The lady who had a remote history of ovarian malignancy and developed thrombotic microangiopathy

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Abstract
Thrombotic microangiopathy (TMA) following irradiation is a rare cause of renal insufficiency, often neglected in the differential diagnosis nowadays. We report the case of a lady with a remote history of ovarian malignancy, treated years ago by irradiation. The patient now presented with moderate renal insufficiency caused by biopsy-proven thrombotic microangiopathy. We wish to draw the attention of the nephrologists to an unusual cause of TMA in the setting of chronic irradiation nephropathy.