Analgesic abuse syndrome: A frequently overlooked cause of reversible renal failure
The incidence of analgesic nephropathy in the United States is greater than previously reported. Because of the characteristic radiographic features of papillary necrosis, this diagnosis may be made while it is still clinically unsuspected. Early diagnosis is extremely important because cessation of...
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| Veröffentlicht in: | Urology 1975-06, Vol.5 (6), p.728-732 |
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| creator | Goldberger, Lawrence E. Talner, Lee B. |
| description | The incidence of analgesic nephropathy in the United States is greater than previously reported. Because of the characteristic radiographic features of papillary necrosis, this diagnosis may be made while it is still clinically unsuspected. Early diagnosis is extremely important because cessation of analgesic abuse may avert progressive renal damage. Uncovering the diagnosis calls for special care in obtaining the telltale history. This must be sought in patients with radiographic evidence of papillary necrosis when a history of diabetes mellitus, obstructive uropathy, or sickle cell anemia is absent, or in patients with unexplained nephrocalcinosis or nephrolithiasis. |
| doi_str_mv | 10.1016/0090-4295(75)90340-4 |
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Because of the characteristic radiographic features of papillary necrosis, this diagnosis may be made while it is still clinically unsuspected. Early diagnosis is extremely important because cessation of analgesic abuse may avert progressive renal damage. Uncovering the diagnosis calls for special care in obtaining the telltale history. This must be sought in patients with radiographic evidence of papillary necrosis when a history of diabetes mellitus, obstructive uropathy, or sickle cell anemia is absent, or in patients with unexplained nephrocalcinosis or nephrolithiasis.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/0090-4295(75)90340-4</identifier><identifier>PMID: 1094667</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Anti-Inflammatory Agents, Non-Steroidal ; Aspirin - adverse effects ; Caffeine - adverse effects ; Diagnosis, Differential ; Drug Combinations ; Female ; Humans ; Kidney Diseases - chemically induced ; Kidney Diseases - epidemiology ; Kidney Failure, Chronic - chemically induced ; Kidney Papillary Necrosis - chemically induced ; Kidney Papillary Necrosis - diagnosis ; Kidney Papillary Necrosis - diagnostic imaging ; Male ; Middle Aged ; Phenacetin - adverse effects ; Radiography ; Substance-Related Disorders</subject><ispartof>Urology, 1975-06, Vol.5 (6), p.728-732</ispartof><rights>1975</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0090429575903404$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>313,314,776,780,788,3537,27899,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1094667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goldberger, Lawrence E.</creatorcontrib><creatorcontrib>Talner, Lee B.</creatorcontrib><title>Analgesic abuse syndrome: A frequently overlooked cause of reversible renal failure</title><title>Urology</title><addtitle>Urology</addtitle><description>The incidence of analgesic nephropathy in the United States is greater than previously reported. Because of the characteristic radiographic features of papillary necrosis, this diagnosis may be made while it is still clinically unsuspected. Early diagnosis is extremely important because cessation of analgesic abuse may avert progressive renal damage. Uncovering the diagnosis calls for special care in obtaining the telltale history. This must be sought in patients with radiographic evidence of papillary necrosis when a history of diabetes mellitus, obstructive uropathy, or sickle cell anemia is absent, or in patients with unexplained nephrocalcinosis or nephrolithiasis.