Bakul G, Unni V N, Seethaleksmy N V, Mathew A, Rajesh R, Kurien G, Rajesh J, Jayaraj P M, Kishore D S, Jose P P
Department of Nephrology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Indian J Nephrol. 2013 Jul;23(4):297-300. doi: 10.4103/0971-4065.114481.
Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules. Acute oxalate nephropathy (AON) due to secondary oxalosis after consumption of Irumban puli juice is uncommon. AON due to A. bilimbi has not been reported before. We present a series of ten patients from five hospitals in the State of Kerala who developed ARF after intake of I. puli fruit juice. Seven patients needed hemodialysis whereas the other three improved with conservative management.
伊伦班布利（酸豆）在喀拉拉邦通常被用作传统药物。新制的浓缩汁草酸含量非常高，饮用后因草酸钙晶体在肾小管沉积而有很高的发生急性肾衰竭（ARF）的风险。饮用伊伦班布利果汁后因继发性草酸中毒导致的急性草酸肾病（AON）并不常见。此前尚未有因酸豆导致AON的报道。我们报告了喀拉拉邦五家医院的一系列10例患者，他们在摄入酸豆果汁后发生了ARF。7例患者需要血液透析，而其他3例通过保守治疗病情好转。
