Pre-terminal renal insufficiency in a patient with enteric hyperoxaluria: effect of medical management on renal function.
(2012) Acta Clinica Belgica (Multilingual Edition) — Vol. 67, n° 1, p. 39-41 (2012)
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- Abstract
- Enteric hyperoxaluria causes tubular deposition 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 significant 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 benefit of combining and optimizing dietary and medical management in enteric hyperoxaluria, even in patients with advanced chronic kidney disease.
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Pipeleers, L., Wissing, K. M., Pirson, Y., Cosyns, J.-P., Geers, C., & Tielemans, C. (2012). Pre-terminal renal insufficiency in a patient with enteric hyperoxaluria: effect of medical management on renal function. Acta Clinica Belgica (Multilingual Edition), 67(1), 39-41. https://doi.org/10.2143/ACB.67.1.2062625 (Original work published 2012)