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A Case Report of an Anorexia Nervosa Patient With End‐stage Renal Disease Due to Pseudo Bartter's Syndrome and Chinese Herb Nephropathy Requiring Maintenance Hemodialysis
Author(s) -
Wada Kentaro,
Shinoda Toshio
Publication year - 2008
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/j.1744-9987.2008.00621.x
Subject(s) - medicine , end stage renal disease , interstitial nephritis , hemodialysis , dialysis , hyperphosphatemia , renal replacement therapy , kidney disease , diabetic nephropathy , nephrocalcinosis , gastroenterology , endocrinology , traditional medicine , kidney
The extent of end stage renal disease (ESRD) has not been well documented in anorexia nervosa (AN). We herein describe a 47‐year‐old female with ESRD who required maintenance hemodialysis (HD) following a 27 year history of AN, and seven years of diuretic and purgative abuse. In spite of HD treatment, her serum inorganic phosphorus level remained elevated (10.2–15.8 mg/dL). Tissue degradation due to catabolism, insufficient dialysis treatment, and use of Chinese herbal medicine, including aristolochic acid, are speculated as the cause of her hyperphosphatemia. We also speculated that the causes of her renal dysfunction are as follows: chronic interstitial nephritis caused by pseudo Bartter's syndrome resulting from chronic abuse of diuretics and purgatives, and Chinese herb nephropathy.