Case Report

Vitamin C-Induced Oxalate Nephropathy

Table 1

Summary of biopsy proven cases of oxalate nephropathy secondary to ascorbic acid reported in the literature.

Patient (Ref. Num.)*AgeGenderBaseline Serum creatinine (mg/dl)Renal presentation and serum creatinine (Cr) in mg/dlDose of ascorbic acid per dayDuration of administrationTreatmentOutcome

2071Female1.4Anuria (Cr = 12.1)500 mg (oral)6 monthsHDESRD
15**58Female1.0Oliguria (Cr = 3.5 )45 g (IV)1 dayHDDeath
21***72MaleUnknownAnuria(Cr = 15.3)Grams (oral)MonthsMedicalDeath
2273Male1.2Poor renal clearance
(Cr = 8.4)
680 mg (oral)4 monthsHDRecovery
Cr = 1.8 mg/dl
2331MaleUnknownPoor renal clearance
(Cr = 10.1)
2.5–5.0g (oral)Undisclosed (week to months?)HDRecovery
Cr = 2.2 mg/dl
2449Female0.7Oliguria (Cr = 4.5)4.0 g (oral)Several monthsHDRecovery
Cr = 1.1 gm/dl
1058Male1.4Anuria (undisclosed)1 g (IV)2 monthsHDRecovery
Cr = 1.4 mg/dl
1461Male1.3Anuria (Cr = 13.3)60 g (IV)1 dayMedicalRecovery
Cr = 2.9 mg/dl

The ref. num. identifies the individual case report. Please refer to the listed references at the end of the article to locate any particular case report by its reference number.
The patient died from multiple organ failure. Her systemic illness was amyloidosis.
The patient died from renal failure and associated multiple organ failure as he did not want to undergo dialysis.