RT Journal A1 Akhund L, Quinet RJ, Ishaq S T1 CElecoxib-related renal papillary necrosis JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2003 FD January 13 VO 163 IS 1 SP 114 OP 115 DO 10.1001/archinte.163.1.114 UL http://dx.doi.org/10.1001/archinte.163.1.114 AB Selective cyclooxygenase 2 (COX-2) inhibitors are known to affect renal prostaglandins (epoprostenol and dinoprostone), which are at least in part COX-2 dependent. Consequently, adverse events including hypertension, peripheral edema, hypercalemia, hyponatremia, and acute renal failure have been reported to occur with the new COX-2–specific inhibitors. This case report posits celecoxib as a likely cause of renal papillary necrosis and alerts physicians to the possibility of this additional renal complication with COX-2–specific inhibitors.