Autor: |
L, Pipeleers, K M, Wissing, Y, Pirson, J P, Cosyns, C, Geers, C, Tielemans |
Rok vydání: |
2012 |
Předmět: |
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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 |
Externí odkaz: |
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