Enteric hyperoxaluria: A hidden cause of early renal graft failure in two successive transplants: Spontaneous late graft recovery
| Autor: | Eric Goffin, Charles Cuvelier, Michel Wauthier, Charles van Ypersele de Strihou, Jean-Pierre Cosyns |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Calcium oxalate Renal function Kidney chemistry.chemical_compound Klinefelter Syndrome Biopsy medicine Humans Treatment Failure Dialysis Hyperoxaluria Oxalates medicine.diagnostic_test business.industry Acute Kidney Injury medicine.disease Kidney Transplantation Surgery Steatorrhea Transplantation Celiac Disease Treatment Outcome Pancreatitis chemistry Nephrology Chronic Disease medicine.symptom Enteric Hyperoxaluria business |
| Zdroj: | American Journal of Kidney Diseases. 40:e3.1-e3.6 |
| ISSN: | 0272-6386 |
| Popis: | A 37-year-old patient underwent two successive renal transplantations 7 months apart. He remained dialysis dependent. Early biopsy of both grafts revealed widespread calcium oxalate deposition suggestive of acute oxalate nephropathy. Several causes of oxalate nephropathy, including primary oxalosis and an increased intake of oxalic acid precursors, were excluded. Two years later, the identification of steatorrhea with radiologic signs of chronic pancreatitis led to the hypothesis of enteric hyperoxaluria. Surprisingly, 11 months after the second transplantation, graft function improved progressively allowing interruption of dialysis. Three years later, renal function is stable. The causes and prevention of acute oxalate-induced graft failure are highlighted. Subclinical evidence of enteric hyperoxaluria should be looked for and appropriate therapy instituted as early as possible. The possibility of a late recovery of renal function warrants attentive patience from attending physicians. |
| Databáze: | OpenAIRE |
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