A 24-year-old man is evaluated for painless gross hematuria after strenuous exercise. He has no dysuria or flank pain. He is otherwise healthy, and urinalysis shows many red blood cells without casts. He reports that several relatives carry sickle cell trait. Which of the following complications is this patient at increased risk of developing due to his underlying condition?
- A)Warm autoimmune hemolytic anemia
- B)Hemarthroses
- C)Factor VIII deficiency
- D)Aplastic anemia due to marrow failure
- E)Renal papillary necrosisGABARITO
Explicação
Renal papillary necrosis is the correct answer because the renal medulla is relatively hypoxic and hypertonic, conditions that can promote focal sickling even in sickle cell trait. Ver explicação completa e trilha adaptativa →