Acute oxalate nephropathy due to ′Averrhoa bilimbi′ fruit juice ingestion

Acute oxalate nephropathy due to ′Averrhoa bilimbi′ fruit juice ingestion

Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules....

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Bibliographic Details
Main Authors: G Bakul, V N Unni, N V Seethaleksmy, A Mathew, R Rajesh, G Kurien, J Rajesh, P M Jayaraj, D S Kishore, P P Jose
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Indian Journal of Nephrology
Subjects:
Acute oxalate nephropathy
Averrhoa bilimbi
calcium oxalate
Irumban puli
Online Access:http://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2013;volume=23;issue=4;spage=297;epage=300;aulast=Bakul
Description
Summary:Irumban puli (Averrhoa bilimbi) is commonly used as a traditional remedy in the state of Kerala. Freshly made concentrated juice has a very high oxalic acid content and consumption carries a high risk of developing acute renal failure (ARF) by deposition of calcium oxalate crystals in renal tubules. Acute oxalate nephropathy (AON) due to secondary oxalosis after consumption of Irumban puli juice is uncommon. AON due to A. bilimbi has not been reported before. We present a series of ten patients from five hospitals in the State of Kerala who developed ARF after intake of I. puli fruit juice. Seven patients needed hemodialysis whereas the other three improved with conservative management.
ISSN:0971-4065
1998-3662

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