 previous article in this issue | next article in this issue  |
|
Document Details : Title: Pre-terminal renal insufficiency in a patient with enteric hyperoxaluria: Effect of medical management on renal function Author(s): PIPELEERS L, WISSING KM, PIRSON Y, COSYNS JP, GEERS C, TIELEMANS C Journal: Acta Clinica Belgica Volume: 67 Issue: 1 Date: 2012 Pages: 39-41 DOI: 10.2143/ACB.67.1.1003042 Abstract : Enteric hyperoxaluria causes tubular deposition of calcium oxalate crystals and severe chronic interstitial nephritis. We describe a patient with pre-terminal renal failure due to oxalate nephropathy after ileal resection. Increased oral hydration, low oxalate diet, and oral calcium carbonate and potassium citrate supplements resulted in a signifi cant improvement of renal function. During the three-year follow-up, urinary oxalate concentration was repeatedly reduced below the crystallization threshold and serum creatinine decreased from 4.5 to 1.7 mg/dL. This case illustrates the benefi t of combining and optimizing dietary and medical management in enteric hyperoxaluria, even in patients with advanced chronic kidney disease. |
