IgA nephropathy. Evaluation of prognostic factors in patients with moderate disease.

Abstract:

:Previous studies of IgA nephropathy have demonstrated a number of prognostically significant clinical and pathological factors in groups of patients with the full histological spectrum of the disease. Whether these factors can be applied to a group of IgA nephropathy patients with disease of moderate degree is unknown. Forty patients (9 females, 31 males) with grade III IgA nephropathy (no more than 10% obsolete glomeruli and little or no interstitial fibrosis) were evaluated with respect to age, sex, degree of proteinuria, history of recurrent gross hematuria, hypertension, extent and type of segmental glomerulosclerosis, demonstration of IgG and/or IgM in deposits, presence of peripheral capillary deposits, whether or not there were crescents, and extent of vascular sclerosis. The mean age was 29.6 +/- (SD) 13.1 years. Sixteen patients presented with recurrent gross hematuria, and 24 had microscopic hematuria and proteinuria as the initial manifestation. Hypertension was seen in 5 patients. The mean serum creatinine concentration was 1.09 +/- 0.47 mg/dl (96.4 +/- 41.5 mumol/l), and the mean 24-hour urinary protein was 1.5 +/- 1.3 g. Nine patients had proteinuria greater than or equal to 2.0 g/24 h. Thirty-two patients demonstrated segmental glomerulosclerosis in their biopsies, 13 of which had more than 10% of the glomeruli involved. Seven patients developed established renal failure (Cr greater than or equal to 2.0 mg/dl; 176.8 mumol/l). The 60-and 100-month renal survival rates were 96 and 52%. Life table analysis disclosed that only the degree of proteinuria (greater than or equal to 2.0 g/24 h; p less than 0.05) and the extent of segmental glomerulosclerosis (p less than 0.025) were of prognostic significance.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Nephron

journal_title

Nephron

authors

Magil AB,Ballon HS

doi

10.1159/000184518

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

246-52

issue

4

eissn

1660-8151

issn

2235-3186

journal_volume

47

pub_type

杂志文章

相关文献

NEPHRON文献大全
  • A rare cause of pulmonary-renal syndrome.

    abstract::Diseases affecting both the lung and the kidney have grave prognosis and serious diagnostic and therapeutic consequences. Here, 3 cases of pulmonary-renal syndrome caused by antiphospholipid syndrome are reported. The patients presented with dyspnea, renal insufficiency, pulmonary infiltrates on chest X-ray and areas ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000064300

    authors: Henning BF,Gröne HJ,Tepel M,Büchner N,Kirchner J,Zidek W

    更新日期:2002-07-01 00:00:00

  • A case of collagenofibrotic glomerulopathy associated with hepatic perisinusoidal fibrosis.

    abstract::A patient with collagenofibrotic glomerulopathy associated with hepatic persinusoidal fibrosis is described. Renal biopsy revealed that the glomerular tufts contained homogeneous material that was proved by electron microscopy to be collagen fibers. The material was reactive to anti-type III collagen monoclonal antibo...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187180

    authors: Mizuiri S,Hasegawa A,Kikuchi A,Amagasaki Y,Nakamura N,Sakaguchi H

    更新日期:1993-01-01 00:00:00

  • Glomerular Hyperfiltration: An Early Marker of Nephropathy in Fabry Disease.

    abstract:BACKGROUND AND OBJECTIVES:Progressive nephropathy is one of the main features of Fabry disease (FD). It has been supposed that an early phase, clinically silent disease occurs in childhood and adolescence and is characterized by glomerular hyperfiltration (HF). Surprisingly, although HF has been reported in several stu...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000493469

    authors: Riccio E,Sabbatini M,Bruzzese D,Annicchiarico Petruzzelli L,Pellegrino A,Spinelli L,Esposito R,Imbriaco M,Feriozzi S,Pisani A,on behalf of AFFIINITY Group.

    更新日期:2019-01-01 00:00:00

  • Acute tubulo-interstitial nephritis and uveitis syndrome (TINU syndrome).

    abstract::Acute renal failure due to tubulo-interstitial nephritis developed in a 15-year-old girl. The disease was accompanied by uveitis and an inflammatory syndrome, consisting of a markedly increased erythrocyte sedimentation rate and high serum gamma globulin levels. The nephropathy as well as the inflammatory syndrome sub...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183511

    authors: Vanhaesebrouck P,Carton D,De Bel C,Praet M,Proesmans W

    更新日期:1985-01-01 00:00:00

  • Effects of rhubarb tannins on uremic toxins.

    abstract::The effects of each of several tannins purified from Rhei Rhizoma on serum constituents were investigated in rats with adenine-induced renal failure. Blood levels of urea nitrogen, methylguanidine (MG), and guanidinosuccinic acid (GSA) were significantly decreased in rats given (-)-epicatechin 3-O-gallate at a dose of...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000186406

    authors: Yokozawa T,Fujioka K,Oura H,Nonaka G,Nishioka I

    更新日期:1991-01-01 00:00:00

  • A new technique for insertion of the Tenckhoff peritoneal dialysis catheter.

