The epidemiology, diagnosis, and management of aristolochic acid nephropathy: a narrative review

Autor: Graham M. Lord, David H. Phillips, Jean-Pierre Cosyns, Monique S. J. Simmonds, Marie Stiborová, H. Terence Cook, Volker M. Arlt, M. Refik Gökmen, Jean-Louis Vanherweghem, Heinz H Schmeiser, Joëlle Nortier
Rok vydání: 2013
Předmět:
medicine.medical_specialty
Pathology
Urologic Neoplasms
Balkan Nephropathy
Aristolochic acid
Disease
chemistry.chemical_compound
Balkan endemic nephropathy
Kidney Diseases -- chemically induced -- diagnosis -- epidemiology -- physiopathology -- therapy
Risk Factors
Epidemiology
Internal Medicine
medicine
Humans
Intensive care medicine
Aristolochic Acids -- adverse effects
Plant Preparations -- adverse effects
business.industry
Aristolochic acid nephropathy
Médecine pathologie humaine
Toxicologie [toxines]
General Medicine
Chinese herbs
medicine.disease
Sciences biomédicales
chemistry
Cohort
Urologic Neoplasms -- chemically induced -- diagnosis -- epidemiology -- physiopathology -- therapy
Aristolochic Acids
Narrative review
Kidney Diseases
Plant Preparations
Balkan Nephropathy -- chemically induced -- diagnosis -- epidemiology -- therapy
business
Zdroj: Annals of internal medicine, 158 (6
ISSN: 1539-3704
Popis: It has been 20 years since the first description of a rapidly progressive renal disease that is associated with the consumption of Chinese herbs containing aristolochic acid (AA) and is now termed aristolochic acid nephropathy (AAN). Recent data have shown that AA is also the primary causative agent in Balkan endemic nephropathy and associated urothelial cancer. Aristolochic acid nephropathy is associated with a high long-term risk for renal failure and urothelial cancer, and the potential worldwide population exposure is enormous. This evidence-based review of the diagnostic approach to and management of AAN draws on the authors' experience with the largest and longest-studied combined cohort of patients with this condition. It is hoped that a better understanding of the importance of this underrecognized and severe condition will improve epidemiologic, preventive, and therapeutic strategies to reduce the global burden of this disease.
Journal Article
Research Support, Non-U.S. Gov't
Review
SCOPUS: re.j
info:eu-repo/semantics/published
Databáze: OpenAIRE