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THERAPEUTICS RESEARCH

Patel H, Barr A, Jeejeebhoy KN et al. Can J Gastroenterol 2009;23:170–6.

There are reports of interstitial nephritis in IBD patients treated with 5-aminosalicylates (5-ASA). The aim of this retrospective study was to investigate whether the long-term use of 5-ASA had detrimental effects on renal function in patients with IBD.

 

5-Aminosalicylic acid (5-ASA) has been linked to a hypersensitivity-induced interstitial nephritis. However, it is unclear if a definite relationship exists between the chronic use of 5-ASA and impaired renal function. This retrospective analysis of 171 consecutive patients with Crohn’s disease and ulcerative colitis (UC) examined serum creatinine levels and body weight pre- and post-5-ASA therapy. The mean age at the start of 5-ASA therapy was 36.2±14.7 years. Fifty-four percent of subjects were female and 73.7% had Crohn’s disease. It is unclear why only 82 of 171 subjects underwent an in-depth analysis. The mean dose of 5-ASA was 3.65±0.85 mg/day with a cumulative dose of 11±7.7 kg over an average of 8.4±5.9 years.

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