[Skip to Content]
[Skip to Content Landing]
Article
September 1938

BILATERAL CORTICAL NECROSIS OF THE KIDNEYS: REPORT OF THREE CASES

Author Affiliations

CLEVELAND

From the Department of Medicine and the Department of Pathology, Cleveland City Hospital and Western Reserve University.

Arch Intern Med (Chic). 1938;62(3):423-431. doi:10.1001/archinte.1938.00180140070006
Abstract

The first description of bilateral cortical necrosis of the kidneys is accredited to Juhel-Rénoy,1 of France (1886). The condition is rare, the literature containing reports of about 70 cases. Reviews of the literature have been made by Scriver and Oertel2 (1930), Ash3 (1933) and Evans and Gilbert4 (1936).

Bilateral cortical necrosis of the kidneys is so named because at autopsy both kidneys show more or less extensive necrosis of the cortex. Grossly the necrotic cortex is reddish yellow and soft, closely resembling a fresh infarct in appearance and consistency. However, the involved area does not have the shape of an infarct but has the shape of the cortex even to the point of involving the columns of Bertin. Only a thin layer of cortex adjacent to the capsule and the pyramids is spared. The necrosis is more or less patchy. The cortical vessels also are necrotic

×