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A new case of TEMPI syndrome.

Mohammadi F, Wolverson MK, Bastani B - Clin Kidney J (2012)

Bottom Line: We present an interesting case of a woman with new onset hypertension and abdominal fullness who was found to have huge bilateral perinephric fluid collections.Extensive workup revealed that she had secondary polycythemia, extensive truncal and proximal extremities telangiectasia and IgA-lambda monoclonal gammopathy of underdetermined significance.We believe that this is one of the rare cases consistent with the recently described TEMPI syndrome.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Department of Internal Medicine , Saint Louis University Health Science Center , Saint Louis, MO , USA.

ABSTRACT
We present an interesting case of a woman with new onset hypertension and abdominal fullness who was found to have huge bilateral perinephric fluid collections. Extensive workup revealed that she had secondary polycythemia, extensive truncal and proximal extremities telangiectasia and IgA-lambda monoclonal gammopathy of underdetermined significance. We believe that this is one of the rare cases consistent with the recently described TEMPI syndrome.

No MeSH data available.


Related in: MedlinePlus

Extensive cutaneous telangiectasia on the anterior chest wall.
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SFS139F2: Extensive cutaneous telangiectasia on the anterior chest wall.

Mentions: On physical examination, she appeared in no apparent distress and her vital signs included a heart rate of 87 b.p.m, respiratory rate of 16/min and blood pressure (BP) of 158/108 mmHg. She was afebrile with oxygen saturation of 96% on room air. Her cardiovascular and respiratory exam was within normal limits. Her abdominal exam was significant for bilateral flank fullness but no tenderness. She had vitiligo spots along with very prominent numerous skin telangiectasias located on the upper chest anteriorly and posteriorly (Figure 2) and to a lesser degree in the abdomen, base of neck, arms and thighs.Fig. 2.


A new case of TEMPI syndrome.

Mohammadi F, Wolverson MK, Bastani B - Clin Kidney J (2012)

Extensive cutaneous telangiectasia on the anterior chest wall.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4400562&req=5

SFS139F2: Extensive cutaneous telangiectasia on the anterior chest wall.
Mentions: On physical examination, she appeared in no apparent distress and her vital signs included a heart rate of 87 b.p.m, respiratory rate of 16/min and blood pressure (BP) of 158/108 mmHg. She was afebrile with oxygen saturation of 96% on room air. Her cardiovascular and respiratory exam was within normal limits. Her abdominal exam was significant for bilateral flank fullness but no tenderness. She had vitiligo spots along with very prominent numerous skin telangiectasias located on the upper chest anteriorly and posteriorly (Figure 2) and to a lesser degree in the abdomen, base of neck, arms and thighs.Fig. 2.

Bottom Line: We present an interesting case of a woman with new onset hypertension and abdominal fullness who was found to have huge bilateral perinephric fluid collections.Extensive workup revealed that she had secondary polycythemia, extensive truncal and proximal extremities telangiectasia and IgA-lambda monoclonal gammopathy of underdetermined significance.We believe that this is one of the rare cases consistent with the recently described TEMPI syndrome.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Department of Internal Medicine , Saint Louis University Health Science Center , Saint Louis, MO , USA.

ABSTRACT
We present an interesting case of a woman with new onset hypertension and abdominal fullness who was found to have huge bilateral perinephric fluid collections. Extensive workup revealed that she had secondary polycythemia, extensive truncal and proximal extremities telangiectasia and IgA-lambda monoclonal gammopathy of underdetermined significance. We believe that this is one of the rare cases consistent with the recently described TEMPI syndrome.

No MeSH data available.


Related in: MedlinePlus