| Alcoholic cirrhosis-associated hepatorenal syndrome treated with vasoactive agents. | |
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MedLine Citation:
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PMID: 16932415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: A 35-year-old man with alcoholic cirrhosis, ascites and alcoholic hepatitis presented with new-onset renal insufficiency of unclear etiology after recovery from an episode of gastrointestinal bleeding. Renal function continued to worsen after cessation of diuretic therapy and initiation of volume resuscitation. INVESTIGATIONS: Physical examination, abdominal ultrasound, liver tests, basic metabolic panel, abdominal paracentesis, renal function tests, 24-h urine collections. DIAGNOSIS: Type 1 hepatorenal syndrome (HRS). MANAGEMENT: Intravascular volume resuscitation with normal saline and albumin followed by oral midodrine plus subcutaneous octreotide therapy. This regimen was continued until improvement and subsequent normalization of the serum creatinine. |
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Authors:
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Eric Esrailian; Bruce A Runyon |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Nature clinical practice. Nephrology Volume: 2 ISSN: 1745-8323 ISO Abbreviation: - Publication Date: 2006 Mar |
Date Detail:
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Created Date: 2006-08-25 Completed Date: 2006-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101261800 Medline TA: Nat Clin Pract Nephrol Country: England |
Other Details:
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Languages: eng Pagination: 169-72 Citation Subset: IM |
Affiliation:
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Center for Health Sciences and the David Geffen School of Medicine at University of California, Los Angeles, CA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Albumins / therapeutic use Gastrointestinal Hemorrhage / complications Hepatitis, Alcoholic / complications Humans Isotonic Solutions / therapeutic use Liver Cirrhosis, Alcoholic / complications* Male Midodrine / therapeutic use* Renal Insufficiency, Acute / drug therapy*, etiology* Sodium Chloride / therapeutic use Vasoconstrictor Agents / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Albumins; 0/Isotonic Solutions; 0/Vasoconstrictor Agents; 42794-76-3/Midodrine; 7647-14-5/Sodium Chloride |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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