080/01926230290166760 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12512867 }} </ref><ref name="pmid6394414">{{cite journal| author=Sabatini S| title=Pathophysiology of drug-induced papillary necrosis. | journal=Fundam Appl Toxicol | year= 1984 | volume= 4 | issue= 6 | pages= 909-21 | pmid=6394414 | doi=10.1016/0272-0590(84)90229-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6394414 }} </ref><ref name="pmid28341428">{{cite journal| author=Henderickx MMEL, Brits T, De Baets K, Seghers M, Maes P, Trouet D | display-authors=etal| title=Renal papillary necrosis in patients with sickle cell disease: How to recognize this 'forgotten' diagnosis. | journal=J Pediatr Urol | year= 2017 | volume= 13 | issue= 3 | pages= 250-256 | pmid=28341428 | doi=10.1016/j.jpurol.2017.01.020 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28341428 }} </ref>: | |||
**[[Diabetes]] | |||
**[[Sickle cell disease]]: most common cause in children | |||
**[[Urinary tract obstruction]] | |||
**[[Renal vein thrombosis]] | |||
**upper [[urinary tract infection]] or [[pyelonephritis]] | |||
**[[Tuberculosis]] | |||
**[[liver cirrhosis]] | |||
** systemic [[vasculitis]] | |||
**[[Renal]] [[transplant rejection]] | |||
**chronic [[alcohol abuse]] | |||
**abuse of [[acetaminophen]] and [[analgesics]] containing [[phenacetin]] such as [[NSAIDs]] | |||
*** [[NSAIDs]] include: | |||
****[[Aspirin]] | |||
****[[Ibuprofen]] | |||
****[[Mefenamic acid]] | |||
****[[Indomethacin]] | |||
****[[Naproxen]] | |||
****[[Meloxicam]] | |||
****[[Diclofenac]] | |||
****[[Piroxicam]] | |||
****[[ketorolac]] | |||
**[[Renal papillary necrosis]] may also occur less commonly in [[infants]] due to<ref name="pmid4690507">{{cite journal| author=Husband P, Howlett KA| title=Renal papillary necrosis in infancy. | journal=Arch Dis Child | year= 1973 | volume= 48 | issue= 2 | pages= 116-20 | pmid=4690507 | doi=10.1136/adc.48.2.116 | pmc=1648192 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=4690507 }} </ref>: | |||
***[[asphyxia]] | |||
***[[dehydration]] | |||
***[[sepsis]] | |||
*There is a [[mnemonic]] for the causes of [[renal papillary necrosis]]<ref>{{Cite book|title = Radiology Illustrated: Uroradiology|url = https://books.google.com/?id=-NrSgSEQGm8C&pg=PA471&lpg=PA471&dq=POSTCARDS++renal+papillary+necrosis#v=onepage&q=POSTCARDS%2520%2520renal%2520papillary%2520necrosis&f=false|publisher = Springer Science & Business Media|date = 2011-11-19|page=471|isbn = 9783642053221|first = Seung Hyup|last = Kim}}</ref> : '''POSTCARDS''': | |||
**'''P'''yelonephritis | |||
**'''O'''bstruction of the urogenital tract | |||
**'''S'''ickle cell disease | |||
**'''T'''uberculosis | |||
**'''C'''irrhosis | |||
**'''A'''nalgesia/'''A'''lcohol abuse | |||
**'''R'''enal vein thrombosis | |||
**'''D'''iabetes mellitus | |||
**'''S'''ystemic vasculitis | |||
==References== | ==References== |
Latest revision as of 04:47, 7 September 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nasrin Nikravangolsefid, MD-MPH [2]
Overview
- Renal papillary necrosis is associated with damaging the renal medullary and papillary cells due to many diseases such as diabetes, sickle cell disease, urinary tract obstruction, renal vein thrombosis, pyelonephritis, tuberculosis, vasculitis, cirrhosis, renal transplant rejection and long term analgesics and alcohol abuse. In infants, it is associated with asphyxia, dehydration, and sepsis.
Causes
- Common causes of renal papillary necrosis include[1][2][3]:
- Diabetes
- Sickle cell disease: most common cause in children
- Urinary tract obstruction
- Renal vein thrombosis
- upper urinary tract infection or pyelonephritis
- Tuberculosis
- liver cirrhosis
- systemic vasculitis
- Renal transplant rejection
- chronic alcohol abuse
- abuse of acetaminophen and analgesics containing phenacetin such as NSAIDs
- Renal papillary necrosis may also occur less commonly in infants due to[4]:
- There is a mnemonic for the causes of renal papillary necrosis[5] : POSTCARDS:
- Pyelonephritis
- Obstruction of the urogenital tract
- Sickle cell disease
- Tuberculosis
- Cirrhosis
- Analgesia/Alcohol abuse
- Renal vein thrombosis
- Diabetes mellitus
- Systemic vasculitis
References
- ↑ Brix AE (2002). "Renal papillary necrosis". Toxicol Pathol. 30 (6): 672–4. doi:10.1080/01926230290166760. PMID 12512867.
- ↑ Sabatini S (1984). "Pathophysiology of drug-induced papillary necrosis". Fundam Appl Toxicol. 4 (6): 909–21. doi:10.1016/0272-0590(84)90229-x. PMID 6394414.
- ↑ Henderickx MMEL, Brits T, De Baets K, Seghers M, Maes P, Trouet D; et al. (2017). "Renal papillary necrosis in patients with sickle cell disease: How to recognize this 'forgotten' diagnosis". J Pediatr Urol. 13 (3): 250–256. doi:10.1016/j.jpurol.2017.01.020. PMID 28341428.
- ↑ Husband P, Howlett KA (1973). "Renal papillary necrosis in infancy". Arch Dis Child. 48 (2): 116–20. doi:10.1136/adc.48.2.116. PMC 1648192. PMID 4690507.
- ↑ Kim, Seung Hyup (2011-11-19). Radiology Illustrated: Uroradiology. Springer Science & Business Media. p. 471. ISBN 9783642053221.
[[Category:Disease]