Renal failure and nephrotic syndrome associated with sulindac. 1988

P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
Department of Nephrology, Royal Melbourne Hospital, Victoria, Australia.

Four elderly patients developed nephrotic syndrome while receiving sulindac. Sulindac treatment had commenced 4-12 months prior to presentation with the nephrotic syndrome. Two patients also developed oliguric renal failure. Renal biopsy in one showed minimal change nephropathy and in three cases membranous nephropathy. Interstitial nephritis was present on renal biopsy in all cases. The nephrotic syndrome and renal failure resolved in all cases after withdrawal of sulindac. Two patients received steroid therapy and improvement in renal function and disappearance of proteinuria seemed to be temporarily related to steroid therapy in both cases. Despite the fact that sulindac is less likely to cause renal failure due to inhibition of renal prostaglandin secretion this report shows that sulindac treatment can be associated with renal failure and the nephrotic syndrome.

UI MeSH Term Description Entries
D007192 Indenes A family of fused-ring hydrocarbons isolated from coal tar that act as intermediates in various chemical reactions and are used in the production of coumarone-indene resins.
D008297 Male Males
D009404 Nephrotic Syndrome A condition characterized by severe PROTEINURIA, greater than 3.5 g/day in an average adult. The substantial loss of protein in the urine results in complications such as HYPOPROTEINEMIA; generalized EDEMA; HYPERTENSION; and HYPERLIPIDEMIAS. Diseases associated with nephrotic syndrome generally cause chronic kidney dysfunction. Childhood Idiopathic Nephrotic Syndrome,Frequently Relapsing Nephrotic Syndrome,Multi-Drug Resistant Nephrotic Syndrome,Pediatric Idiopathic Nephrotic Syndrome,Steroid-Dependent Nephrotic Syndrome,Steroid-Resistant Nephrotic Syndrome,Steroid-Sensitive Nephrotic Syndrome,Multi Drug Resistant Nephrotic Syndrome,Nephrotic Syndrome, Steroid-Dependent,Nephrotic Syndrome, Steroid-Resistant,Nephrotic Syndrome, Steroid-Sensitive,Nephrotic Syndromes,Steroid Dependent Nephrotic Syndrome,Steroid Resistant Nephrotic Syndrome,Steroid Sensitive Nephrotic Syndrome,Steroid-Dependent Nephrotic Syndromes,Steroid-Resistant Nephrotic Syndromes,Steroid-Sensitive Nephrotic Syndromes,Syndrome, Nephrotic,Syndrome, Steroid-Sensitive Nephrotic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D013467 Sulindac A sulfinylindene derivative prodrug whose sulfinyl moiety is converted in vivo to an active NSAID analgesic. Specifically, the prodrug is converted by liver enzymes to a sulfide which is excreted in the bile and then reabsorbed from the intestine. This helps to maintain constant blood levels with reduced gastrointestinal side effects. Aclin,Apo-Sulin,Arthrobid,Arthrocine,Chibret,Clinoril,Copal,Kenalin,Klinoril,MK-231,Novo-Sundac,Nu-Sulindac,Sulindal,Apo Sulin,MK 231,MK231,Novo Sundac,Nu Sulindac
D058186 Acute Kidney Injury Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions. Acute Kidney Failure,Acute Kidney Insufficiency,Acute Renal Failure,Acute Renal Injury,Acute Renal Insufficiency,Kidney Failure, Acute,Kidney Insufficiency, Acute,Renal Failure, Acute,Renal Insufficiency, Acute,Acute Kidney Failures,Acute Kidney Injuries,Acute Kidney Insufficiencies,Acute Renal Failures,Acute Renal Injuries,Acute Renal Insufficiencies,Kidney Failures, Acute,Kidney Injuries, Acute,Kidney Injury, Acute,Kidney Insufficiencies, Acute,Renal Failures, Acute,Renal Injuries, Acute,Renal Injury, Acute,Renal Insufficiencies, Acute

Related Publications

P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
February 1981, The New England journal of medicine,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
February 2010, Pediatrics international : official journal of the Japan Pediatric Society,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
October 2003, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
October 1992, Revista clinica espanola,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
July 1982, Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
August 1967, Virginia medical monthly,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
September 1956, British medical journal,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
July 1983, JAMA,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
January 1989, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association,
P J Champion de Crespigny, and G J Becker, and B U Ihle, and N M Walter, and C A Wright, and P Kincaid-Smith
February 1995, The American journal of gastroenterology,
Copied contents to your clipboard!