Cin2003

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STAR FRUIT INTOXICATION IN URAEMIC PATIENTS

Miguel Moyses Neto, MD

BRASIL

Comments

El Nov 18, 2003 9:00 pm, cecilia clerico dijo:

Estimados colegas
me parecio de sumo interes la conferencia debido a la gravedad del cuadro de intoxicacion por esta fruta en nuestros pacientes renales. Ademas para estar prevenido ante un cuadro de hipo sin otra causa aparente. Me interesaria saber, si conocen el nombre de esta fruta en latinoamerica, especialmente en Argentina.

El Nov 19, 2003 5:41 pm, Text-conference November 18 dijo:

(Miguel> Well, I am ready to answer some questions . Thank you
(MJesus> Miguel Moyses... in the discussion board of your conference, there are a comentary
(Miguel> What comentary? I did not see any
(cecilia> si, es mio
(cecilia> aparte de felicitarlo, pregunto si sabe como se llama esa fruta en argentina
(MJesus> what the spanish name of start fruit ?
(cecilia> como fruta estrella no lo conocemos
(Miguel> Gracias pelas felicitaciones. I do not know the name of this fruit in Argentina
(Miguel> You may know it as carambola?
(MJesus> in spanish carambola .... hummm. No, I have not eard about it
(cecilia> i'dont know
(MJesus> do you like we read a little of your conference here Dr. Miguel ?
(cecilia> nunca lo escuche
(Magval> it is known as Averrhoa Carambola
(Miguel> Have you seen this fruit in Spain or Argentina?
(Magval> and it is very rich in Oxalic Acid
(cecilia> la vi en algunos supermercados pero nunca pregunte su nombre
(Miguel> The oxalic acid can provoke acute interstitial nephritis in some cases
(cecilia> me interesa a fin se proscribirla entre mis pacientes
(Magval> true the same can occurs when you give high dosis of Vit C in patients woith CKD
(Miguel> to have acute intesrtitial nephritis you must ingest large volumes, more than one liter
(Speaker> if you like, we could read now some about the conference Dr.
Moyses, here: I have prepared part of the text
(Miguel> OK
(Speaker> Star fruit, an exotic seasonal fruit is believed to have originated in Ceylon and the Moluccas, but it has been cultivated in ................
(Speaker> ___________ the end____________
(Miguel> A Very nice presentation. Thank you
(MJesus> very important conference Dr. Moyses!
(MJesus> and beautifull photos, of course !
(Magval> Question :what is the average HD treatment time and how many HD was required to achieve a complete revovery of this syndrome
(Miguel> It depends of the case. Our last case had to be submetted to 80 hours of hemoddialysis and woke up after 10 days of intesnsive dialysis and care
(Magval> Qustion 2 :do u know wether or not they have try to use Beclofen to treat the hiccups
(Miguel> Most of the times the recovery is faster if you submitt the patient earlier to dialysis and we did not use baclofen to treat this cases
(Miguel> Baclofen also acts in the GABA receptors, most probably in different star fruit toxin receptors
(Magval> Thxs for your complete and comprehensive answers
(MJesus> I have seen this fruit, but I have no idea about the name
(SCigarran> Hi, I just arrive from USA a few hours ago
(Magval> Question 3 it appears that the first reports of thIs syndrome occurs in the 80s . Any explanation why it was not discover before ??
(MJesus> dr. MIguel, congratuations
(Miguel> The first report of this syndrome was made in 1993 in a brazilian medical journal(written in portuguese and not indexed) but only
described hiccups
(MJesus> indeed... not too much time ago...
(MJesus> please, any of you know the spanish name of this fruit (start fruit in Brasil)
(Miguel> In Brasil we know it as carambola
(MJesus> here is the fruit : http://www.uninet.edu/cin2003/conf/mmoyses/fig1.jpg
(MJesus> what a photo !
(MJesus> muito obrigados Dr, Moyses
(Magval> MUCHAS GRACIAS THANKS FOR A GREAT CONFERENCE
(Miguel> De nada

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