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©2014 Baishideng Publishing Group Inc.
World J Gastroenterol. Oct 14, 2014; 20(38): 13956-13965
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.13956
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.13956
No. | Sex/Age | Immunofluorescent staining | Renal lesion | Liver lesion | Treatment and outcome |
1 | M/64 | IgM++, IgA±, C3± | Acute tubulointerstitial disease | Acute hepatitis | Steroid 0.5 mg/kg, tappered to zero in 3 mo, ALT normalized in day 33, Scr normalized in day 182 |
2 | M/71 | Negative | Acute interstitial nephritis | Acute hepatitis | Anti-hepatitis B virus, steroid 0.5 mg/kg, tappered to zero in 3 mo, ALT normalized in day 50, Scr normalized in day 60 |
3 | M/69 | IgM±, IgA±, C3± | Acute tubulointerstitial disease | Acute hepatitis | Steroid 1 mg/kg, tappered to zero in 6 mo, cyclophosphamide accumulated to 6 g, potassium supplement, correction of acidosis, ALT normalized in day 40, Renal tubular acidosis normalized in day 15, Scr 140 μmol/L (10/8/2013) |
4 | F/53 | IgA2+, C3+ | Focal proliferative IgA nephropathy associated with acute tubulointerstitial nephropathy | Acute hepatitis | Steroid 1 mg/kg, tappered to 10 mg/d in 1 yr, cyclophosphamide accumulated to 6 g, ALT normalized in day 46, Scr 154 μmol/L (11/16/2013) |
5 | F/68 | IgM+, C3± | Acute interstitial nephritis | ND | Steroid 0.5 mg/kg, tappered to zero in 3 mo, ALT normalized in day 145, Scr normalized in day 12. |
6 | F/37 | Negative | Acute interstitial nephritis | Acute cholestasis | symptomatic treatment, Scr normalized in day 35, ALT normalized in day 86 |
7 | F/17 | ND | ND | Chronic cholestatic hepatitis (during transplantation) | Symptomatic treatment, Scr normalized in day 205, liver transplantation |
- Citation: Cao YL, Tian ZG, Wang F, Li WG, Cheng DY, Yang YF, Gao HM. Characteristics and clinical outcome of nonsteroidal anti-inflammatory drug-induced acute hepato-nephrotoxicity among Chinese patients. World J Gastroenterol 2014; 20(38): 13956-13965
- URL: https://www.wjgnet.com/1007-9327/full/v20/i38/13956.htm
- DOI: https://dx.doi.org/10.3748/wjg.v20.i38.13956