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1: Fujimura T, Tamaki K, Iida S, Tanaka H, Ikedou H, Takamiya Y, Kato S,

Tanaka A, Okuda S

 

[A case of traditional herbal medicine-induced aristolochic acid

nephropathy developing to end-stage renal failure]

Nippon Jinzo Gakkai Shi 2005;47(4):474-80.

A 48-year-old male was referred to our university hospital for severe

azotemia with muscle cramp. He had been taking Chinese herbs as a traditional

medicine to reduce hyperuricemia for about 9 months. Urinalysis showed trace

proteinuria and hematuria without any casts. Renal glucosuria was also observed.

In addition to azotemia, hyperchloremic metabolic acidosis and severe anemia

were revealed. Hemodialysis was conducted and his general condition improved. A

renal biopsy specimen revealed severe interstitial fibrosis and tubular atrophy

with cellular degeneration. No remarkable glomerular changes were observed

except for wrinkling of the basement membrane in a few glomeruli. Aristolochic

acid was detected in the Chinese herbs, leading to the diagnosis of aristolochic

acid nephropathy (AAN). His renal dysfunction was considered to be irreversible

and he underwent maintenance hemodialysis. In Japan, AAN or Chinese herbs

nephropathy decreased after an outbreak from 1995 to 2000. The public should be

warned again that Chinese herbs, which are not permitted by the Japanese

government, may contain aristolochic acid

 

 

 

 

Oakland, CA 94609

 

 

 

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Alon,

A bit of a stretch on the conclusion and an unnecessary, opinionated

statement based upon one case is bad science. Wouldn't you agree?

 

Mike W. Bowser, L Ac

 

 

 

> " " <alonmarcus

>

>

>Re: Re: another case

>Sat, 25 Jun 2005 11:15:44 -0700

>

>

>

> 1: Fujimura T, Tamaki K, Iida S, Tanaka H, Ikedou H, Takamiya Y,

>Kato S, Tanaka A, Okuda S

>

> [A case of traditional herbal medicine-induced aristolochic acid

>nephropathy developing to end-stage renal failure]

> Nippon Jinzo Gakkai Shi 2005;47(4):474-80.

> A 48-year-old male was referred to our university hospital for

>severe azotemia with muscle cramp. He had been taking Chinese herbs as a

>traditional medicine to reduce hyperuricemia for about 9 months. Urinalysis

>showed trace proteinuria and hematuria without any casts. Renal glucosuria

>was also observed. In addition to azotemia, hyperchloremic metabolic

>acidosis and severe anemia were revealed. Hemodialysis was conducted and

>his general condition improved. A renal biopsy specimen revealed severe

>interstitial fibrosis and tubular atrophy with cellular degeneration. No

>remarkable glomerular changes were observed except for wrinkling of the

>basement membrane in a few glomeruli. Aristolochic acid was detected in the

>Chinese herbs, leading to the diagnosis of aristolochic acid nephropathy

>(AAN). His renal dysfunction was considered to be irreversible and he

>underwent maintenance hemodialysis. In Japan, AAN or Chinese herbs

>nephropathy decreased after an outbreak from 1995 to 2000. The public

>should be warned again that Chinese herbs, which are not permitted by the

>Japanese government, may contain aristolochic acid

>

>

>

>

>Oakland, CA 94609

>

>

>

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>

>

> On Behalf Of

The public should be warned again that Chinese herbs, which are not

> permitted by the Japanese government... >

 

[Jason]

I don't get this last sentence??? Not permitted??

 

-Jason

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Guest guest

A bit of a stretch on the conclusion and an unnecessary, opinionated

statement based upon one case is bad science. Wouldn't you agree?

>>>>It sounds a little confusing, if speaking of particular herb may be

appropriate

 

 

 

Oakland, CA 94609

 

 

 

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