Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Successful Treatment of Acute Kidney Injury in Patients with Idiopathic Nephrotic Syndrome Using Human Atrial Natriuretic Peptide
Kohei UedaJunichi HirahashiGeorge SekiMototsugu TanakaNatsuki KushidaYusuke TakeshimaYoshitaka NishikawaToshiro FujitaMasaomi Nangaku
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ジャーナル オープンアクセス

2014 年 53 巻 8 号 p. 865-869

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The acute onset of idiopathic nephrotic syndrome (NS) is often accompanied by acute kidney injury, which can lead to congestive heart failure and lung edema. In this report, we present two cases of NS-induced acute kidney injury successfully treated with a low dose of carperitide, a human atrial natriuretic peptide. In combination with standard diuretic therapy and immunotherapy, carperitide retained the renal function and spared the need for renal replacement therapy, including hemodialysis. Although further investigation in clinical trials is required to validate these findings, carperitide may be useful for maintaining the renal function in cases of NS-induced acute kidney injury.
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© 2014 by The Japanese Society of Internal Medicine
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