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泮托拉唑所致急性肾损伤:一例报告

Pantoprazole-induced acute kidney injury: A case report.

作者信息

Peng Tao, Hu Zhao, Zheng Hongnan, Zhen Junhui, Ma Chengjun, Yang Xiangdong

机构信息

Department of Nephrology, Shandong University Qilu Hospital, Jinan, Shandong 250012, P.R. China.

Department of Nephrology, Jinan Third People's Hospital, Jinan, Shandong 250010, P.R. China.

出版信息

Exp Ther Med. 2018 Jun;15(6):5302-5306. doi: 10.3892/etm.2018.6088. Epub 2018 Apr 23.

Abstract

The present study reports a case of pantoprazole-induced acute kidney disease. The patient was diagnosed with acute kidney injury with wide interstitial inflammation and eosinophil infiltration. Following 1 month of glucocorticoid therapy, the patient's serum creatinine and urea nitrogen decreased to within normal ranges. The presentation, clinical course, diagnosis and prognosis of pantoprazole-induced acute kidney injury are discussed herein to highlight the importance of early and correct diagnosis for good prognosis. Disease characteristics include short-term increased serum creatinine levels that respond to glucocorticoid treatment. The patient had no history of chronic kidney disease or proteinuria and presented with increased serum creatinine following treatment with pantoprazole. Following the end of pantoprazole treatment, short-term RRT and long-term prednisolone was administered, then serum creatinine returned to normal. Pantoprazole-induced acute kidney injury is commonly misdiagnosed and late diagnosis results in poor patient prognoses. Misdiagnosis leads to the administration of treatments that may exacerbate the condition, so appropriate diagnosis and treatment for pantoprazole-induced acute kidney injury is necessary.

摘要

本研究报告了一例泮托拉唑诱发的急性肾损伤病例。该患者被诊断为急性肾损伤,伴有广泛的间质炎症和嗜酸性粒细胞浸润。经过1个月的糖皮质激素治疗,患者的血清肌酐和尿素氮降至正常范围。本文讨论了泮托拉唑诱发的急性肾损伤的表现、临床过程、诊断和预后,以强调早期正确诊断对良好预后的重要性。疾病特征包括血清肌酐水平短期内升高,对糖皮质激素治疗有反应。该患者无慢性肾病或蛋白尿病史,在接受泮托拉唑治疗后出现血清肌酐升高。泮托拉唑治疗结束后,给予短期肾脏替代治疗和长期泼尼松龙治疗,随后血清肌酐恢复正常。泮托拉唑诱发的急性肾损伤常被误诊,而延迟诊断会导致患者预后不良。误诊会导致使用可能加重病情的治疗方法,因此对泮托拉唑诱发的急性肾损伤进行恰当的诊断和治疗是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4554/5958704/1272757435fe/etm-15-06-5302-g00.jpg

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