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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1989-5-2
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pubmed:abstractText |
Electrolyte and renal hemodynamic imbalance, acute interstitial nephritis with nephrotic-range proteinuria, papillary necrosis, tubular necrosis, and vasculitis are complications after intake of nonsteroidal anti-inflammatory drugs (NSAID). We report on 2 cases of biopsy-proven granulomatous interstitial nephritis with rapidly progressing renal insufficiency. Patient 1 was on ketoprofen for 7 months and indomethacin for 10 weeks before admission to hospital. The medication was not discontinued and renal insufficiency progressed to end-stage renal failure. Renal function did not respond to steroid and tuberculostatic treatment. Patient 2 was on diclofenac for 6 months and indomethacin for 7 weeks before admission to hospital. These drugs were withdrawn at diagnosis and renal function rapidly improved. We conclude that granulomatous interstitial nephritis may be a complication of NSAID medication indicating a cell-mediated immunologic disorder. False diagnosis (sarcoidosis, tuberculosis) may lead to end-stage renal disease (case 1). Discontinuation of medication obviates further therapy (case 2).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0250-8095
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
8
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
410-6
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pubmed:dateRevised |
2007-2-14
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pubmed:meshHeading |
pubmed-meshheading:3071148-Adult,
pubmed-meshheading:3071148-Anti-Inflammatory Agents, Non-Steroidal,
pubmed-meshheading:3071148-Diclofenac,
pubmed-meshheading:3071148-Female,
pubmed-meshheading:3071148-Humans,
pubmed-meshheading:3071148-Indomethacin,
pubmed-meshheading:3071148-Ketoprofen,
pubmed-meshheading:3071148-Nephritis, Interstitial
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pubmed:year |
1988
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pubmed:articleTitle |
Granulomatous interstitial nephritis after nonsteroidal anti-inflammatory drugs.
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pubmed:affiliation |
Department of Medicine, Free University of Berlin.
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pubmed:publicationType |
Journal Article,
Review,
Case Reports
|