    abstract::To eliminate the discomfort caused by surgical methods and the risks involved using the trocar, for 1 year we have been using a new technique for insertion of peritoneal catheters (PC). We devised a steel instrument, vaguely resembling a rhinoscope, composed of two semicones. The handles are connected by a screw to pe...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183526

    authors: Di Paolo N,Manganelli A,Strappaveccia F,De Mia M,Gaggiotti E

    更新日期:1985-01-01 00:00:00

  • Focal segmental glomerulosclerosis in a 32-year-old kidney allograft after 7 years without immunosuppression.

    abstract::In kidney allografts, focal segmental glomerulosclerosis (FSGS) has been described as recurrent, de novo, or a histological variant of chronic transplant glomerulopathy. We describe a unique case of de novo FSGS in a renal transplant not accompanied by any feature of rejection in a patient who had not been immunosuppr...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000045412

    authors: Trimarchi HM,Gonzalez JM,Truong LD,Brennan TS,Barrios R,Suki WN

    更新日期:1999-01-01 00:00:00

  • Induction of chronic renal failure in the mouse: a new model.

    abstract::An animal model with experimental uremia is an important research tool for the study of the sequence of pathophysiological events taking place in the uremic syndrome. An appreciable number of animal models and methods for the induction of chronic uremia have been published. It is surprising that no such method has bee...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000183491

    authors: Gabizon D,Goren E,Shaked U,Averbukh Z,Rosenmann E,Modai D

    更新日期:1985-01-01 00:00:00

  • Effect of ischemia on renal blood flow in the rat.

    abstract::The effect of ischemia on renal blood flow (RBF) in the rat has been an unsettled question. This study used a totally extractable indicator, radioactive microspheres, with a reference arterial sample, to study RBF quantitatively 10 and 60 min after 1 h of unilateral renal artery clamping in anesthetized, heparinized r...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181378

    authors: Riley AL

    更新日期:1978-01-01 00:00:00

  • A longitudinal study of bone disease after successful renal transplantation.

    abstract::A retrospective study of 100 patients followed for 1-4 years after successful renal transplantation was undertaken to assess the amelioration of previously present metabolic bone disease and to determine the risk factors associated with the development of osteonecrosis. 42% of patients showed some evidence of bony abn...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181455

    authors: Gottlieb MN,Stephens MK,Lowrie EG,Griffiths HJ,Kenzora J,Strom TB,Lazarus JM,Tilney NL,Merrill JP

    更新日期:1978-01-01 00:00:00

  • Desferrioxamine enhances the haemopoietic response to erythropoietin, but adverse events are common.

    abstract::To determine whether the chelation of aluminium enhances the haemopoietic response to recombinant human erythropoietin (r-HuEPO), desferrioxamine (DFO) at a dose of 20-30 mg/kg was given to 7 of 17 transfusion-dependent haemodialysis patients treated with r-HuEPO (40 units/kg/dialysis i.v.). The two randomly allocated...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000186374

    authors: Roger SD,Stewart JH,Harris DC

    更新日期:1991-01-01 00:00:00

  • Hemodialysis-associated neutropenia and hypoxemia: the effect of dialyzer membrane materials.

    abstract::The fall in white blood cells (WBC) and arterial oxygen pressure that occurs during hemodialysis was investigated as a function of different dialysis membranes and different sterilization methods. 8 chronic hemodialysis patients were studied and each was dialyzed with three different membranes: cellulosic hollow fiber...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000182728

    authors: Hakim RM,Lowrie EG

    更新日期:1982-01-01 00:00:00

  • Neuraminidase treatment abrogates the binding abnormality of IgA1 from IgA nephropathy patients and the differential charge distribution of its alpha-heavy chains.

    abstract::We have studied the interaction of the Gal-GalNAc-reactive champedak lectin-C with neuraminidase-treated and untreated IgA1 from IgA nephropathy patients. The binding ability of the lectin to untreated IgA1 from IgA nephropathy patients was significantly lower as compared to the untreated IgA1 from normal controls. Th...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000046114

    authors: Hashim OH,Shuib AS,Chua CT

    更新日期:2001-12-01 00:00:00

  • A Multicenter Randomized Controlled Trial of Rituximab versus Cyclosporine in the Treatment of Idiopathic Membranous Nephropathy (MENTOR).

    abstract:BACKGROUND:Idiopathic membranous nephropathy remains the leading cause of nephrotic syndrome in Caucasian adults. Immunosuppressive therapy with cyclosporine (CSA) is often successful in reducing proteinuria, but its use is associated with a high relapse rate. Rituximab, a monoclonal antibody that specifically targets ...

