Renal failure associated with the use of dextran-40

J. H. Zwaveling*, J. Meulenbelt, N. H W van Xanten, R. J. Hené

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Scopus)

Abstract

A typical case of dextran-40 associated acute renal failure is presented. In this patient a single plasma exchange was successful in considerably lowering the plasma dextran concentration. At the same time the elevated plasma oncotic pressure was reduced to normal values. Diuresis returned within 12 h. Several possible explanations of the mechanism of renal failure assocociated with the use of dextran-40 are discussed. While the mechanism of dextran-associated renal failure remains unsolved, plasma exchange seems to be effective therapy.

Original languageEnglish
Pages (from-to)321-326
Number of pages6
JournalNetherlands Journal of Medicine
Volume35
Issue number6
Publication statusPublished - 1 Dec 1989

Keywords

  • Dextran-40
  • Plasma exchange
  • Renal failure

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