There are 3 “organ”-renal syndromes currently recognized:
- Cardiorenal Syndrome - presentation of combined cardiac and renal dysfunction.
- Pulmonary-Renal Syndrome (PRS) - presentation of combined alveolar hemorrhage and glomerulonephritis.
Pulmonary-Renal Syndrome is the least well-recognized among the 3 syndromes. For example, it is not even listed under this name in the current edition of the “universal textbook of medicine” UpToDate (version 15.3). There is an old proverb: beware the man of a single
Pulmonary-renal syndrome (PRS) is diffuse alveolar hemorrhage and glomerulonephritis occurring simultaneously. It sound like Goodpasture’s syndrome which is logical since Goodpasture’s is the prototype cause of PRS. Pulmonary-renal syndrome can can also be caused by SLE, Wegener’s granulomatosis, microscopic polyangiitis, and other connective tissue diseases — see the Merck Manual for a full list of causes of PRS.
References: Original post by Clinical Cases
Acute decompensated heart failure: The cardiorenal syndrome. CCJM (PDF).
The Clinical Challenge of Cardiorenal Syndrome. Circulation, 2004.
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