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Reversible acute renal failure induced by losartan in a renal transplant recipient.

Title: Reversible acute renal failure induced by losartan in a renal transplant recipient.
Authors: Ostermann, M.; Goldsmith, D. J.; Doyle, T.; Kingswood, J. C.; Sharpstone, P.
Publisher Information: British Medical Journal Publishing Group
Publication Year: 1997
Collection: HighWire Press (Stanford University)
Subject Terms: Research Article
Description: A 56-year-old man who received a live-related renal transplant in 1988 was started in 1995 on the selective angiotensin II antagonist losartan (Dupont-Merke) to treat worsening hypertension. Two months later because of pulmonary oedema, loop diuretics were started. Within two weeks, serum creatinine had increased from 245 to 571 mumol/l, and the patient became oliguric. A systolic bruit was noted over the graft. Renal angiography showed a 90% stenosis of the transplant renal artery. Losartan was withdrawn, with prompt improvement in renal function. A successful percutaneous transluminal angioplasty performed a few days later resulted in further improvement in renal function accompanied by a significant diuresis.
Document Type: text
File Description: text/html
Language: English
Relation: http://pmj.bmj.com/cgi/content/short/73/856/105; http://dx.doi.org/10.1136/pgmj.73.856.105
DOI: 10.1136/pgmj.73.856.105
Availability: http://pmj.bmj.com/cgi/content/short/73/856/105; https://doi.org/10.1136/pgmj.73.856.105
Rights: Copyright (C) 1997, The Fellowship of Postgraduate Medicine
Accession Number: edsbas.8AE60CC6
Database: BASE