Diagnostic Criteria for Scleroderma Renal Crisis 

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Description

Diagnostic Criteria for Scleroderma Renal Crisis 


1. New onset blood pressure >150/85 mm Hg OR increase 220 mm Hg from 

usual systolic blood pressure. 


2. A decline in renal function, defined as an increase in serum creatinine of >10 % 


Supportive features: 


 - Microangiopathic hemolytic anemia 


 - Findings consistent with accelerated hypertension on retinal examination 


 - Microscopic hematuria on urine dipstick and/or red blood cells on urine microscopy 


 - Oliguria or anuria 


 - Flash pulmonary edema 


 - Renal biopsy with typical features of SRC including onion skin proliferation within the walls of intrarenal arteries and arterioles, fibrinoid necrosis, glomerular shrinkage 


#Scleroderma #Renal #Crisis #Diagnosis #Criteria
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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