RESUMO
Reports of Ask-Upmark kidney, initially described as a congenital defect in renal development, are uncommon. We report a case with the features of bilateral asymmetrical segmental atrophy in a patient with childhood-onset hypertension. As an adult, she developed cerebral, celiac, and renal artery aneurysms. She underwent successful clipping of the cerebral aneurysm and renal artery repair with preservation of renal function. Novel radiologic techniques make possible the noninvasive diagnosis of segmental atrophy and its complications.
Assuntos
Aneurisma/etiologia , Hipertensão Renal/etiologia , Rim/anormalidades , Adulto , Aneurisma/diagnóstico por imagem , Artéria Celíaca/diagnóstico por imagem , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Aneurisma Intracraniano/etiologia , Rim/diagnóstico por imagem , Artéria Renal/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
BACKGROUND: A number of treatments for lichen amyloidosis have been described and the results are frequently unsatisfactory. OBJECTIVE: To describe a new surgical technique that uses a scalpel to scrape the upper layer of the skin. METHODS: A scalpel (No. 15) is pressed firmly and perpendicularly against the skin and scraped exactly parallel with the surface of the skin. This can be repeated until the subpapillary dermal layer. RESULTS: Scraping with the scalpel removes the epidermis and deposits of amyloid in the dermis. All nine patients healed without complications with acceptable to good aesthetic results. CONCLUSION: The technique is quick, effective, simple to perform, inexpensive, and safe. This is another option in the surgical treatment of selected cases of lichen amyloidosis.
