Analgetichesky nefropatija. The diagnosis medicamentous nefropaty

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To the Patient reception analgetikov is strictly forbidden, symptomatic therapy (a diet, gipotenzivnye means, vitamins, etc.) is appointed. After fast cancellation analgetikov during 3 ned it was observed gipertermija (38-38,4Рµ in view of what it was necessary to appoint on 2 tablets pentalgina in day with their subsequent cancellation within 7 days then gipertermija has disappeared. The next months the state of health of the patient has considerably improved, has added in weight of 6 kg, flaky colouring kozhnyhpokrovov has disappeared, have decreased an anaemia and giperkreatininemija. proteinurija remains, arterial pressure korrigiruetsja reception gipotenzivnyh preparations.

It is necessary to differentiate medicamentous nefropatii, glomerulonefrit, the pyelonephritis, is more rare - amiloidoz than kidneys. Special difficulties are represented by diagnostics sochetannyh defeats. The diagnosis medicamentous nefropaty is based mainly on the anamnesis data (development of disease after reception of medicines). Laboratory, radiological iradioizotopnye researches for differential diagnostics of value have no. A main role in diagnostics analgeticheskoj nefropaty can play biopsija kidneys. Sometimes the diagnosis is specified only in the conditions of long supervision. Disappearance of signs of disease after medicine cancellation testifies about medicamentous nefropaty.

The Forecast at medicamentous nefropatijah differs an extreme variety.