A case with renal tubular damage: differentiation of Na reabsorption function by lithium clearance.

M Suzuki, H Utida, Y Yamaguchi, H Yamamoto, S Sakai, O Sakai
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Abstract

The recovery of the renal proximal and distal tubular sodium (Na) reabsorption was evaluated by analysis of the physiological metabolism of lithium reabsorbed by the renal tubules in a patient with toxic interstitial nephropathy. Administration of glucocorticoid facilitated the rapid recovery of the proximal tubular Na reabsorption (-0.63 to 3 mmol/min for 2 wk) followed by recovery of phosphate reabsorption (51 to 82% for 2 months). Distal Na reabsorption was not altered for 2 months. Although Li clearance has been previously performed in healthy volunteers, we could differentiate the recovery of the proximal and distal renal tubular function even in a diseased patient.

肾小管损伤1例:锂离子清除对钠重吸收功能的分化。
通过分析中毒性间质肾病患者肾小管重吸收锂的生理代谢,评价肾近端和远端小管钠重吸收的恢复情况。糖皮质激素促进近端小管钠重吸收的快速恢复(-0.63至3 mmol/min,持续2周),随后是磷酸盐重吸收的恢复(51%至82%,持续2个月)。远端钠重吸收2个月未发生改变。虽然Li清除以前已经在健康志愿者中进行过,但即使在患病患者中,我们也可以区分近端和远端肾小管功能的恢复。
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