Document Detail


Nephrotic syndrome and acute interstitial nephritis associated with the use of diclofenac.
MedLine Citation:
PMID:  10444806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Commonly reported renal complications of non-steroidal anti-inflammatory drugs (NSAID) include acute renal failure and/or acute interstitial nephritis; in rare cases a nephrotic syndrome was also observed. In most cases this was due to the development of secondary membranous nephropathy. Following withdrawal of the drug the nephrotic syndrome usually resolved rapidly. We report a 65-year-old woman who developed a nephrotic syndrome and acute renal failure during 6 months of treatment with the NSAID diclofenac. Renal biopsy revealed both, membranous nephropathy and interstitial nephritis. After discontinuation of diclofenac and treatment with prednisone 1 mg/kg/day, furosemide 400 mg/day and simvastatin at a dose of 20 mg/day, creatinine clearance gradually increased and after 5 months of treatment complete remission of the nephrotic syndrome was observed.
Authors:
T Révai; G Harmos
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Wiener klinische Wochenschrift     Volume:  111     ISSN:  0043-5325     ISO Abbreviation:  Wien. Klin. Wochenschr.     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-09-27     Completed Date:  1999-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  21620870R     Medline TA:  Wien Klin Wochenschr     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  523-4     Citation Subset:  IM    
Affiliation:
Department of Nephrology St. János Hospital, Budapest, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Diclofenac / adverse effects*
Female
Humans
Nephritis, Interstitial / chemically induced*,  diagnosis,  pathology
Nephrotic Syndrome / chemically induced*,  diagnosis,  pathology
Chemical
Reg. No./Substance:
15307-86-5/Diclofenac

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


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