The specific features of kidney injury due to the abuse of saluretics and uncontrollable fasting in anorexia nervosa


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Abstract

The paper describes a case of severe preranal acute renal failure that was induced by the uncontrolled long-term use of furosemide and that was reversible after infusion therapy. Another case is a female patient with anorexia nervosa and end-stage uremia progressing to chronic tubulointerstitial nephritis. Some problems of the pathogenesis of kidney injury and its diagnostic difficulties in anorexia nervosa and diuretic abuse are discussed.

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Особенности поражения почек при злоупотреблении салуретиками и неконтролируемом голодании при анорексии. - Аннотация. Описан случай тяжелой преренальной острой почечной недостаточности, индуцированной бесконтрольным длительным приемом фуросемида и обратимой после инфузионной терапии. Второй случай представляет больную нервной анорексией с прогрессирующим в терминальную уремию хроническим тубулоинтерстициальным нефритом. Обсуждаются отдельные проблемы патогенеза и трудности диагностики поражения почек при нервной анорексии и злоупотреблении диуретиками.
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