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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-3-26
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pubmed:abstractText |
An 11 year old CD-patient developed an interstitial nephritis and acute kidney failure following treatment with Mesalazine (5-ASA) and Salazosulfapyridine (SASP). After removal of the medication and treatment with hemofiltration and prednisone there was only an incomplete recovery of the renal function (creatinine-clearance 34 ml/1,73 m2/min). It is thought that an hyperergic-allergic reaction due to SASP and 5-ASA causes interstitial nephritis in inflammatory bowel disease (IBD). This reaction can be induced by re-exposition too. On the other hand IBD can be associated with glomerulonephritis. This could be a not very well known extraintestinal manifestation in IBD caused by immune-complexes in serum and glomerula. A rapid histological verification of the renal disease is necessary for successful treatment. In both renal manifestations chronic courses are possible. These observations should not lead to avoid SASP/5-ASA in treatment of IBD, but renal function should be routinely investigated.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0300-8630
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
204
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
61-4
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:1346814-Acute Kidney Injury,
pubmed-meshheading:1346814-Aminosalicylic Acids,
pubmed-meshheading:1346814-Child,
pubmed-meshheading:1346814-Crohn Disease,
pubmed-meshheading:1346814-Drug Hypersensitivity,
pubmed-meshheading:1346814-Drug Therapy, Combination,
pubmed-meshheading:1346814-Humans,
pubmed-meshheading:1346814-Male,
pubmed-meshheading:1346814-Mesalamine,
pubmed-meshheading:1346814-Nephritis, Interstitial,
pubmed-meshheading:1346814-Sulfasalazine
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pubmed:articleTitle |
[Chronic inflammatory intestinal disease and nephritis].
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pubmed:affiliation |
Abteilung der Klinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|