Table 1.
Clinical features of seven patients with renal tubular dysfunction
Pt No. | Age | Sex | Results at the start of therapy | Therapy | Years on therapy | Results at diagnosis of RTD | New Medication | Last results recorded | Follow-up after switch (years) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Phos | Uric acid | Cr | Urine protein | Urine glucose | Phos | Uric acid | Cr | Urine protein | Urine glucose | Phos | Uric acid | Cr | Urine protein | Urine glucose | |||||||
1 | 56 | M | 3.1 | 6.5 | 1.3 | None | None | Adv/Lam | 2.1 | 2.1 | 2.9 | 2.0 | 1+ | None | Entecavir | 3.0 | 5.1 | 1.3 | None | None | 6.3 |
2 | 40 | M | 3.1 | 4.5 | 0.9 | None | None | Adv/Lam | 4.9 | 1.7 | 2.5 | 1.4 | Trace | None | Entecavir | 2.1 | 2.7 | 0.9 | None | None | 1.0 |
3 | 62 | M | 4.0 | 3.6 | 1.0 | None | None | Ten | 3.9 | 2.3 | 2.4 | 1.8 | Trace | None | Entecavir | 3.1 | 3.2 | 1.2 | None | None | 1.0 |
4 | 66 | M | 3.2 | 5.8 | 1.1 | None | None | Adv → Ten* | 7.7 | 2.1 | 3.6 | 1.7 | 1+ | None | Entecavir | 2.7 | 3.7 | 1.4 | None | None | 1.0 |
5 | 76 | F | 3.5 | 5.3 | 0.6 | None | None | Adv/Lam | 3.4 | 1.9 | 1.5 | 1.3 | 2+ | None | Entecavir | 3.1 | 3.9 | 0.7 | None | None | 2.0 |
6 | 33 | M | 3.5 | 5.7 | 1.1 | None | None | Adv/Lam | 6.5 | 2.0 | 2.3 | 1.4 | Trace | None | Not switched | 2.7† | 2.7 | 1.4 | 1+ | None | |
7 | 71 | M | 3.7 | 5.3 | 0.8 | None | None | Adv/Lam | 8.4 | 2.0 | 1.8 | 1.6 | Trace | None | Entecavir | 3.7 | 4.2 | 1.2 | Trace | None | 1.0 |
Adv, adefovir; Cr, creatinine; Phos, phosphate; RTD, renal tubular dysfunction; Ten, tenofovir.
This patient was on adefovir for 4 years before switching to tenofovir due to inadequate virological response. At the time of switching therapies, his phosphate, uric acid and creatinine were 2.9, 5.6 and 1.3, respectively, and had no proteinuria or glucosuria. RTD was diagnosed 3.7 years after switch to tenofovir.
On phosphate replacement.