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蛋白琥珀酸铁加重婴儿肝损伤1例

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贫血是慢性肾脏疾病患者的常见并发症之一,铁剂常用于治疗肾性贫血.肝脏是铁储存的主要场所.已有证据表明长期铁治疗会导致肝脏铁超载的风险.该文报道了1例婴儿应用蛋白琥珀酸铁后肝损伤加重,并阐明了铁可以通过诱导铁死亡导致肝损伤和肝纤维化的机制,对于今后临床上长期应用铁剂治疗贫血起到了一定的警示作用.
Infantile liver injury aggravated by iron protein-succinylate:one case report
ABSTRACT:Anemia is one of common complication in patients with chronic kidney disease.Iron supplement is a standard treatment for renal anemia.Liver is a major site of iron storage.Growing evidence suggests that long-term iron therapy is associated with a risk of hepatic iron overload.This report described one infant with aggravated liver injury after dosing of iron protein succinylate.It elucidated the mecha-nism by which iron overload causes liver damage and liver fibrosis through inducing ferroptosis.It provides a warning for long-term application of iron in the treatment of anemia in the future.

anemiairon overloadliver injury

李紫薇、黄怡蝶、沈茜、徐虹、李智平

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国家儿童医学中心/复旦大学附属儿科医院临床药学部,上海 201102

国家儿童医学中心/复旦大学附属儿科医院肾脏内科,上海 201102

贫血 铁过载 肝损伤

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(14)
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