Abstract
Acute oxalate nephropathy, caused by either primary or secondary hyperoxaluria, is characterized by the presence of tubulointerstitial deposits of oxalate, accompanied by an interstitial inflammatory reaction. We report the case of a type 2 diabetic patient who developed terminal chronic renal failure on acute oxalate nephropathy. The patient was seen in the Emergencies Department with a loss of cutaneous substance at the level of the wrist with a whitish suppurative deposit. The radiological assessment showed various joint opacities at the level of the wrist, the metacarpophalangeal and interphalangeal joints. A non-regressive ARF (particularly in a diabetic patient) should lead to a search for exocrine pancreatic insufficiency with secondary hyperoxaluria. A kidney biopsy should be performed quickly to support this diagnostic suspicion.
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