Document Detail

A case report of an anorexia nervosa patient with end-stage renal disease due to pseudo Bartter's syndrome and Chinese herb nephropathy requiring maintenance hemodialysis.
MedLine Citation:
PMID:  18937729     Owner:  NLM     Status:  MEDLINE    
The extent of end stage renal disease (ESRD) has not been well documented in anorexia nervosa (AN). We herein describe a 47-year-old female with ESRD who required maintenance hemodialysis (HD) following a 27 year history of AN, and seven years of diuretic and purgative abuse. In spite of HD treatment, her serum inorganic phosphorus level remained elevated (10.2-15.8 mg/dL). Tissue degradation due to catabolism, insufficient dialysis treatment, and use of Chinese herbal medicine, including aristolochic acid, are speculated as the cause of her hyperphosphatemia. We also speculated that the causes of her renal dysfunction are as follows: chronic interstitial nephritis caused by pseudo Bartter's syndrome resulting from chronic abuse of diuretics and purgatives, and Chinese herb nephropathy.
Kentaro Wada; Toshio Shinoda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy     Volume:  12     ISSN:  1744-9987     ISO Abbreviation:  Ther Apher Dial     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-10-21     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101181252     Medline TA:  Ther Apher Dial     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  417-20     Citation Subset:  IM    
Department of Internal Medicine, Division of Nephrology and Dialysis, Nippon Kokan Fukuyama Hospital, Daimon-cho, Fukuyama, Hiroshima, Japan.
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MeSH Terms
Anorexia Nervosa / complications*,  diagnosis
Bartter Syndrome / complications*
Blood Chemical Analysis
Drugs, Chinese Herbal / administration & dosage,  adverse effects*
Follow-Up Studies
Kidney Failure, Chronic / etiology*,  physiopathology,  therapy*
Kidney Function Tests
Middle Aged
Renal Dialysis / methods
Risk Assessment
Severity of Illness Index
Treatment Outcome
Reg. No./Substance:
0/Drugs, Chinese Herbal

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

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