Nephrol Dial Transplant (2002) 17: 524-525
© 2002 European Renal Association-European Dialysis and Transplant Association
Letters
Aristolochic acid as a causative factor in a case of Chinese herbal nephropathy
1 Department of Medicine Wexham Park Hospital Slough 2 Department of Renal Medicine and Transplantation Hammersmith Hospital London 3 Royal Botanic Gardens Kew Richmond Surrey, UK
Sir,
Chinese herbal nephropathy (CHN) is a newly described type of interstitial nephritis with a characteristic histological pattern. It was initially described in a series of Belgian patients who were inadvertently given a contaminated herbal preparation as part of a slimming regimen [1]. The toxic agent was putatively identified as aristolochic acid (AA), the active principle from species of Aristolochia now known to be a mixture of nitrophenanthrene derivatives such as aristolochic
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