Document Detail


Alcohol abuse: potential role in electrolyte disturbances and kidney diseases.
MedLine Citation:
PMID:  9582549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The present review summarizes the current knowledge on the multiple effects of alcohol overconsumption on the kidney function as well as on water, electrolyte and acid-base homeostasis. In contrast to the well known transitory diuretic effects, the overall long-term effect of chronic alcohol overconsumption is water and salt retention with expansion of extracellular volume. Furthermore, depletion of magnesium, phosphate and calcium is also frequently found in alcohol-dependent patients. These electrolyte disturbances may be associated with the alcohol-induced hypoparathyroidism and parathyroid hormone resistance of the skeletal muscle as well as with the decrease of serum osteocalcin. Metabolic acidosis with lower arterial blood pH and plasma bicarbonate concentrations was revealed in alcoholic patients upon admission and a significant correlation between chronic alcohol overconsumption and increased incidence of hyperuricemia and gout attacks was also reported. Alcohol seems to have dual effects on the blood pressure. Increased blood pressure was demonstrated in men above 80 g and in women above 40 g ethanol consumption daily. In contrast, young adults consuming only 10 to 20 g per day had lower blood pressure than the abstinent group indicating a J-curve relationship. This is in line with the lowered risk for coronary heart disease associated with regular consumption of small alcohol amounts. The mechanisms responsible for the association between alcohol overconsumption and postinfectious glomerulonephritis have not been elucidated yet. Finally severe alcohol abuse predisposes to acute renal failure and seems to be associated with the general catabolic effects.
Authors:
S Vamvakas; M Teschner; U Bahner; A Heidland
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical nephrology     Volume:  49     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-26     Completed Date:  1998-06-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  205-13     Citation Subset:  IM    
Affiliation:
Department of Pharmacology and Toxicology, University of Würzburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Alcoholism / complications*
Animals
Blood Pressure / drug effects
Ethanol / pharmacology
Female
Fetal Alcohol Syndrome
Homeostasis / drug effects
Humans
Kidney Diseases / etiology*
Kidney Failure, Acute / etiology
Kidney Failure, Chronic / etiology
Male
Water-Electrolyte Imbalance / etiology*
Chemical
Reg. No./Substance:
64-17-5/Ethanol
Comments/Corrections
Comment In:
Clin Nephrol. 1998 Dec;50(6):390   [PMID:  9877114 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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