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用去铁胺治疗铝相关性骨病引发透析性痴呆

Precipitation of dialysis dementia by deferoxamine treatment of aluminum-related bone disease.

作者信息

Sherrard D J, Walker J V, Boykin J L

机构信息

Department of Medicine, Seattle Veterans Administration Medical Center, WA 98108.

出版信息

Am J Kidney Dis. 1988 Aug;12(2):126-30. doi: 10.1016/s0272-6386(88)80007-6.

DOI:10.1016/s0272-6386(88)80007-6
PMID:3400633
Abstract

Five patients with chronic renal failure, complicated by bone aluminum toxicity, were treated with deferoxamine (DFO). This treatment appeared to precipitate dialysis dementia, which was fatal in three patients. In two patients, continuous treatment with lower doses of DFO was possible. The development of dialysis dementia in chronic renal failure patients with very high serum aluminum levels may be a complication of DFO treatment.

摘要

五名患有慢性肾衰竭并伴有骨铝中毒的患者接受了去铁胺(DFO)治疗。这种治疗似乎引发了透析性痴呆,其中三名患者因此死亡。另外两名患者能够持续接受较低剂量的DFO治疗。血清铝水平极高的慢性肾衰竭患者出现透析性痴呆可能是DFO治疗的一种并发症。

相似文献

1
Precipitation of dialysis dementia by deferoxamine treatment of aluminum-related bone disease.用去铁胺治疗铝相关性骨病引发透析性痴呆
Am J Kidney Dis. 1988 Aug;12(2):126-30. doi: 10.1016/s0272-6386(88)80007-6.
2
Encephalopathy in chronic renal failure responsive to deferoxamine therapy. Another manifestation of aluminum neurotoxicity.慢性肾衰竭中的脑病对去铁胺治疗有反应。铝神经毒性的另一种表现。
Arch Intern Med. 1986 Oct;146(10):2063-4.
3
[Successful treatment of progressive dialysis encephalopathy. Case report].[成功治疗进行性透析性脑病。病例报告]
Z Urol Nephrol. 1985 Jul;78(7):387-93.
4
Deferoxamine (DFO): the effectiveness for noninvasive diagnosis of aluminum-related bone disease, and for treatment of the disease.去铁胺(DFO):用于铝相关性骨病无创诊断及治疗的有效性。
J UOEH. 1987 Mar 20;9 Suppl:140-52.
5
The efficacy of various treatment modalities on aluminium associated bone disease.
Proc Eur Dial Transplant Assoc. 1983;19:195-202.
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Diagnosis of aluminum-related bone disease and treatment of aluminum toxicity with deferoxamine.铝相关性骨病的诊断及用去铁胺治疗铝中毒
Semin Nephrol. 1986 Dec;6(4 Suppl 1):12-21.
7
The use of desferrioximine in dialysis-associated aluminium disease.
Contrib Nephrol. 1993;102:125-34. doi: 10.1159/000421919.
8
Aluminum-associated bone disease: considerations on the pathogenesis and the effects of deferoxamine treatment.铝相关性骨病:关于发病机制及去铁胺治疗效果的思考
J UOEH. 1987 Mar 20;9 Suppl:133-9.
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Cerebrospinal fluid aluminum levels following deferoxamine.
Am J Kidney Dis. 1990 Aug;16(2):157-9. doi: 10.1016/s0272-6386(12)80572-5.
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Osteomalacia and bone disease arising from aluminum.
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引用本文的文献

1
Aluminium in the Human Brain: Routes of Penetration, Toxicity, and Resulting Complications.人脑中的铝:穿透途径、毒性及由此产生的并发症。
Int J Mol Sci. 2023 Apr 13;24(8):7228. doi: 10.3390/ijms24087228.
2
Aluminum Intoxication in Chronic Kidney Disease.慢性肾脏病中的铝中毒
J Bras Nefrol. 2021 Dec 3;43(4 Suppl 1):660-664. doi: 10.1590/2175-8239-JBN-2021-S110. eCollection 2021.
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ACMT Recommends Against Use of Post-Chelator Challenge Urinary Metal Testing.美国医学毒理学学院建议不要使用螯合剂激发试验后的尿液金属检测。
J Med Toxicol. 2017 Dec;13(4):352-354. doi: 10.1007/s13181-017-0624-6. Epub 2017 Jul 19.
4
The role of chelation in the treatment of other metal poisonings.螯合在治疗其他金属中毒中的作用。
J Med Toxicol. 2013 Dec;9(4):355-69. doi: 10.1007/s13181-013-0343-6.
5
The neurotoxicity of environmental aluminum is still an issue.环境铝的神经毒性仍然是一个问题。
Neurotoxicology. 2010 Sep;31(5):575-81. doi: 10.1016/j.neuro.2010.05.009. Epub 2010 May 27.
6
Human health risk assessment for aluminium, aluminium oxide, and aluminium hydroxide.铝、氧化铝和氢氧化铝的人体健康风险评估。
J Toxicol Environ Health B Crit Rev. 2007;10 Suppl 1(Suppl 1):1-269. doi: 10.1080/10937400701597766.
7
The biological speciation and toxicokinetics of aluminum.铝的生物物种形成及毒代动力学
Environ Health Perspect. 1994 Nov;102(11):940-51. doi: 10.1289/ehp.94102940.
8
Nephrology, dialysis and transplantation.肾脏病学、透析与移植
Postgrad Med J. 1990 Jul;66(777):502-25. doi: 10.1136/pgmj.66.777.502.