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Nefropatía quística medular - Symptom

Nombres alternativos

Tuberculosis renal juvenil familiar; Síndrome de Senior-Loken

Síntomas:

A comienzos de la enfermedad, los síntomas pueden ser:

Posteriormente en el curso de la enfermedad, se pueden desarrollar síntomas de insuficiencia renal, como :

  • Coma
  • Confusión
  • Disminución de la agudeza mental
  • Delirio
  • Somnolencia
  • Tendencia a la formación de hematomas o sangrado
  • Somnolencia extrema o letargo
  • Fatiga
  • Hipo frecuente
  • Sensación de malestar general
  • Picazón generalizada
  • Dolor de cabeza
  • Aumento de la pigmentación de la piel (la piel puede verse amarillenta o marrón)
  • Fasciculaciones o calambres musculares
  • Náuseas
  • Piel pálida
  • Reducción de la sensibilidad en las manos, los pies y otras áreas
  • Convulsiones
  • Pérdida de peso involuntario
  • Vómito con sangre o sangre en las heces
  • Debilidad

Signos y exámenes:

La presión arterial puede estar baja. La piel puede mostrar resequedad, color anormal, palidez o propensión a la formación de hematomas.

Los exámenes de laboratorio que se pueden hacer abarcan:

  • Volumen de orina en 24 horas
  • BUN (nitrógeno ureico o urea en sangre)
  • Conteo sanguíneo completo (CSC)
  • Creatinina en sangre
  • Depuración de creatinina
  • Electrolitos en sangre
  • Ácido úrico en sangre
  • Gravedad específica de la orina (estará baja)

Los siguientes exámenes pueden ayudar a diagnosticar esta afección:

  • Reviewed last on: 11/30/2009
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Herbert Y. Lin, MD, PHD, Nephrologist, Massachusetts General Hospital; Associate Professor of Medicine, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Arnaout MA. Cystic kidney disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 128.

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