过量蔬菜汁引起的急性草酸肾病。

Case Reports in Nephrology Pub Date : 2022-01-31 eCollection Date: 2022-01-01 DOI:10.1155/2022/4349673
Harshad Chaudhari, Jennine Michaud, Nityasree Srialluri, Smita Mahendrakar, Christine Granz, Michael Yudd
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引用次数: 1

摘要

由于大量摄入富含草酸的食物而引起的急性草酸肾病(AON)是急性肾损伤和终末期肾病(ESRD)的罕见原因。我们描述了一位68岁的男性,基线肾功能正常,但发展为严重的AON和ESRD。六个月前,他开始每天吃富含草酸的水果和蔬菜汁,多吃菠菜,每天的草酸摄入量为1500毫克,大约是正常饮食的10倍。肾活检显示广泛的小管草酸沉积和急性小管损伤;肾组织相对没有慢性病变,如肾小球硬化、肾小管萎缩和间质纤维化。一年后,他仍然依赖透析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Acute Oxalate Nephropathy Caused by Excessive Vegetable Juicing and Concomitant Volume Depletion.

Acute oxalate nephropathy (AON) induced by high dietary intake of oxalate-rich food is a rare cause of acute kidney injury and end-stage renal disease (ESRD). We describe a 68-year-old man with adequate baseline renal function who developed severe AON and ESRD. Six months earlier, he started a daily oxalate-rich fruit and vegetable juice diet high in spinach, with a calculated daily oxalate dietary intake of 1500 mg, about 10 times a typical diet. Renal biopsy showed extensive tubular oxalate deposits and acute tubular damage; the renal tissue was relatively free of chronic changes such as glomerulosclerosis, tubular atrophy, and interstitial fibrosis. A year later, he remains dialysis dependent.

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来源期刊
Case Reports in Nephrology
Case Reports in Nephrology Medicine-Nephrology
CiteScore
1.70
自引率
0.00%
发文量
32
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