Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function

Cholemic nephropathy represents a spectrum of renal injury, from proximal tubulopathy to intrarenal bile cast formation, found in patients with severe liver dysfunction. It is caused by hyperbilirubinemia, usually in jaundiced patients. Acute kidney injury is one of the most important complications...

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Main Authors: Jonathan S Chávez-Iñiguez, Alejandra Meza-Ríos, Arturo Santos-Garcia, Guillermo García-García, Juan Armendáriz-Borunda
Format: Article
Language:English
Published: Troika Publisher 2019-03-01
Series:Journal of Renal and Hepatic Disorders
Subjects:
Online Access:https://jrenhep.com/index.php/jrenhep/article/view/52
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author Jonathan S Chávez-Iñiguez
Alejandra Meza-Ríos
Arturo Santos-Garcia
Guillermo García-García
Juan Armendáriz-Borunda
author_facet Jonathan S Chávez-Iñiguez
Alejandra Meza-Ríos
Arturo Santos-Garcia
Guillermo García-García
Juan Armendáriz-Borunda
author_sort Jonathan S Chávez-Iñiguez
collection DOAJ
description Cholemic nephropathy represents a spectrum of renal injury, from proximal tubulopathy to intrarenal bile cast formation, found in patients with severe liver dysfunction. It is caused by hyperbilirubinemia, usually in jaundiced patients. Acute kidney injury is one of the most important complications in patients with end-stage liver disease. The relationship between liver disease and renal impairment, especially the effect of hyperbilirubinemia on renal tissue and renal function, has not been fully elucidated. These considerations deem necessary for nephrologists, when performing a clinical evaluation of patients with liver diseases, for the implementation of an integrated medical approach. This review focuses on the current knowledge on cholemic nephropathy with emphasis on the role of hyperbilirubinemia on renal impairment. The treatment strategies and outcome are also discussed.
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institution Matheson Library
issn 2207-3744
language English
publishDate 2019-03-01
publisher Troika Publisher
record_format Article
series Journal of Renal and Hepatic Disorders
spelling doaj-art-308f85769eff4b44b29c8dde204f1d9b2025-07-02T05:31:03ZengTroika PublisherJournal of Renal and Hepatic Disorders2207-37442019-03-013110.15586/jrenhep.2019.52Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal FunctionJonathan S Chávez-Iñiguez0Alejandra Meza-Ríos1Arturo Santos-Garcia2Guillermo García-García3Juan Armendáriz-Borunda4Servicio de Nefrología, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, MéxicoTecnologico de Monterrey, Campus Guadalajara, MexicoTecnologico de Monterrey, Campus Guadalajara, MexicoCentro Universitario de Ciencias de la Salud CUCS, Universidad de Guadalajara, Guadalajara, Jalisco, MéxicoInstituto de Biología Molecular en Medicina y Terapia Génica, CUCS, Universidad de Guadalajara, Jalisco, MéxicoCholemic nephropathy represents a spectrum of renal injury, from proximal tubulopathy to intrarenal bile cast formation, found in patients with severe liver dysfunction. It is caused by hyperbilirubinemia, usually in jaundiced patients. Acute kidney injury is one of the most important complications in patients with end-stage liver disease. The relationship between liver disease and renal impairment, especially the effect of hyperbilirubinemia on renal tissue and renal function, has not been fully elucidated. These considerations deem necessary for nephrologists, when performing a clinical evaluation of patients with liver diseases, for the implementation of an integrated medical approach. This review focuses on the current knowledge on cholemic nephropathy with emphasis on the role of hyperbilirubinemia on renal impairment. The treatment strategies and outcome are also discussed.https://jrenhep.com/index.php/jrenhep/article/view/52cholemic nephtropathyextracorporeal albumin dialysishyperbilirubinemiamolecular adsorbent recirculating systemursodeoxycholic acid
spellingShingle Jonathan S Chávez-Iñiguez
Alejandra Meza-Ríos
Arturo Santos-Garcia
Guillermo García-García
Juan Armendáriz-Borunda
Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function
Journal of Renal and Hepatic Disorders
cholemic nephtropathy
extracorporeal albumin dialysis
hyperbilirubinemia
molecular adsorbent recirculating system
ursodeoxycholic acid
title Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function
title_full Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function
title_fullStr Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function
title_full_unstemmed Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function
title_short Cholemic Nephropathy: Hyperbilirubinemia and its Impact on Renal Function
title_sort cholemic nephropathy hyperbilirubinemia and its impact on renal function
topic cholemic nephtropathy
extracorporeal albumin dialysis
hyperbilirubinemia
molecular adsorbent recirculating system
ursodeoxycholic acid
url https://jrenhep.com/index.php/jrenhep/article/view/52
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AT arturosantosgarcia cholemicnephropathyhyperbilirubinemiaanditsimpactonrenalfunction
AT guillermogarciagarcia cholemicnephropathyhyperbilirubinemiaanditsimpactonrenalfunction
AT juanarmendarizborunda cholemicnephropathyhyperbilirubinemiaanditsimpactonrenalfunction