Fanconi syndrome induced by the long-term use of tenofovir disoproxil fumarate: a case report and literature review

被引：0

作者：

Li, Jiayi ^{[1
]}

Zang, Xiu ^{[2
]}

Heng, Hao ^{[2
]}

Liu, Xuekui ^{[2
]}

Geng, Houfa ^{[2
]}

Liang, Jun ^{[1
,2
,3
]}

机构：

[1] Bengbu Med Coll, Grad Sch, Bengbu, Anhui, Peoples R China

[2] Xuzhou Cent Hosp, Dept Endocrinol, Xuzhou, Jiangsu, Peoples R China

[3] 199 South Jiefang Rd, Xuzhoushi 221009, Peoples R China

来源：

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2023年 / 51卷 / 08期

关键词：

Case report; Fanconi syndrome; tenofovir disoproxil fumarate; osteoporosis; renal tubular acidosis; electrolyte imbalance; ADEFOVIR DIPIVOXIL; THERAPY;

D O I：

10.1177/03000605231195469

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

We present the case of a woman of 50 years of age who experienced widespread bone pain along with digestive symptoms, including nausea and vomiting. She had been prescribed tenofovir disoproxil fumarate (TDF) tablets for the treatment of hepatitis B. Laboratory testing revealed low circulating phosphorus and potassium concentrations and acidosis. A whole-body bone scan revealed abnormal bone metabolism. Rheumatologic and urologic conditions were ruled out, and therefore TDF-induced Fanconi syndrome (FS) and related bone pain was diagnosed. After the TDF was discontinued, the patient's symptoms and laboratory indices significantly improved. In this manuscript, we highlight the clinical manifestations of and laboratory test results associated with FS and summarize the cases of TDF-induced FS reported on PubMed between 2013 and 2022 to improve understanding of FS.

引用

页数：11

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