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Leriche syndrome masquerading as chronic kidney disease
Clinical Nephrology
|April 17, 2013
Summary
Leriche syndrome, a rare aortic condition, can cause chronic kidney disease by affecting renal arteries. This case highlights the syndrome
Area of Science:
- Cardiovascular Medicine
- Nephrology
- Vascular Surgery
Background:
- Renal artery stenosis (RAS) is a significant cause of secondary hypertension and chronic kidney disease (CKD).
- Common etiologies for RAS include atheromatous plaque and Takayasu arteritis.
- Chronic thrombotic occlusion of renal arteries is an uncommon presentation.
Observation:
- This report details a rare case of Leriche syndrome, characterized by chronic thrombotic occlusion of the terminal abdominal aorta and its branches.
- The syndrome presented primarily as chronic kidney disease (CKD).
- Notably, the typical symptom of Leriche syndrome, intermittent claudication, was absent in this patient.
Findings:
- Leriche syndrome, typically affecting infrarenal arteries, can involve the renal arteries, leading to significant renal impairment.
- The absence of claudication underscores the diverse clinical manifestations of this syndrome.
- This case demonstrates a unique presentation of Leriche syndrome primarily manifesting as CKD.
Implications:
- Highlights the importance of considering Leriche syndrome in the differential diagnosis of unexplained CKD, even without characteristic symptoms.
- Suggests that vascular imaging should be considered in patients with secondary hypertension and CKD of unclear etiology.
- Emphasizes the need for a broader understanding of Leriche syndrome's potential clinical presentations and its impact on renal function.
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