Publication: Warfarin related nephropathy: The first case report in Thailand
Issued Date
2015-01-01
Resource Type
ISSN
01252208
01252208
01252208
Other identifier(s)
2-s2.0-84924308353
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.98, No.2 (2015), 212-216
Suggested Citation
Nuttasith Larpparisuth, Bunyarit Cheunsuchon, Ratana Chawanasuntorapoj, Somkiat Vasuvattakul, Kriengsak Vareesangthip Warfarin related nephropathy: The first case report in Thailand. Journal of the Medical Association of Thailand. Vol.98, No.2 (2015), 212-216. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/36729
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Warfarin related nephropathy: The first case report in Thailand
Other Contributor(s)
Abstract
© 2015, Medical Association of Thailand. All rights reserved. Warfarin is the most prescribed oral anticoagulant. Adverse renal effect from warfarin therapy are uncommon and Thailand is not acquainted. Warfarin-related nephropathy (WRN) is a newly recognized complication of warfarin treatment, especially in patients with chronic kidney disease. The authors hereby report a 56-year-old man who developed gross hematuria and severe acute kidney injury (AKI) necessitating hemodialysis, following supra-therapeutic INR level. Renal pathology revealed extensive intratubular obstruction with red blood cell casts. From the literature, there were only twelve case reports of WRN, which were confirmed by renal histopatology. Renal survival of this condition was unsatisfactory. However, our patient was dialysis-independent after vitamin K treatment and temporary warfarin discontinuation. To the best of our knowledge, this is the first case report of biopsy-proven WRN in Thailand.