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International Journal of Hypertension
Volume 2011, Article ID 268370, 3 pages
http://dx.doi.org/10.4061/2011/268370
Case Report

A Patient with Hemoptysis and Renal Failure

1Division of Nephrology, Department of Internal Medicine, University of Missouri, Columbia, MO 65201, USA
2Department of Pathology and Anatomical Sciences, University of Missouri, Columbia, MO 65201, USA

Received 4 March 2011; Accepted 24 March 2011

Academic Editor: Samy I. McFarlane

Copyright © 2011 Pranavkumar Dalal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pulmonary-renal syndrome is a medical emergency; etiology of which has broad differential diagnosis. Delay in both diagnosis and initiation of management may result in end-organ damage. Management decisions may have to be empiric till a rapid, definitive tissue diagnosis is established. We present such a case where prompt recognition and immediate treatment was initiated, although the patient sustained irreversible end-organ damage. The case also highlights the need to interpret the kidney biopsy data (namely, immunofluroscence findings) in the context of clinical presentation.