Lead poisoning from an Ayurvedic herbal medicine in a patient with chronic kidney disease
| العنوان: | Lead poisoning from an Ayurvedic herbal medicine in a patient with chronic kidney disease |
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| المؤلفون: | Ihsan Dujaili, Vivek Bhalla, Suma Prakash, German T. Hernandez |
| المصدر: | Nature Reviews Nephrology. 5:297-300 |
| بيانات النشر: | Springer Science and Business Media LLC, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Herbal Medicine, Physical examination, Lead poisoning, chemistry.chemical_compound, Internal medicine, Diabetes mellitus, Humans, Medicine, Renal Insufficiency, Chronic, Intensive care medicine, Creatinine, medicine.diagnostic_test, business.industry, Middle Aged, medicine.disease, Medicine, Ayurvedic, Discontinuation, Lead Poisoning, Elevated serum creatinine, chemistry, Nephrology, Blood lead level, Plant Preparations, business, Kidney disease |
| الوصف: | Prakash and colleagues highlight the case of a 60-year-old man who was referred to a nephrology clinic with an elevated serum creatinine level. Investigations revealed that he had been taking a herbal remedy containing a large amount of lead. Following discontinuation of the remedy and several sessions of lead chelation, his creatinine level declined. This case highlights the need for clinicians to consider lead in the differential diagnosis and prognosis of patients with chronic kidney disease. Background. A 60-year-old man with a history of diabetes and hypertension was referred to a nephrology clinic for investigation of his elevated serum creatinine level. Investigations. Physical examination; laboratory investigations, including measurement of whole-blood lead level, body lead burden and urine albumin:creatinine ratio; history of lead exposure and use of herbal medical products; and renal ultrasonography. Diagnosis. Stage 3 chronic kidney disease that was probably worsened by consumption of lead in the form of an Ayurvedic herbal remedy. Management. Cessation of the herbal product, followed by lead-chelation therapy with calcium disodium ethylenediaminetetraacetic acid. The patient's whole-body lead burden and blood lead level decreased to acceptable levels and his serum creatinine value was within the normal range at final follow-up. |
| تدمد: | 1759-507X 1759-5061 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a53d90b8044cede0512abe233b79383fTest https://doi.org/10.1038/nrneph.2009.41Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....a53d90b8044cede0512abe233b79383f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1759507X 17595061 |
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