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His past medical history includes AFib, obesity, mild mental retardation and HTN.
During physical examination, all skin surfaces are wet and he is shivering under 4 blankets which are wet.
What is the cause for his ARF?
What are the typical finding seen on the MRI of the brain?
Read more on ClinicalCases.org: Acute renal failure due to hyperhidrosis secondary to Shapiro's syndrome.
Image source: Sweat, Shaylor's photostream, Creative Commons license. The image is not related and does not show the patient.
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