Scaranello Karilla Lany, Alvares Valeria Regina de Cristo, Carneiro Daniely Maria Queiroz, Barros Flávio Henrique Soares, Gentil Thais Marques Sanches, Thomaz Myriam José, Pereira Benedito Jorge, Pereira Mariana Batista, Leme Graziella Malzoni, Diz Mary Carla Esteves, Laranja Sandra Maria Rodrigues
Hospital do Servidor Público Estadual.
J Bras Nefrol. 2014 Apr-Jun;36(2):246-9. doi: 10.5935/0101-2800.20140036.
The star fruit belongs to the family Oxalidacea, species Averrhoa carambola. It is rich in minerals, vitamin A, C, B complex vitamins and oxalic acid. Recent studies show that the toxicity of the fruit differs between the patients and may be explained by single biological responses, age, and the intake quantity of the neurotoxin in each fruit in addition to glomerular filtration rate given by each patient. Additionally, the nephrotoxicity caused by the fruit is dose-dependent and may lead to the deposition of crystals of calcium oxalate intratubular, as well as by direct injury to the renal tubular epithelium, leading to apoptosis of the same. We report the case of a patient who after ingestion of the juice and fresh fruit, developed acute renal failure requiring dialysis, evolving with favourable outcome and recovery of renal function.
杨桃属于酢浆草科，学名为阳桃。它富含矿物质、维生素A、C、复合维生素B和草酸。最近的研究表明，该水果对不同患者的毒性存在差异，这可能是由个体生物学反应、年龄、每个水果中神经毒素的摄入量以及每位患者的肾小球滤过率所导致的。此外，该水果引起的肾毒性具有剂量依赖性，可能导致草酸钙晶体在肾小管内沉积，以及对肾小管上皮细胞的直接损伤，进而导致肾小管上皮细胞凋亡。我们报告了一例患者，该患者在饮用杨桃汁并食用新鲜杨桃后，出现了需要透析的急性肾衰竭，最终肾功能良好恢复。
