Chronic renal failure and 1 case of rheumatic polymyalgia.docVIP

 PAGE \* MERGEFORMAT 6 Chronic renal failure and 1 case of rheumatic polymyalgia [Keywords:] chronic renal failure, rheumatic polymyalgia 1 Case information Patients, male, 57 years old. Because of “weak acid 7 years back, fever, shoulder, bilateral hips, legs pain for 10 days” on April 10, 2008 admission. 6 years ago there were backache, fatigue, dizziness, no edema of the eyelids and lower limbs, etc., in our hospital, checking urine PRO (3 +, ERY (2 +, kidney BUN 14.42mmol / L, UA 433mol / L, CREA 296mol / L, B ultrasound showed renal atrophy, cortical thinning, combined with history, a diagnosis of “hypertension 3 (very high-risk, hypertensive nephropathy, chronic renal failure (decompensated,” has always insisted on diet, correcting acid, blood pressure and other treatment, the slow deterioration of renal function, uremia in 2005 into the conduct rules of renal replacement therapy, dialysis adequacy. the past 10 days in patients with no clear trigger fever, shoulder, bilateral hips, legs pain, particularly at night with leg muscle pain, limp, severe walking difficulties and can not stand, no mitigation activities and rest, no local swelling, fever, eating normal, no palpitation, chest tightness, no nausea, vomiting, fatigue, night sweats, weight loss, no urine .1977 discovered hypertension, high blood pressure of 240/160mmHg, rules antihypertensive treatment, in 2003 found that type 2 diabetes, intermittent oral administration of acarbose treatment, blood glucose control can be denied a history of coronary heart disease, etc., denied hepatitis, tuberculosis and other infectious medical history, denied the poisoning, trauma, surgery . examination: T 37 , P 118 times / min, R 20 times / min, BP 121/66mmHg (1mmHg = 0.133kPa. cart into the room, grade lower extremity muscle strength, muscle tone normal, neurological examination: physiological effects exist, pathological reflex was not elicited. Laboratory tests: WBC 14.2 109 / L, N 68.8%, PLT 428 1