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Nephrol Dial Transplant (2003) 18: 1220-1222
© 2003 European Renal Association-European Dialysis and Transplant Association

Teaching Point(Section Editor: K. Kühn)

A young patient with unexplained acute hepatorenal dysfunction

Sofie Jamar, Pieter Evenepoel, Dirk Kuypers, Bart Maes and Yves Vanrenterghem

Department of Medicine, Division of Nephrology, University Hospital Leuven, Leuven, Belgium

Keywords: Fanconi syndrome; fructose intolerance; hepatorenal dysfunction

The first 10% of the full text of this article appears below.

Introduction

Hereditary fructose intolerance (HFI) is a recessively inherited condition, caused by hepatic, renal and intestinal aldolase B deficiency. The characteristic symptoms of nausea, vomiting, abdominal pain and sweating are induced by the ingestion of large quantities of fructose, sucrose or sorbitol. In severe intoxications glucagon-resistant hypoglycaemia, metabolic acidosis and/or hepatorenal failure may occur. More than 20 fatal or near-fatal insults following the administration of fructose or sorbitol containing solutions have been reported [1]. We report a case of a young male in whom suggestive clinical and biochemical manifestations in temporal relationship with infusion of fructose led to the diagnosis of HFI.

Case report

A 23-year-old Caucasian man was admitted in a referring hospital because of headache, nausea . . . [Full Text of this Article]

Discussion

Teaching points


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