Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report

Detalhes bibliográficos
Autor(a) principal: Mendonça,Luís
Data de Publicação: 2019
Outros Autores: Bustorf,Manuela, Silva,Roberto, Simões,Joana Sobrinho, Sampaio,Susana
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000100010
Resumo: Hyperoxaluria is an important complication of short bowel syndrome (SBS) and a non-negligible cause of chronic kidney disease (CKD). We describe the case of a 56-year-old woman with polyarteritis nodosa (PAN) and SBS who was admitted for acute kidney injury (AKI) 2 months after a successful deceased donor kidney transplantation. The diagnostic investigation was consistent with the diagnosis of oxalate nephropathy (OxN) and a set of lifestyle and therapeutic measures was implemented aiming at the reduction of intestinal oxalates absorption. Despite the short-term benefit of this strategy, a progressive and inexorable deterioration of renal function was observed. In this report, we discuss the limited therapeutic options, the ominous prognosis and the risk of recurrence of this rare entity after renal transplantation. Additionally, we reflect on the value of patient compliance in the successful management of the disease and review potential new strategies that may improve the clinical course of this entity in the future
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spelling Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case reportHyperoxaluriashort bowel syndromekidney transplantationpolyarteritis nodosaHyperoxaluria is an important complication of short bowel syndrome (SBS) and a non-negligible cause of chronic kidney disease (CKD). We describe the case of a 56-year-old woman with polyarteritis nodosa (PAN) and SBS who was admitted for acute kidney injury (AKI) 2 months after a successful deceased donor kidney transplantation. The diagnostic investigation was consistent with the diagnosis of oxalate nephropathy (OxN) and a set of lifestyle and therapeutic measures was implemented aiming at the reduction of intestinal oxalates absorption. Despite the short-term benefit of this strategy, a progressive and inexorable deterioration of renal function was observed. In this report, we discuss the limited therapeutic options, the ominous prognosis and the risk of recurrence of this rare entity after renal transplantation. Additionally, we reflect on the value of patient compliance in the successful management of the disease and review potential new strategies that may improve the clinical course of this entity in the futureSociedade Portuguesa de Nefrologia2019-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000100010Portuguese Journal of Nephrology & Hypertension v.33 n.1 2019reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000100010Mendonça,LuísBustorf,ManuelaSilva,RobertoSimões,Joana SobrinhoSampaio,Susanainfo:eu-repo/semantics/openAccess2024-02-06T17:05:01Zoai:scielo:S0872-01692019000100010Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:02.008298Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
title Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
spellingShingle Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
Mendonça,Luís
Hyperoxaluria
short bowel syndrome
kidney transplantation
polyarteritis nodosa
title_short Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
title_full Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
title_fullStr Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
title_full_unstemmed Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
title_sort Recurrence of oxalate nephropathy after renal transplantation in a patient with polyarteritis nodosa: a case report
author Mendonça,Luís
author_facet Mendonça,Luís
Bustorf,Manuela
Silva,Roberto
Simões,Joana Sobrinho
Sampaio,Susana
author_role author
author2 Bustorf,Manuela
Silva,Roberto
Simões,Joana Sobrinho
Sampaio,Susana
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Mendonça,Luís
Bustorf,Manuela
Silva,Roberto
Simões,Joana Sobrinho
Sampaio,Susana
dc.subject.por.fl_str_mv Hyperoxaluria
short bowel syndrome
kidney transplantation
polyarteritis nodosa
topic Hyperoxaluria
short bowel syndrome
kidney transplantation
polyarteritis nodosa
description Hyperoxaluria is an important complication of short bowel syndrome (SBS) and a non-negligible cause of chronic kidney disease (CKD). We describe the case of a 56-year-old woman with polyarteritis nodosa (PAN) and SBS who was admitted for acute kidney injury (AKI) 2 months after a successful deceased donor kidney transplantation. The diagnostic investigation was consistent with the diagnosis of oxalate nephropathy (OxN) and a set of lifestyle and therapeutic measures was implemented aiming at the reduction of intestinal oxalates absorption. Despite the short-term benefit of this strategy, a progressive and inexorable deterioration of renal function was observed. In this report, we discuss the limited therapeutic options, the ominous prognosis and the risk of recurrence of this rare entity after renal transplantation. Additionally, we reflect on the value of patient compliance in the successful management of the disease and review potential new strategies that may improve the clinical course of this entity in the future
publishDate 2019
dc.date.none.fl_str_mv 2019-03-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000100010
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dc.language.iso.fl_str_mv eng
language eng
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dc.publisher.none.fl_str_mv Sociedade Portuguesa de Nefrologia
publisher.none.fl_str_mv Sociedade Portuguesa de Nefrologia
dc.source.none.fl_str_mv Portuguese Journal of Nephrology & Hypertension v.33 n.1 2019
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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