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38 Possible Causes for Chronic Kidney Insufficiency, Cotton Wool Spots, Headache

  • Multiple Myeloma

    A 72-year-old man, who had been in complete remission from multiple myeloma for 1 year after treatment that included lenalidomide, presented with confusion, headache, nausea[ncbi.nlm.nih.gov] Physical Examination On head, ears, eyes, nose, and throat (HEENT) examination, the eyes may show exudative macular detachment, retinal hemorrhage, or cotton-wool spots.[emedicine.medscape.com] CONCERNS AND DIAGNOSES: Herein, we describe an extraordinary rare case of multiple myeloma with initial presentation of a left sphenoid neoplasm resulting in left-sided headache[ncbi.nlm.nih.gov]

  • Malignant Hypertension

    A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days.[ncbi.nlm.nih.gov] Cotton-wool spots, or cytoid bodies, are not exudates, but rather are retinal infarcts. Hypertensive optic neuropathy is a late finding.[ncbi.nlm.nih.gov] The case of a 6-year-old girl who presented with a prolonged history of general malaise, headaches and abdominal pain is reported.[ncbi.nlm.nih.gov]

  • Hypertensive Crisis

    Headache was the most common symptom (54.5%), followed by dizziness (45.5%), nausea/vomiting (36.4%) and chest pain (29.1%).[ncbi.nlm.nih.gov] A dilated fundus examination showed improvement in hemorrhages and cotton-wool spots.[reviewofoptometry.com] (n   1, 7.1%), Alstrom syndrome with chronic renal insufficiency (n   1, 7.1%), inborn error, hyperammonemia with ESRD (n   1, 7.1%), ESRD s/p renal transplantation (n   [bmcpediatr.biomedcentral.com]

  • Hypertensive Encephalopathy

    Three patients are described who experienced headache from hypertension: one had acute headache from acute hypertension, one had daily, morning headaches from chronic hypertension[ncbi.nlm.nih.gov] On ophthalmoscopy, grade IV retinal changes are associated with hypertensive encephalopathy, [7] including papilledema, hemorrhage, exudates, and cotton-wool spots (see the[emedicine.medscape.com] Hypertensive encephalopathy is generally implied by grade IV retinal abnormalities that include exudates, hemorrhage, cotton-wool spots and papilledema.[symptoma.com]

  • Weil's Disease

    Most cases involve flu-like symptoms (fever, chills, muscle aches, headaches).[cdc.gov] On the 7th day bilateral subconjunctival hemorrhages, anterior uveitis, and peripapillary cotton-wool spots were noted.[ncbi.nlm.nih.gov] Mnemonic for leptospirosis "LEPTOSPIRO " Lymphadenopathy Encephalitis (And meningitis) Pain in abdomen Transmitted through animal urine Occipital headache Suffusion (conjunctival[medicowesome.com]

  • Leukemia

    Pounding headaches iStock/AZarubaika Although not common, frequent pounding headaches may be a sign of leukemia-related anemia or even a life-threatening case of bleeding[rd.com] Those with retinopathy have more aggressive disease and therefore worse outcomes. [11, 12] The presence of cotton wool spots decreases the mean survival significantly. [13[emedicine.medscape.com] I have no energy and I just lie down all the time with headaches .[emedicinehealth.com]

  • Granulomatosis with Polyangiitis

    A 54-year-old male, without any related medical history developed a severe headache.[ncbi.nlm.nih.gov] Retinal vascular manifestations range from relatively benign cotton-wool spots, with or without associated intraretinal hemorrhages, to more severe vaso-occlusive disease,[aao.org] Positional headache is the most important feature that distinguishes the two diseases.[ncbi.nlm.nih.gov]

  • Polyarteritis Nodosa

    A 20-year-old man presented with diplopia, headaches, chronic abdominal pain, and weight loss.[ncbi.nlm.nih.gov] In the posterior pole, this may manifest as hypertensive retinopathy replete with macular star formation, cotton-wool spots, and intraretinal hemorrhage in patients with renal[aao.org] Neurologic manifestations resolved with treatment including corticosteroids and cyclophosphamide; however, persistent fevers, rash, and headaches interfered with attempts[pediatrics.aappublications.org]

  • Vasculitis

    Temporal arteritis is a form of vasculitis that involves the large- and medium-diameter arteries and leads to progressive headache.[ncbi.nlm.nih.gov] Additional ophthalmic manifestations include isolated cotton-wool spots, cranial-nerve palsies, ocular hypotony, and pupillary abnormalities. 2 To detect these conditions,[doi.org] We describe a case of PPM complicated by cerebral vasculitis, suggesting that neurological symptoms, including headache, should be enquired about in all PPM subjects.[ncbi.nlm.nih.gov]

  • Essential Hypertension

    Our cases showed arteriolar involvement and clinical symptoms characterized by headaches, dysesthesias, fleeting paralysis, personality changes, intellectual impairment and[annals.org] We describe a case of bilateral papillophlebitis with disc edema, scattered cotton-wool spots, flame-shaped hemorrhages, and exudates around the optic discs and in the macula[ncbi.nlm.nih.gov] (estimated GFR 1.5 in men or 1.3 mg/dL in women) defines the presence of chronic kidney disease (CKD) in diabetic patients.[hyper.ahajournals.org]

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