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Reversible Renal Failure Following Intravascular Contrast Radiography

Rodney A. Appell, MD; Bernard Lytton, MD
JAMA. 1977;238(18):1947. doi:10.1001/jama.1977.03280190049029.
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INTRAVASCULAR iodinated contrast media are routinely used in radiographic examinations in the presence of renal failure and produce few serious side effects. However, they may precipitate acute renal failure.1 The case of a patient with acute renal failure following arteriography emphasizes the conservative management of this reversible condition.

Report of a Case  A 64-year-old man was admitted to Yale—New Haven Hospital with a ten-year history of hypertension, which had recently become more severe. At the time of admission, he was receiving 250 mg of methyldopa four times daily and 50 mg of hydrochlorothiazide daily. The patient admitted smoking 40 cigarettes per day and consuming beer heavily. His brother died of a ruptured aortic aneurysm.Physical examination showed a pulse rate of 90 beats per minute. Blood pressure taken while in the sitting position was 102/84 mm Hg in the right upper extremity and 240/90 mm Hg in the left.


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