Posterior reversible leukoencephalopathy syndrome associated with acute postinfectious glomerulonephritis: systematic review
Articolo
Data di Pubblicazione:
2022
Citazione:
Posterior reversible leukoencephalopathy syndrome associated with acute postinfectious glomerulonephritis: systematic review / C. Orlando, G.P. Milani, G.D. Simonetti, B. Goeggel Simonetti, S.A.G. Lava, R. Wyttenbach, M.G. Bianchetti, M. Cristallo Lacalamita. - In: PEDIATRIC NEPHROLOGY. - ISSN 0931-041X. - 37:4(2022), pp. 833-841. [10.1007/s00467-021-05244-z]
Abstract:
Background: Kidney diseases are a recognized cause of posterior reversible leukoencephalopathy syndrome, usually abbreviated as PRES. The purpose of this review was to systematically address the association between acute postinfectious glomerulonephritis and PRES. Methods: We performed a systematic review of the literature on acute postinfectious glomerulonephritis associated with PRES. The principles recommended by the Economic and Social Research Council guidance on the conduct of narrative synthesis and on the Preferred Reporting Items for Systematic Reviews and Meta-analyses were used. Databases searched included Excerpta Medica, US National Library of Medicine, and Web of Science. Results: For the final analysis, we evaluated 47 reports describing 52 cases (32 males and 20 females). Fifty patients were ≤ 18 years of age. Blood pressure was classified as follows: normal-elevated (n = 3), stage 1 hypertension (n = 3), stage 2 hypertension (n = 5), and severe hypertension (n = 41). Acute kidney injury was classified as stage 1 in 32, stage 2 in 16, and stage 3 in four cases. Neuroimaging studies disclosed a classic posterior PRES pattern in 28 cases, a diffuse PRES pattern in 23 cases, and a brainstem-cerebellum PRES pattern in the remaining case. Antihypertensive drugs were prescribed in all cases and antiepileptic drugs in cases presenting with seizures. A resolution of clinical findings and neuroimaging lesions was documented in all cases with information about follow-up. Conclusions: The main factor associated with PRES in acute postinfectious glomerulonephritis is severe hypertension. Prompt clinical suspicion, rapid evaluation, and management of hypertension are crucial. Graphical abstract: [Figure not available: see fulltext.] A higher resolution version of the Graphical abstract is available as Supplementary information.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Acute brain capillary leak syndrome; Acute postinfectious glomerulonephritis; Acute poststreptococcal glomerulonephritis; Hypertensive encephalopathy; Posterior reversible leukoencephalopathy syndrome; Antihypertensive Agents; Female; Humans; Magnetic Resonance Imaging; Male; Neuroimaging; Glomerulonephritis; Hypertension; Posterior Leukoencephalopathy Syndrome
Elenco autori:
C. Orlando, G.P. Milani, G.D. Simonetti, B. Goeggel Simonetti, S.A.G. Lava, R. Wyttenbach, M.G. Bianchetti, M. Cristallo Lacalamita
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