Causes of Renal Infarction - Differential Diagnosis

Thrombosis: Spontaneous

 • Atherosclerotic disease of aorta and renal artery

 • Fibromuscular dysplasia of renal artery

 • Aneurysms of aorta or renal artery

 • Dissection of aorta or renal artery: Marfan syndrome, Ehlers-Danlos syndrome

 • Vasculitis involving renal artery: Polyarteritis nodosa, Takayasu's arteritis, Kawasaki disease, Thromboangiitis obliterans, Other necrotizing vasculitides

 • Inflammatory disease of the aorta or renal artery: Syphilis, Tuberculosis, Mycoses

 • Hypercoagulable states: Nephrotic syndrome, Antiphospholipid syndrome, Antithrombin III deficiency, Homocystinuria

 • Thrombotic microangiopathies: Hemolytic-uremic syndrome, Thrombotic thrombocytopenic purpura, Antiphospholipid syndrome, Malignant hypertension, Scleroderma, Sickle cell nephropathy, Polycythemia vera, Postpartum hemolytic-uremic syndrome, Hyperacute vascular allograft rejection

Thrombosis: induced

 • Traumatic

 • Following endovascular intervention

 • Post renal transplantation

Embolism

 • Cardiac source: Atrial fibrillation or other arrhythmias, Native and prosthetic valvular heart disease, Infective endocarditis, Marantic endocarditis

 • Myocardial infarction with mural thrombi: Left atrial myxoma or other tumor

Noncardiac sources: Atheromatous embolic disease, Paradoxical emboli, Fat emboli, Tumor emboli

 • Therapeutic renal embolization

 • Segmental renal infarction of childhood

 • Cisplatinum and gemcitabine

 • Sickle cell disease or sickle cell trait



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