WARFARIN-RELATED NEPHROPATHY – A CASE REPORT ON RENAL BIOPSY AND REVIEW OF THE LITERATURE
| العنوان: | WARFARIN-RELATED NEPHROPATHY – A CASE REPORT ON RENAL BIOPSY AND REVIEW OF THE LITERATURE |
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| المؤلفون: | IVANA MIKOLAŠEVIĆ, SANJIN RAČKI, MARTINA PAVLETIĆ PERŠIĆ, GORDANA ĐORĐEVIĆ, VOJKO MAVRINAC, LIDIJA ORLIĆ |
| المصدر: | Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske Volume 70 Issue Suplement 2 |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina, urogenital system, warfarin-related nephropathy, nefropatija povezana s varfarinom, urologic and male genital diseases, female genital diseases and pregnancy complications, acute kidney injury, chronic kidney disease, kronična bolest bubrega, heterocyclic compounds, akutno oštećenje bubrega, cardiovascular diseases, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine |
| الوصف: | Warfarin-related nephropathy (WRN) is a recently recognized condition in patients with chronic kidney disease (CKD). WRN is clinically detected as an episode of unexplained acute kidney injury (AKI). It is defined as a serum creatinine (sCR) increase >0.3 mg/dL (26.5 μmol/L) within one week of an international normalized ratio (INR) measurement >3.0 in a patient treated with warfarin without clinical evidence of hemorrhage. Therefore, warfarin therapy can result in AKI by causing glomerular hemorrhage and renal tubular obstruction by red blood cell casts. WRN appears to accelerate the rate of CKD progression and increase the risk of death in susceptible patients. We report on renal biopsy in a patient on warfarin therapy with unexplained AKI and hematuria associated with increased INR. We would like to stress the necessity of an interdisciplinary approach to patients on warfarin therapy. Nefropatija povezana s varfarinom (WRN) je odnedavno prepoznato stanje u bolesnika s kroničnom bolešću bubrega (KBB). WRN je klinički prepoznata kao epizoda neobjašnjivog akutnog oštećenja bubrega (AOB). Definira se kao povećanje kreatinina u serumu (sCR) >0,3 mg/dL (26,5 micromol/L) unutar tjedna INR mjerenja >3,0 u bolesnika liječenog varfarinom bez klinički utvrđenog krvarenja. Zbog toga terapija varfarinom može dovesti do AOB uzrokujući glomerularno krvarenje i opstrukciju bubrežnih tubula odljevnim cilindrima eritrocita. Čini se da WRN ubrzava napredovanje KBB i u osjetljivih bolesnika povećava rizik od smrtnog ishoda.Izvješćujemo o biopsiji bubrega u bolesnika na terapiji varfarinom s neobjašnjivim AOB i hematurijom povezanom s povećanim INR. Namjera nam je naglasiti potrebu interdisciplinarnog pristupa bolesnicima na terapiji varfarinom. |
| وصف الملف: | application/pdf |
| اللغة: | Croatian |
| تدمد: | 1330-0164 1848-8897 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=dedup_wf_001::4b5cd5fa1bf06cf776bd95446804872a https://urn.nsk.hr/urn:nbn:hr:184:279249 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.dedup.wf.001..4b5cd5fa1bf06cf776bd95446804872a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13300164 18488897 |
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