</description><subject>Adult</subject><subject>Aged</subject><subject>Anti-Inflammatory Agents, Non-Steroidal</subject><subject>Aspirin - adverse effects</subject><subject>Caffeine - adverse effects</subject><subject>Diagnosis, Differential</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Diseases - chemically induced</subject><subject>Kidney Diseases - epidemiology</subject><subject>Kidney Failure, Chronic - chemically induced</subject><subject>Kidney Papillary Necrosis - chemically induced</subject><subject>Kidney Papillary Necrosis - diagnosis</subject><subject>Kidney Papillary Necrosis - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Phenacetin - adverse effects</subject><subject>Radiography</subject><subject>Substance-Related Disorders</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1975</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE9LAzEQxYMotVa_gUKOelhNtkl240EoxX9Q8KCewySZlei2W5Nuod_erBVP82beY5j5EXLO2TVnXN0wplkhSi0vK3ml2VTk7oCMuSyrQmstD8n4P3JMTlL6ZIwppaoRGXGmRVZj8jpbQfuBKTgKtk9I027lY7fEWzqjTcTvHlebdke7Lca2677QUwdDrmtoxDxMwbaYZV5DGwhtH_GUHDXQJjz7qxPy_nD_Nn8qFi-Pz_PZokBeqU1hhaoBpGg0s9p5jxJA2UY4V9WgHbeyVFzVSkANzgHUVjDpvYbSipKxejohF_u9694u0Zt1DEuIO_P3XPbv9j7mI7YBo0ku4MqhDxHdxvgu5KwZYJqBlBlImUqaX5hGTH8AwLRnRQ</recordid><startdate>197506</startdate><enddate>197506</enddate><creator>Goldberger, Lawrence E.</creator><creator>Talner, Lee B.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>197506</creationdate><title>Analgesic abuse syndrome: A frequently overlooked cause of reversible renal failure</title><author>Goldberger, Lawrence E. ; Talner, Lee B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e176t-b468aa54f90b9cdde5aa6bf4cc78a9c1b52616864a8accaa8b405dd9a2b420083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1975</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anti-Inflammatory Agents, Non-Steroidal</topic><topic>Aspirin - adverse effects</topic><topic>Caffeine - adverse effects</topic><topic>Diagnosis, Differential</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Diseases - chemically induced</topic><topic>Kidney Diseases - epidemiology</topic><topic>Kidney Failure, Chronic - chemically induced</topic><topic>Kidney Papillary Necrosis - chemically induced</topic><topic>Kidney Papillary Necrosis - diagnosis</topic><topic>Kidney Papillary Necrosis - diagnostic imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Phenacetin - adverse effects</topic><topic>Radiography</topic><topic>Substance-Related Disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goldberger, Lawrence E.</creatorcontrib><creatorcontrib>Talner, Lee B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goldberger, Lawrence E.</au><au>Talner, Lee B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Analgesic abuse syndrome: A frequently overlooked cause of reversible renal failure</atitle><jtitle>Urology</jtitle><addtitle>Urology</addtitle><date>1975-06</date><risdate>1975</risdate><volume>5</volume><issue>6</issue><spage>728</spage><epage>732</epage><pages>728-732</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>The incidence of analgesic nephropathy in the United States is greater than previously reported. Because of the characteristic radiographic features of papillary necrosis, this diagnosis may be made while it is still clinically unsuspected. Early diagnosis is extremely important because cessation of analgesic abuse may avert progressive renal damage. Uncovering the diagnosis calls for special care in obtaining the telltale history. This must be sought in patients with radiographic evidence of papillary necrosis when a history of diabetes mellitus, obstructive uropathy, or sickle cell anemia is absent, or in patients with unexplained nephrocalcinosis or nephrolithiasis.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>1094667</pmid><doi>10.1016/0090-4295(75)90340-4</doi><tpages>5</tpages></addata></record> |
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| ispartof | Urology, 1975-06, Vol.5 (6), p.728-732 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Anti-Inflammatory Agents, Non-Steroidal Aspirin - adverse effects Caffeine - adverse effects Diagnosis, Differential Drug Combinations Female Humans Kidney Diseases - chemically induced Kidney Diseases - epidemiology Kidney Failure, Chronic - chemically induced Kidney Papillary Necrosis - chemically induced Kidney Papillary Necrosis - diagnosis Kidney Papillary Necrosis - diagnostic imaging Male Middle Aged Phenacetin - adverse effects Radiography Substance-Related Disorders |
| title | Analgesic abuse syndrome: A frequently overlooked cause of reversible renal failure |
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