SUCCESSFUL TREATMENT OF CYSTINURIA WITH CAPTOPRIL

被引:36
作者
PERAZELLA, MA
BULLER, GK
机构
[1] ST MARYS HOSP,DIV NEPHROL & HYPERTENS,56 FRANKLIN ST,WATERBURY,CT 06702
[2] ST MARYS HOSP,YALE WATERBURY PRIMARY CARE RESIDENCY PROGRAM,WATERBURY,CT 06702
关键词
CYSTINURIA; CAPTOPRIL; NEPHROLITHIASIS; D-PENICILLAMINE;
D O I
10.1016/S0272-6386(12)80396-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Cystinuria is an autosomal recessive hereditary disorder associated with nephrolithiasis and its attendant complications. Traditional management aimed at increasing urinary cystine solubility using oral alkali, d-penicillamine, or mercaptopropionylglycine is often unsuccessful due to intolerable side effects. Two cystinuric patients intolerant of traditional therapy were treated with captopril for 1 year, resulting in a marked decline in urinary cystine excretion. Neither patient experienced recurrent nephrolithiasis or adverse drug effects. Captopril should be considered an alternative to traditional drug management of cystinuria. © 1993, National Kidney Foundation. All rights reserved. All rights reserved.
引用
收藏
页码:504 / 507
页数:4
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