| Literature DB >> 19384331 |
Suma Prakash1, German T Hernandez, Ihsan Dujaili, Vivek Bhalla.
Abstract
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.Entities:
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Year: 2009 PMID： 19384331 DOI： 10.1038/nrneph.2009.41
Source DB: PubMed Journal: Nat Rev Nephrol ISSN： 1759-5061 Impact factor: 28.314