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Analgesic Nephropathy: An Uncommon Cause of End-Stage Renal Disease

Analgesic Nephropathy: An Uncommon Cause of End-Stage Renal Disease Abstract • The frequency of analgesic nephropathy as a cause of end-stage renal disease varies considerably, not only between countries but also between different areas In the same country. We questioned 277 hemodialysis patients in the Washington, DC, area regarding the consumption of analgesic preparations. Only eight (2.8%) of the patients consumed excessive quantities of analgesic compounds prior to institution of hemodialysis. In addition, three of the eight patients had other causes for their end-stage renal disease. We conclude that analgesic nephropathy is an unusual cause of end-stage renal disease in the greater Washington, DC, area. (Arch Intern Med 1983;143:1897-1899) References 1. Spuhler O, Zollinger HU: Die chronisch-interstitielle Nephritis. Z Klin Med 1953;151:1-50. 2. Disney APS, Row PG: Australian maintenance dialysis survey. Med J Aust 1974;2:651-656. 3. Stewart JH: Analgesic abuse and renal failure in Australia. Kidney Int 1978;13:72-78.Crossref 4. Gurland HJ, Chandler FP, Jacobs C, et al: Combined report on regular dialysis and transplantation in Europe. Proc Eur Dial Transplant Assoc 1975;12:13-23. 5. Broyer M, Brunner FP, Brynger H, et al: Combined report on regular dialysis and transplantation in Europe 1980. Proc Eur Dial Transplant Assoc 1981;18:4-58. 6. Lornoy W, Morelle V, Becaus I, et al: Analgesic nephropathy. N Engl J Med 1979;300:319-320.Crossref 7. DePalma J, Wassanmiller J, Akuburah A: Phenacetin/aspirin nephritis as a cause of chronic renal failure. Abstracts of the Western Dialysis Transplant Meeting , Las Vegas, 1975. 8. Murray T, Goldberg M: Chronic interstitial nephritis: Etiologic factors. Ann Intern Med 1975;82:453-459.Crossref 9. Murray TG: Analgesic use and kidney disease. Arch Intern Med 1981;141:423-424.Crossref 10. Gonwa TA, Hamilton RW, Buckalew VM: Chronic renal failure and end-stage renal disease in northwest North Carolina: Importance of analgesic-associated nephropathy. Arch Intern Med 1981;141:462-465.Crossref 11. Eknoyan G, Qunibi WY, Grissom RT, et al: Renal papillary necrosis: An update. Medicine 1982;61:55-73.Crossref 12. Cove-Smith JR, Knapp MS: Analgesic nephropathy: An important cause of chronic renal failure. Q J Med 1978;185:49-69. 13. Lawson DH: Analgesic consumption and impaired renal function. J Chronic Dis 1973;26:39-45.Crossref 14. Sorensen AWS: Is the relationship between analgesics and renal disease coincidental and not causal? Nephron 1966;3:366-376.Crossref 15. McAnally JF, Winchester JF, Piou E, et al: Analgesic nephropathy: An uncommon cause of end-stage renal disease (ESRD). Abstr Am Soc Nephrol 1979;12:163A. 16. Murray T, Stolley P, Anthony J, et al: An epidemiologic study of analgesic nephropathy (AN). Abstr Am Soc Nephrol 1981;14:28A. 17. Dawborn JK, Fairley KF, Kincaid-Smith P, et al: The association of peptic ulceration, chronic renal disease and analgesic abuse. Q J Med 1966;35:69-83. 18. Schreiner GE, McAnally JF, Winchester JF: Clinical analgesic nephropathy. Arch Intern Med 1981;141:349-357.Crossref 19. Kincaid-Smith P: Analgesic abuse and the kidney. Kidney Int 1980; 17:250-260.Crossref 20. Kimberly RP, Plotz PH: Aspirin-induced depression of renal function. N Engl J Med 1977;296:418-424.Crossref 21. Walsh JT, Venuto RC: Acute oliguric renal failure induced by indomethacin: Possible mechanism. Ann Intern Med 1979;91:47-49.Crossref 22. Olafsson O, Gudmundsson K, Brekan A: Migraine, gastritis, and renal papillary necrosis: A syndrome in chronic non-obstructive pyelonephritis. Acta Med Scand 1966;179:121-128.Crossref 23. Gault M, Blennenhassalt J, Muehrcke R: A clinicopathologic study using electron microscopy. Am J Med 1971;51:740-756.Crossref 24. Schreiner GE: Progress in Pyelonephritis , Kass E (ed). Philadelphia, FA Davis Co, 1975, p 347. 25. Linton AL: Renal disease due to analgesics. Can Med Assoc J 1972;107:749-751. 26. Furman KI, Galosko GT, Meyers AM, et al: Post-transplantation analgesic dependence in patients who formerly suffered from analgesic nephropathy. Clin Nephrol 1976;5:54-56. 27. Murray TG, Goldberg M: Analgesic-associated nephropathy in the USA: Epidemiologic, clinical and pathogenetic features. Kidney Int 1978; 13:64-71.Crossref 28. Gault MH, Wilson DR: Analgesic nephropathy in Canada: Clinical syndrome and management. Kidney Int 1978;13:58-63.Crossref 29. Burton BT, Hirschman G: Demographic analysis of end-stage renal disease and its treatment in the United States. Clin Nephrol 1979;11:47-51. 30. Krishnaswamy S, Wallace DC, Nanra RS: Ischaemic heart disease in analgesic nephropathy. Aust NZ J Med 1974;4:426. 31. Bengtsson U, Johansson S, Angervall L: Malignancies of the urinary tract and their relation to analgesic abuse. Kidney Int 1978;13:107-113.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Analgesic Nephropathy: An Uncommon Cause of End-Stage Renal Disease

