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Acute kidney injury following proton pump inhibitor therapy

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Presentation on theme: "Acute kidney injury following proton pump inhibitor therapy"— Presentation transcript:

1 Acute kidney injury following proton pump inhibitor therapy
U.C. Brewster, M.A. Perazella  Kidney International  Volume 71, Issue 6, Pages (March 2007) DOI: /sj.ki Copyright © 2007 International Society of Nephrology Terms and Conditions

2 Figure 1 Light microscopy reveals normal appearing glomerulus (arrow) with diffuse cellular infiltrate in the interstitium (arrowhead) (hematoxylin and eosin stain). Kidney International  , DOI: ( /sj.ki ) Copyright © 2007 International Society of Nephrology Terms and Conditions

3 Figure 2 Light microscopy demonstrates diffuse cellular infiltrate within the interstitium. The infiltrate consists of eosinophils (arrowhead) and lymphocytes. Tubulitis is also present (arrow) (hematoxylin and eosin stain). Kidney International  , DOI: ( /sj.ki ) Copyright © 2007 International Society of Nephrology Terms and Conditions

4 Figure 3 Bar graphs demonstrating the clinical features of methicillin-induced AIN (longitudinal bars), non-methicillin drug-induced AIN (excluding non-steroidal anti-inflammatory drugs) (horizontal bars), and PPI-induced AIN (Geevasinga data, square pattern bars; other PPI cases combined, solid bars). Abbreviations: AIN, acute interstitial nephritis; NSAIDs, non-steroidal anti-inflammatory drugs; PPI, proton pump inhibitor, Hem, hematuria; Pro, proteinuria; RF, renal failure; Pyu, pyuria; Eos, eosinophilia. (Adapted in part from;16 with permission). Kidney International  , DOI: ( /sj.ki ) Copyright © 2007 International Society of Nephrology Terms and Conditions

5 Figure 4 Calculated creatinine clearance of 18 patients with PPI-induced AIN at various time points before, during and after exposure to PPIs. Abbreviations: PPI, proton pump inhibitor. (Adapted from;15 with permission). Kidney International  , DOI: ( /sj.ki ) Copyright © 2007 International Society of Nephrology Terms and Conditions


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