Delayed onset of diuresis in a patient with acute renal failure due to hemorrhagic fever with renal syndrome who also developed anterior hypopituitarism
- Authors
- Park, JE; Pyo, HJ
- Issue Date
- Aug-1996
- Publisher
- DUSTRI-VERLAG DR KARL FEISTLE
- Keywords
- hemorrhagic fever with renal syndrome (HFRS); acute renal failure (ARF); hypopituitarism; atrial natriuretic polypeptide (ANP); plasma renin activity (PRA)
- Citation
- CLINICAL NEPHROLOGY, v.46, no.2, pp 141 - 145
- Pages
- 5
- Indexed
- SCIE
SCOPUS
- Journal Title
- CLINICAL NEPHROLOGY
- Volume
- 46
- Number
- 2
- Start Page
- 141
- End Page
- 145
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/38610
- ISSN
- 0301-0430
- Abstract
- A 23-year-old man developed acute renal failure (ARF) due to hemorrhagic fever with renal syndrome (HFRS). The patient also developed anterior hypopituitarism as a complication of HFRS. The patient's oliguric phase was very much prolonged for over 10 days before the diuresis began. The urine output during the oliguric phase was near anuric (<50 ml/day). Interestingly, the patient began to diurese just after the institution of glucocorticoid and thyroid hormone replacement therapy. The plasma atrial natriuretic polypeptide went up to a smaller peak (150.0 pg/ml) at the onset of diuresis compared with 15 other patients (292.4 +/- 190.4 pg/ml) who did not develop anterior hypopituitarism. The delayed onset of diuresis and smaller increase of plasma ANP may have a causal relationship with the patient's hypopituitarism.
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- Appears in
Collections - 2. Clinical Science > Department of Nephrology and Hypertension > 1. Journal Articles
- 5. Others > Others(Medicine) > 1. Journal Articles
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