Retrospective Study
Copyright ©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
Table 5 Histology and outcome of non-steroidal anti-inflammatory drug-induced acute hepato-nephrotoxicity
No.Sex/AgeImmunofluorescent stainingRenal lesionLiver lesionTreatment and outcome
1M/64IgM++, IgA±, C3±Acute tubulointerstitial diseaseAcute hepatitisSteroid 0.5 mg/kg, tappered to zero in 3 mo, ALT normalized in day 33, Scr normalized in day 182
2M/71NegativeAcute interstitial nephritisAcute hepatitisAnti-hepatitis B virus, steroid 0.5 mg/kg, tappered to zero in 3 mo, ALT normalized in day 50, Scr normalized in day 60
3M/69IgM±, IgA±, C3±Acute tubulointerstitial diseaseAcute hepatitisSteroid 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)
4F/53IgA2+, C3+Focal proliferative IgA nephropathy associated with acute tubulointerstitial nephropathyAcute hepatitisSteroid 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)
5F/68IgM+, C3±Acute interstitial nephritisNDSteroid 0.5 mg/kg, tappered to zero in 3 mo, ALT normalized in day 145, Scr normalized in day 12.
6F/37NegativeAcute interstitial nephritisAcute cholestasissymptomatic treatment, Scr normalized in day 35, ALT normalized in day 86
7F/17NDNDChronic cholestatic hepatitis (during transplantation)Symptomatic treatment, Scr normalized in day 205, liver transplantation