Fanconi Syndrome Caused by Valproic Acid

作者: Ayumi Endo , Yukihiko Fujita , Tatsuo Fuchigami , Shori Takahashi , Hideo Mugishima

DOI: 10.1016/J.PEDIATRNEUROL.2009.12.003

关键词: GastroenterologyEpilepsyFanconi syndromeKidney diseaseInternal medicineMedicineValproic AcidUrinary systemAminoaciduriaSurgeryTubulopathyAdverse effect

摘要: Two severely disabled children with epilepsy, a 6-year-old boy and 15-year-old girl, had been treated valproic acid from the ages of 5 6 months, respectively, developed Fanconi syndrome. Both patients were bedridden fed by means nasogastric or gastrostomy tube. Because their syndrome appeared to be caused acid, that treatment was stopped; for both patients, then resolved, in months 3 respectively. Severely handicapped may at risk acid-induced renal involvement. Although involvement is an uncommon adverse effect due therapy has rarely reported. In few previous cases, who through tube, taken average approximately 7 years. Nonetheless, blood levels normal. Urinary abnormalities disappeared 4 as also present two cases. The potential must considered epilepsy are especially children.

参考文章(13)
Pierre J. Verroust, Henrik Birn, Rikke Nielsen, Renata Kozyraki, Erik I. Christensen, The tandem endocytic receptors megalin and cubilin are important proteins in renal pathology Kidney International. ,vol. 62, pp. 745- 756 ,(2002) , 10.1046/J.1523-1755.2002.00501.X
HIDETO YOSHIKAWA, TORU WATANABE, TOKINARI ABE, Fanconi syndrome caused by sodium valproate: report of three severely disabled children. European Journal of Paediatric Neurology. ,vol. 6, pp. 165- 167 ,(2002) , 10.1053/EJPN.2002.0585
Emad L Zaki, James E Springate, Renal injury from valproic acid: case report and literature review. Pediatric Neurology. ,vol. 27, pp. 318- 319 ,(2002) , 10.1016/S0887-8994(02)00447-2
S. Altunbas¸ak, Dinçer Yıldız, A. Anarat, H. Refik Burgut, Renal tubular dysfunction in epileptic children on valproic acid therapy. Pediatric Nephrology. ,vol. 16, pp. 256- 259 ,(2001) , 10.1007/S004670000535
Hassane Izzedine, Vincent Launay-Vacher, Corinne Isnard-Bagnis, Gilbert Deray, Drug-induced Fanconi's syndrome American Journal of Kidney Diseases. ,vol. 41, pp. 292- 309 ,(2003) , 10.1053/AJKD.2003.50037
Martin Knorr, Jorg Schaper, Malte Harjes, Ertan Mayatepek, Thorsten Rosenbaum, Fanconi Syndrome Caused by Antiepileptic Therapy with Valproic Acid Epilepsia. ,vol. 45, pp. 868- 871 ,(2004) , 10.1111/J.0013-9580.2004.05504.X
M.B. Lande, M.S. Kim, C. Bartlett, L.M. Guay-Woodford, Reversible Fanconi syndrome associated with valproate therapy The Journal of Pediatrics. ,vol. 123, pp. 320- 322 ,(1993) , 10.1016/S0022-3476(05)81712-3
Toru Watanabe, Hideto Yoshikawa, Sawako Yamazaki, Yuki Abe, Tokinari Abe, Secondary renal Fanconi syndrome caused by valproate therapy. Pediatric Nephrology. ,vol. 20, pp. 814- 817 ,(2005) , 10.1007/S00467-005-1827-7
R. Korinthenberg, Lucia Wehrle, L. B. Zimmerhackl, Renal tubular dysfunction following treatment with anti-epileptic drugs European Journal of Pediatrics. ,vol. 153, pp. 855- 858 ,(1994) , 10.1007/BF01972897
G. C. Smith, J. W. Balfe, S. W. Kooh, Anticonvulsants as a cause of Fanconi syndrome Nephrology Dialysis Transplantation. ,vol. 10, pp. 543- 545 ,(1995) , 10.1093/NDT/10.4.543