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Posterior Reversible Encephalopathy Syndrome, not so Uncommon in Pediatric Patients with Renal Involvement: A Case Series

Ana-Maria Roxana Koller

Ana-Maria Roxana Koller

Department of Pediatrics, County Emergency Clinical Hospital Targu MuresRomania
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Koller, Ana-Maria Roxana
, 
Alexandra Man

Alexandra Man

Department of Pediatrics, County Emergency Clinical Hospital Targu MuresRomania
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Man, Alexandra
 und 
Carmen Muntean

Carmen Muntean

George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu MuresRomania
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Muntean, Carmen
  
30. Jan. 2024
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Artikel-Kategorie: Case Report
Online veröffentlicht: 30. Jan. 2024
Seitenbereich: 96 - 102
Eingereicht: 14. Aug. 2023
Akzeptiert: 05. Dez. 2023
DOI: https://doi.org/10.2478/jccm-2024-0004
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© 2024 Ana-Maria Roxana Koller et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Fig. 1.

Multiple infra and supra centimeter lesions in hypersignal T2 and FLAIR diffusely arranged bihemispheric cortico-subcortical in (A, B) frontal and parietal lobes, (C) occipital lobe and (D) bihemispheric cerebellar
Multiple infra and supra centimeter lesions in hypersignal T2 and FLAIR diffusely arranged bihemispheric cortico-subcortical in (A, B) frontal and parietal lobes, (C) occipital lobe and (D) bihemispheric cerebellar

Fig. 2.

An inflammatory cerebral lesion showing hypersignal on T2 and FLAIR sequences, located at the level of the bilateral frontal lobe and post-central gyrus (A), respectively on the left parietal side (B)
An inflammatory cerebral lesion showing hypersignal on T2 and FLAIR sequences, located at the level of the bilateral frontal lobe and post-central gyrus (A), respectively on the left parietal side (B)

Urine analysis and immunology tests performed on the third day following admission of the patients to the pediatric nephrology department

Analysis Case 1 Case 2
Urinalysis
Erythrocytes 300/μL 300/μL
Urine sediment
Erythrocytes 11–20/field 21–50/field
80% dysmorphic red blood cells, 20% isomorphic red blood cells /field 95% dysmorphic red blood cells, 5% isomorphic red blood cells /field
Hematic casts
Leukocytes 0–5/field 0–5/field
Proteins negative 1 g/L
C3 0,33 g/L 0,19 g/L
C4 0,104 g/L 0.123 g/L
C3 after 6 weeks 1,48 g/L 1,17 g/L
Sprache:
Englisch
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4 Hefte pro Jahr
Fachgebiete der Zeitschrift:
Medizin, Klinische Medizin, Allgemeinmedizin, Innere Medizin, Innere Medizin, andere, Chirurgie, Chirurgie, andere, Anästhesiologie, Intensivmedizin und Notfallmedizin
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