title: Case report: dextran-induced acute anuric renal failure.
abstract: Acute renal failure is an infrequent adverse reaction following the administration of dextran-40. We report a case of anuric acute renal failure in a 59-year-old female following the administration of 90 gm of dextran-40 and radiocontrast. An increased risk secondary to radiocontrast-induced ischemia is discussed in relationship to the pathogenesis of the dextran-induced acute renal failure. In addition, plasmapheresis is demonstrated to be of potential therapeutic benefit.
authors.affiliation: Department of Medicine, UMDNJ/Robert Wood Johnson Medical School, Camden.
authors.forename: B R
authors.initials: BR
authors.lastname: Kurnik
authors.forename: F
authors.initials: F
authors.lastname: Singer
authors.forename: W C
authors.initials: WC
authors.lastname: Groh
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced* / Q000628:therapy; D001002:Anuria / Q000139:chemically induced; D003287:Contrast Media / Q000009:adverse effects*; D003911:Dextrans / Q000009:adverse effects* / Q000097:blood; D005260:Female; D006801:Humans; D008875:Middle Aged; D010956:Plasmapheresis
chemical_list: D003287:Contrast Media; D003911:Dextrans