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A 26-year-old healthy Greek woman was evaluated because of new-onset painless hematuria. The physical examination was unremarkable. Laboratory data were notable for a hemoglobin concentration of 7.6 g per deciliter and a serum creatinine level of 0.7 mg per deciliter (61.9 µmol per liter ). Pyelography that was performed with the use of contrast material revealed bilateral deformities of the renal papillae, including hooks, spurs, and ring-shaped filling defects (sloughed papilla) of the calyxes (arrows), suggestive of papillary necrosis. Interstitial nephritides, such as pyelonephritis and nephritis due to obstructive uropathy, diabetes mellitus, or analgesic abuse, that are associated with papillary . . . [Full Text of this Article] |
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