Pre-terminal renal insufficiency in a patient with enteric hyperoxaluria: effect of medical management on renal function

Autor: L, Pipeleers, K M, Wissing, Y, Pirson, J P, Cosyns, C, Geers, C, Tielemans
Rok vydání: 2012
Předmět:
Zdroj: Acta clinica Belgica. 67(1)
ISSN: 1784-3286
Popis: Enteric hyperoxaluria causes tubular deposition calcium oxalate crystals and severe chronic interstitial nephritis. We describe a patient with pre-terminal renal failure due to oxalate nephropathy after ileal resection. Increased oral hydration, low oxalate diet, and oral calcium carbonate and potassium citrate supplements resulted in a significant improvement of renal function. During the three-year follow-up, urinary oxalate concentration was repeatedly reduced below the crystallization threshold and serum creatinine decreased from 4.5 to 1.7 mg/dL. This case illustrates the benefit of combining and optimizing dietary and medical management in enteric hyperoxaluria, even in patients with advanced chronic kidney disease.
Databáze: OpenAIRE