| Title |
Drug-associated renal dysfunction and injury
|
|---|---|
| Published in |
Nature Clinical Practice Nephrology, February 2006
|
| DOI | 10.1038/ncpneph0076 |
| Pubmed ID | |
| Authors | |
| Abstract |
Renal dysfunction and injury secondary to medications are common, and can present as subtle injury and/or overt renal failure. Some drugs perturb renal perfusion and induce loss of filtration capacity. Others directly injure vascular, tubular, glomerular and interstitial cells, such that specific loss of renal function leads to clinical findings, including microangiopathy, Fanconi syndrome, acute tubular necrosis, acute interstitial nephritis, nephrotic syndrome, obstruction, nephrogenic diabetes insipidus, electrolyte abnormalities and chronic renal failure. Understanding the mechanisms involved, and recognizing the clinical presentations of renal dysfunction arising from use of commonly prescribed medications, are important if injury is to be detected early and prevented. This article reviews the clinical features and basic processes underlying renal injury related to the use of common drugs. |
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X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 16 | 41% |
| Argentina | 3 | 8% |
| Ecuador | 1 | 3% |
| El Salvador | 1 | 3% |
| Unknown | 18 | 46% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 28 | 72% |
| Practitioners (doctors, other healthcare professionals) | 10 | 26% |
| Scientists | 1 | 3% |
Mendeley demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 2 | <1% |
| United Kingdom | 2 | <1% |
| Poland | 1 | <1% |
| Sri Lanka | 1 | <1% |
| India | 1 | <1% |
| Indonesia | 1 | <1% |
| Denmark | 1 | <1% |
| Unknown | 294 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 48 | 16% |
| Student > Ph. D. Student | 32 | 11% |
| Student > Bachelor | 29 | 10% |
| Other | 28 | 9% |
| Student > Postgraduate | 27 | 9% |
| Other | 66 | 22% |
| Unknown | 73 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 102 | 34% |
| Agricultural and Biological Sciences | 35 | 12% |
| Pharmacology, Toxicology and Pharmaceutical Science | 29 | 10% |
| Biochemistry, Genetics and Molecular Biology | 20 | 7% |
| Engineering | 6 | 2% |
| Other | 24 | 8% |
| Unknown | 87 | 29% |