Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis

Cryoglobulinemic vasculitis (CV) is one of the manifestations of rheumatoid arthritis (RA). Here, we present a case of a 69-year-old woman with uncontrolled long-standing RA who presented with heart failure exacerbation and had an incidental finding of persistent acute kidney injury, which led to th...

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Main Authors: Brinda Basida, Nirav Zalavadiya, Mahesha Makandura, Malitha Hettiarachchi
Format: Article
Language:English
Published: American College of Physicians 2022-04-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2022.0169
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author Brinda Basida
Nirav Zalavadiya
Mahesha Makandura
Malitha Hettiarachchi
author_facet Brinda Basida
Nirav Zalavadiya
Mahesha Makandura
Malitha Hettiarachchi
author_sort Brinda Basida
collection DOAJ
description Cryoglobulinemic vasculitis (CV) is one of the manifestations of rheumatoid arthritis (RA). Here, we present a case of a 69-year-old woman with uncontrolled long-standing RA who presented with heart failure exacerbation and had an incidental finding of persistent acute kidney injury, which led to the diagnosis of CV. The rarity of its co-occurrence with RA and the serious consequences from progressive kidney damage makes this case a key learning encounter.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-ec4da89665834f8ebdd3ef5a68a48a852025-08-20T02:11:47ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-04-011210.7326/aimcc.2022.0169Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid ArthritisBrinda Basida0Nirav Zalavadiya1Mahesha Makandura2Malitha Hettiarachchi31Department of Internal Medicine, Sinai-Grace Hospital, Detroit Medical Center/Wayne State University School of Medicine, Detroit, Michigan2Detroit Medical Center/Wayne State University, Sinai-Grace Hospital, Detroit, Michigan3University Hospitals Cleveland Medical Center, Cleveland, Ohio4Detroit Medical Center/Wayne State University, Sinai-Grace Hospital, Detroit, MichiganCryoglobulinemic vasculitis (CV) is one of the manifestations of rheumatoid arthritis (RA). Here, we present a case of a 69-year-old woman with uncontrolled long-standing RA who presented with heart failure exacerbation and had an incidental finding of persistent acute kidney injury, which led to the diagnosis of CV. The rarity of its co-occurrence with RA and the serious consequences from progressive kidney damage makes this case a key learning encounter.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0169
spellingShingle Brinda Basida
Nirav Zalavadiya
Mahesha Makandura
Malitha Hettiarachchi
Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis
Annals of Internal Medicine: Clinical Cases
title Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis
title_full Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis
title_fullStr Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis
title_full_unstemmed Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis
title_short Cryoglobulinemic Glomerulonephritis Presenting as Acute Kidney Injury on Chronic Kidney Disease in Rheumatoid Arthritis
title_sort cryoglobulinemic glomerulonephritis presenting as acute kidney injury on chronic kidney disease in rheumatoid arthritis
url https://www.acpjournals.org/doi/10.7326/aimcc.2022.0169
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