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1983.00350100059016
Publisher site
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Abstract

Abstract • The frequency of analgesic nephropathy as a cause of end-stage renal disease varies considerably, not only between countries but also between different areas In the same country. We questioned 277 hemodialysis patients in the Washington, DC, area regarding the consumption of analgesic preparations. Only eight (2.8%) of the patients consumed excessive quantities of analgesic compounds prior to institution of hemodialysis. In addition, three of the eight patients had other causes for their end-stage renal disease. We conclude that analgesic nephropathy is an unusual cause of end-stage renal disease in the greater Washington, DC, area. (Arch Intern Med 1983;143:1897-1899) References 1. Spuhler O, Zollinger HU: Die chronisch-interstitielle Nephritis. Z Klin Med 1953;151:1-50. 2. Disney APS, Row PG: Australian maintenance dialysis survey. Med J Aust 1974;2:651-656. 3. Stewart JH: Analgesic abuse and renal failure in Australia. Kidney Int 1978;13:72-78.Crossref 4. Gurland HJ, Chandler FP, Jacobs C, et al: Combined report on regular dialysis and transplantation in Europe. Proc Eur Dial Transplant Assoc 1975;12:13-23. 5. Broyer M, Brunner FP, Brynger H, et al: Combined report on regular dialysis and transplantation in Europe 1980. Proc Eur Dial Transplant Assoc 1981;18:4-58. 6. Lornoy W, Morelle V, Becaus I, et al: Analgesic nephropathy. N Engl J Med 1979;300:319-320.Crossref 7. DePalma J, Wassanmiller J, Akuburah A: Phenacetin/aspirin nephritis as a cause of chronic renal failure. Abstracts of the Western Dialysis Transplant Meeting , Las Vegas, 1975. 8. Murray T, Goldberg M: Chronic interstitial nephritis: Etiologic factors. Ann Intern Med 1975;82:453-459.Crossref 9. Murray TG: Analgesic use and kidney disease. Arch Intern Med 1981;141:423-424.Crossref 10. Gonwa TA, Hamilton RW, Buckalew VM: Chronic renal failure and end-stage renal disease in northwest North Carolina: Importance of analgesic-associated nephropathy. Arch Intern Med 1981;141:462-465.Crossref 11. Eknoyan G, Qunibi WY, Grissom RT, et al: Renal papillary necrosis: An update. Medicine 1982;61:55-73.Crossref 12. Cove-Smith JR, Knapp MS: Analgesic nephropathy: An important cause of chronic renal failure. Q J Med 1978;185:49-69. 13. Lawson DH: Analgesic consumption and impaired renal function. J Chronic Dis 1973;26:39-45.Crossref 14. Sorensen AWS: Is the relationship between analgesics and renal disease coincidental and not causal? Nephron 1966;3:366-376.Crossref 15. McAnally JF, Winchester JF, Piou E, et al: Analgesic nephropathy: An uncommon cause of end-stage renal disease (ESRD). Abstr Am Soc Nephrol 1979;12:163A. 16. Murray T, Stolley P, Anthony J, et al: An epidemiologic study of analgesic nephropathy (AN). Abstr Am Soc Nephrol 1981;14:28A. 17. Dawborn JK, Fairley KF, Kincaid-Smith P, et al: The association of peptic ulceration, chronic renal disease and analgesic abuse. Q J Med 1966;35:69-83. 18. Schreiner GE, McAnally JF, Winchester JF: Clinical analgesic nephropathy. Arch Intern Med 1981;141:349-357.Crossref 19. Kincaid-Smith P: Analgesic abuse and the kidney. Kidney Int 1980; 17:250-260.Crossref 20. Kimberly RP, Plotz PH: Aspirin-induced depression of renal function. N Engl J Med 1977;296:418-424.Crossref 21. Walsh JT, Venuto RC: Acute oliguric renal failure induced by indomethacin: Possible mechanism. Ann Intern Med 1979;91:47-49.Crossref 22. Olafsson O, Gudmundsson K, Brekan A: Migraine, gastritis, and renal papillary necrosis: A syndrome in chronic non-obstructive pyelonephritis. Acta Med Scand 1966;179:121-128.Crossref 23. Gault M, Blennenhassalt J, Muehrcke R: A clinicopathologic study using electron microscopy. Am J Med 1971;51:740-756.Crossref 24. Schreiner GE: Progress in Pyelonephritis , Kass E (ed). Philadelphia, FA Davis Co, 1975, p 347. 25. Linton AL: Renal disease due to analgesics. Can Med Assoc J 1972;107:749-751. 26. Furman KI, Galosko GT, Meyers AM, et al: Post-transplantation analgesic dependence in patients who formerly suffered from analgesic nephropathy. Clin Nephrol 1976;5:54-56. 27. Murray TG, Goldberg M: Analgesic-associated nephropathy in the USA: Epidemiologic, clinical and pathogenetic features. Kidney Int 1978; 13:64-71.Crossref 28. Gault MH, Wilson DR: Analgesic nephropathy in Canada: Clinical syndrome and management. Kidney Int 1978;13:58-63.Crossref 29. Burton BT, Hirschman G: Demographic analysis of end-stage renal disease and its treatment in the United States. Clin Nephrol 1979;11:47-51. 30. Krishnaswamy S, Wallace DC, Nanra RS: Ischaemic heart disease in analgesic nephropathy. Aust NZ J Med 1974;4:426. 31. Bengtsson U, Johansson S, Angervall L: Malignancies of the urinary tract and their relation to analgesic abuse. Kidney Int 1978;13:107-113.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1983

References