Aliskiren Induced Remarkable Hypertriglyceridemia

  • Azushima Kengo
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Tamura Kouichi
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Wakui Hiromichi
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Maeda Akinobu
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Kanaoka Tomohiko
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Ohsawa Masato
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Haku Sona
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Uneda Kazushi
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Toya Yoshiyuki
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan
  • Umemura Satoshi
    Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan

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Abstract

We herein report the first case of remarkable hypertriglyceridemia induced by aliskiren. A 42-year-old man with chronic kidney disease who had been taking antihypertensive medication for approximately 10 years was treated with aliskiren at a dose of 150 mg/day due to uncontrolled hypertension. Six weeks later, although the patient's blood pressure decreased, a laboratory examination revealed remarkable hypertriglyceridemia and an elevated creatinine level. We suspected the occurrence of an adverse event of aliskiren, and the medication was discontinued. Thereafter, the hypertriglyceridemia and elevated creatinine level spontaneously improved. Transient eosinophilia and a strong-positive response of drug lymphocyte stimulation test (DLST) to aliskiren occurred during the patient's clinical course, and we determined the remarkable hypertriglyceridemia to be an adverse event of aliskiren.<br>

Journal

  • Internal Medicine

    Internal Medicine 51 (24), 3387-3389, 2012

    The Japanese Society of Internal Medicine

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