Nephrology, Dialysis and Transplantation Unit, 'Giuseppe Brotzu' Hospital, Cagliari, Italy.
Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
Ren Fail. 2023;45(2):2284839. doi: 10.1080/0886022X.2023.2284839. Epub 2023 Nov 20.
Sodium Zirconium Cyclosilicate (SZC) is commonly used for treating hyperkalemia because it sequesters gastrointestinal potassium ions, thereby reducing serum potassium levels. However, a less-discussed aspect of SZC is its radiopacity on x-ray-based imaging techniques. The European Medicines Agency (EMA) has only vaguely addressed this issue. Radiopaque substances like SZC can interfere with diagnostic imaging, creating challenges for clinicians and radiologists. We present the case of a 34-year-old Italian male to illustrate these concerns.
硅酸锆钪钠(SZC)常用于治疗高钾血症,因为它可以螯合胃肠道中的钾离子,从而降低血清钾水平。然而,SZC 的一个不太被讨论的方面是它在基于 X 射线的成像技术上的放射不透明度。欧洲药品管理局(EMA)只是含糊地提到了这个问题。像 SZC 这样的放射不透明物质会干扰诊断成像,给临床医生和放射科医生带来挑战。我们提出了一个 34 岁意大利男性的病例来说明这些问题。