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신장 이식 환자에서 통상적인 용량의 비스무트 포함 약제 복용 후 발생한 피부 과다색소침착 1예
최우석 ( Woo Suk Choi ),최하늘 ( Han Ul Choi ),정지용 ( Ji Yong Jung ),장제현 ( Jae Hyun Chang ),정우경 ( Woo Kyung Chung ),이현희 ( Hyun Hee Lee ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.6
A 59-year-old male presented with multiple hyperpigmented skin with hyperkeratotic scaly patches on hands, feet and face. Bismuth containing compound had been prescribed two months before then due to epigastric pain, an adverse effect of steroid pulse therapy for acute rejection of transplanted kidney. Laboratory findings showed acute kidney injury and elevated liver enzyme. He stopped taking bismuth containing compound and all symptoms were gone after two months. Although there is no report on interaction between bismuth and immunosuppressant, it requires precaution to prescribe bismuth containing compounds in transplanted patients with acute kidney injury.