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Renal clubbing and scarring in adults: A retrospective study of 110 cases

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Urologic radiology

Abstract

A urographic pattern of renal clubbing and scarring was found in 182 scarred kidneys of 110 adult patients. Homolateral vesicoureteric reflux was demonstrated by reliable techniques in 90/135 scarred kidneys. Urinary tract infections occurred in 75 patients. Hypertension developed in 20 patients with normal renal function and was not related to the extent of scarring. Chronic renal failure occurred in 30 patients with diffuse bilateral scarring. Four patients showed histologic changes of chronic pyelonephritis. Two hypertensive patients had a typical histologic pattern of Ask-Upmark kidney (segmental hypoplasia). Development of renal scars in adulthood was demonstrated in 2 cases.

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Authors and Affiliations

  1. Service de Radiologie des Maladies de l’Appareil Urinaire and Clinique Néphrologique, Hôpital Necker, Paris, France

    Jean-François Moreau M.D., Philippe Grenier, Jean-Pierre Grünfeld & Jean Brabant

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  1. Jean-François Moreau M.D.
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  2. Philippe Grenier
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  3. Jean-Pierre Grünfeld
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  4. Jean Brabant
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Moreau, JF., Grenier, P., Grünfeld, JP. et al. Renal clubbing and scarring in adults: A retrospective study of 110 cases. Urol Radiol 1, 129–136 (1980). https://doi.org/10.1007/BF02926616

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