    journal_title:Nephron

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1159/000430849

    authors: Fervenza FC,Canetta PA,Barbour SJ,Lafayette RA,Rovin BH,Aslam N,Hladunewich MA,Irazabal MV,Sethi S,Gipson DS,Reich HN,Brenchley P,Kretzler M,Radhakrishnan J,Hebert LA,Gipson PE,Thomas LF,McCarthy ET,Appel GB,Jeffers

    更新日期:2015-01-01 00:00:00

  • Nephrotoxicity of germanium compounds: report of a case and review of the literature.

    abstract::A 55-year-old woman was admitted to our hospital, complaining of general malaise, muscular weakness, anorexia and weight loss. She had a history of ingesting of a certain germanium (Ge) compound over the preceding 19 months, with a total dose of 47 g as Ge element. She was found to have renal failure (blood urea nitro...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000186805

    authors: Takeuchi A,Yoshizawa N,Oshima S,Kubota T,Oshikawa Y,Akashi Y,Oda T,Niwa H,Imazeki N,Seno A

    更新日期:1992-01-01 00:00:00

  • Unusual complication in a patient with renal transplantation: cerebral cysticercosis.

    abstract::A patient with cadaveric renal transplantation was diagnosed by brain-computed tomography and ELISA as having neurocysticercosis in the CSF. Complete cure was achieved after praziquantel therapy. Function of the allograft was not affected. ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000184074

    authors: Gordillo-Paniagua G,Muñoz-Arizpe R,Ponsa-Molina R

    更新日期:1987-01-01 00:00:00

  • Trajectory of Estimated Glomerular Filtration Rate Predicts Renal Injury in Children with Multicystic Dysplastic Kidney.

    abstract:BACKGROUND/AIMS:Children with a solitary functioning kidney have a risk of renal injury caused by hyperfiltration. Timely intervention with renin-angiotensin inhibitors may be beneficial. We examined whether trajectory of estimated glomerular filtration rate (eGFR) would predict renal injury, defined as microalbuminuri...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000490200

    authors: Matsumura K,Sugii K,Awazu M

    更新日期:2018-01-01 00:00:00

  • Low molecular weight heparin in hemodialysis patients with a bleeding tendency.

    abstract::Efficacy and safety of a low-molecular-weight heparin (LMWH) were studied in 33 stable maintenance hemodialysis patients who had a bleeding tendency on unfractionated heparin. The optimal dose of LMWH for each patient was titrated before the study; the mean total LMWH dosage was 1,152 +/- 574 IU. No major bleeding or ...

    journal_title:Nephron

    pub_type: 临床试验,杂志文章

    doi:10.1159/000045840

    authors: Leu JG,Chiang SS,Lin SM,Pai JK,Jiang WW

    更新日期:2000-12-01 00:00:00

  • A new kindred with hereditary hypophosphatemic rickets with hypercalciuria: implications for correct diagnosis and treatment.

    abstract::Hereditary hypophosphatemic rickets with hypercalciuria (HHRH) is a new autosomal form of hypophosphatemic rickets, recently described. This disease is characterized, and differs from other forms of hereditary hypophosphatemic rickets and/or osteomalacia by increased serum levels of 1,25-dihydroxyvitamin D, hypercalci...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187029

    authors: Tieder M,Arie R,Bab I,Maor J,Liberman UA

    更新日期:1992-01-01 00:00:00

  • L-lysine reduces nonenzymatic glycation of glomerular basement membrane collagen and albuminuria in diabetic rats.

    abstract::In this study, we examined the hypothesis whether exogenous administration of L-lysine in drinking water would reduce nonenzymatic glycation of glomerular basement membrane (GBM) collagen and thus albuminuria in streptozotocin-diabetic rats. The rationale is that the administered lysine would combine with the circulat...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000045904

    authors: Jyothirmayi GN,Modak R,Reddi AS

    更新日期:2001-02-01 00:00:00

  • Xanthogranulomatous pyelonephritis-presentation as acute renal failure in a child with a solitary kidney.

    abstract::A 4-year-old girl, who had been in perfect health, presented with the acute onset of renal failure and abdominal mass. Investigations revealed a solitary left kidney which on histology had the typical features of xanthogranulomatous pyelonephritis. The child had no previous history suggestive of chronic renal disease ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000181387

    authors: Noah M,Schoeneman MJ,Haycock G,Levitt SB,Bennett B,Greifer I

    更新日期:1978-01-01 00:00:00

  • Hypercalciuria and nephrocalcinosis, a feature of Wilson's disease.

