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Renal Papillary NecrosisExperimental Pathology Laboratories, Inc, Research Triangle Park, North Carolina 27709, brix{at}niehs.nih.gov Renal papillary necrosis (RPN) is a signifi cant problem in human beings, especially in England and in Australia where it has been reported to account for 15% to 20% of patients needing renal transplants. Many compounds, including aspirin, phenacetin, phenylbutazone , indomethacin, mefenamic acid, flufenamic acid, fenoprofin, naproxen, and ibuprofen have been linked to renal papillary necrosis in human beings. Although the exact mechanism of RPN is unknown, there are several theories that have good scientifi c evidence behind them. Study of RPN in animals as models for the disease in human beings is limited by several factors, including anatomical differences between human beings and most animal species as well as technical diffi culties in studying the renal papilla.
Key Words: Renal papillary necrosis • analgesic nephropathy • nonsteroidal anti-infl ammatory drugs • NSAIDs • cyclooxygenas e inhibition.
Toxicologic Pathology, Vol. 30, No. 6,
672-674 (2002) This article has been cited by other articles:
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