Renal Papillary Necrosis

Renal papillary necrosis refers to ischemic necrosis of the papilla in the medulla of the kidneys.

Renal papillary necrosis occurs in association with the following conditions:

• Use of analgesics

• Diabetes mellitus (DM) with infection (no increase occurs with uncomplicated DM)

• Urinary tract infection

• Urinary tract obstruction

• Haemoglobinopathies, such as sickle cell disease

• Prolonged hypotension

• Renal vein thrombosis

• Congestive heart failure

• Cirrhosis

• Haemophilia

• Christmas disease

• Paediatric gastroenteritis (infants)

• Severe neonatal jaundice

• Severe dehydration

• Acidosis and respiratory distress

Category: Medicine Notes