    abstract::Hypercalciuria and nephrocalcinosis are not uncommon in patients with Wilson's disease but have only once been reported as the presenting sign. We diagnosed Wilson's disease in a 17-year-old male patient 6 years after his first episode of gross hematuria and 2 years after detection of hypercalciuria and nephrocalcinos...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187530

    authors: Hoppe B,Neuhaus T,Superti-Furga A,Forster I,Leumann E

    更新日期:1993-01-01 00:00:00

  • Ionized and total calcium variations induced by haemodialysis.

    abstract::The variations of ionized and total calcium concentrations were studied during haemodialysis with high flux membrane using dialysate calcium concentrations of 1.63 and 1.76 mmol/l. The changes in ionized and total calcium were related to the predialytic calcium concentration difference between plasma and dialysate. Th...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000184951

    authors: Kancir CB,Wanscher M,Petersen PH

    更新日期:1988-01-01 00:00:00

  • The role of alpha-glutathione S-transferase in the monitoring of hemodialysis patients with hepatitis C virus infection undergoing high-dose interferon-alpha-2b therapy.

    abstract::The study aimed to evaluate the behavior of alpha-glutathione S-transferase (alpha-GST) in the serum of hemodialysis patients with hepatitis C virus (HCV) infection following treatment with high-dose IFN-alpha-2b. Ten patients with detected anti-HCV antibodies and HCV RNA by RT-PCR were selected and treated with high-...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000045363

    authors: Boran M,Cetin S

    更新日期:1999-01-01 00:00:00

  • Preventive effect of ulinastatin on renal scarring in rat model of pyelonephritis induced by direct or ascending infection with Serratia marcescens or Escherichia coli.

    abstract::Renal scarring is considered to be a characteristic of reflux nephropathy. The effects of ulinastatin, a strong inhibitor of polymorphonuclear leukocyte elastase, on renal scarring following direct parenchymal or intravesical ascending infection by Serratia marcescens or Escherichia coli were determined. Four days of ...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000188362

    authors: Matsumoto T,Haraoka M,Mizunoe Y,Takahashi K,Kubo S,Sakumoto M,Tanaka M,Kumazawa J

    更新日期:1995-01-01 00:00:00

  • Dyskalemia in Chronic Kidney Disease: How Concerned Should We Be?

    abstract:CONTEXT:The widespread use of diuretics, potassium supplements, and medications that block renin angiotensin system puts the chronic kidney disease (CKD) population at high risk for dyskalemia, both hyperkalemia and hypokalemia. The optimal potassium level in a CKD patient is unknown. Subject of review: Two recent stud...

    journal_title:Nephron

    pub_type: 杂志文章,评审

    doi:10.1159/000490008

    authors: Tandukar S,Fried LF

    更新日期:2018-01-01 00:00:00

  • Relative and absolute changes in urinary neutrophil gelatinase-associated lipocalin and correlation with small increases in serum creatinine levels after coronary angiography: an observational study.

    abstract:INTRODUCTION/AIMS:The Acute Kidney Injury Network classification is based on small increases in serum creatinine (sCr) for stage 1. This study investigated whether changes in the urinary concentration of neutrophil gelatinase-associated lipocalin (uNGAL) could predict small increases in sCr in patients undergoing coron...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000368413

    authors: Souza DF,Reis SS,Botelho RV,Ferreira-Filho SR

    更新日期:2015-01-01 00:00:00

  • Increased urinary excretion of interleukin-17 in nephrotic patients.

    abstract:BACKGROUND/AIM:Interleukin (IL)-17 is a newly discovered cytokine that is secreted by activated memory CD4+ T cells and modulated the early stage of immune response. To elucidate the pathophysiology of minimal-change nephrotic syndrome (MCNS), we focused on IL-17, which is one of the key factors in regulating an inflam...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000058399

    authors: Matsumoto K,Kanmatsuse K

    更新日期:2002-06-01 00:00:00

  • Severe tubulopathy and kidney graft rupture after coadministration of mannitol and ciclosporin.

    abstract::Spontaneous allograft rupture after kidney transplantation is a rare complication usually due to an acute rejection of the interstitial type. In a 32-year-old man kidney transplantation was performed under immunosuppression with prednisolone and ciclosporin (CS). The dose of CS was 5 mg/kg body weight intravenously fo...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000187003

    authors: Biesenbach G,Zazgornik J,Kaiser W,Grafinger P,Stuby U,Gross C,Hartl P,Brücke P

    更新日期:1992-01-01 00:00:00

  • Uremic pruritus and skin mast cells.

    abstract::The number of mast cells in the skin was evaluated in 25 patients with end-stage renal failure on different treatment modality (conservative, hemodialysis and peritoneal dialysis). According to the presence of pruritus, uremic patients were divided into two groups: group A, 13 patients with diffuse pruritus, and group...

    journal_title:Nephron

    pub_type: 杂志文章

    doi:10.1159/000186826

    authors: Dimković N,Djukanović L,Radmilović A,Bojić P,Juloski T

    更新日期:1992-01-01 00:00:00