ISSN:0250-8095    

DOI:10.1159/000166975

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

We analyzed the clinical data and liver histology for iron overload in 74 renal allograft recipients. Twenty of the 74 patients had histological evidence of hemosiderosis. Four patients had hemochromatosis. Of the 2 noninvasive diagnostic tests the serum ferritin level was more reliable than percent saturation of transferrin in predicting the histological diagnosis of hemosiderosis. Of the 20 patients with hemosiderosis 14 died either from liver failure or concomitant sepsis. Female patients and those who received long-term dialysis had higher susceptibility for developing hemosiderosis. Of the 6 patients treated with phlebotomies, the response was good in 4 and incomplete in 2. Hemosiderosis and hemochromatosis should be considered in the differential diagnosis of posttransplant liver disease. Intermittent phlebotomies if carried out early may prevent the progression of hemosiderosis to micronodular cirrhosis.

ISSN:0250-8095    

DOI:10.1159/000166976

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

Fever occurred in a man 6 weeks after renal transplantation. At the time of transplantation, the donor ureter had been anastomosed to a ureteroileal conduit created 6 years previously because of traumatic neurogenic bladder. Initial evaluation failed to reveal the cause of the fever, but ultimately, drainage of the defunctionalized bladder yielded a large amount of pus infected with Klebsiella pneumoniae. Our patient’s course suggests that, when fever develops after renal transplantation in patients with previous urinary diversion, pyocystis should be included in the differential diagnosi

ISSN:0250-8095    

DOI:10.1159/000166977

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

Renal function studies were performed in 18 patients with nonseminomatous testicular cancer during four platinum-containing chemotherapy courses. The first 9 patients received chemotherapy alone, the second 9 also captopril, an angiotensin I converting enzyme inhibitor, in order to prevent cis-diamminedichloroplatinum-induced nephrotoxicity. In the first group a decrease in glomerular filtration rate, that was preceded by a fall in effective renal plasma flow, was observed. In the second group, captopril was able to prevent the initial decrease in effective renal plasma flow, but failed to prevent the ultimate decrease in glomerular filtration rate.

ISSN:0250-8095    

DOI:10.1159/000166978

出版商:S. Karger AG    

年代:1985

数据来源: Karger

ISSN:0250-8095    

DOI:10.1159/000166979

出版商:S. Karger AG    

年代:1985

数据来源: Karger

ISSN:0250-8095    

DOI:10.1159/000166980

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

The coexistence of diabetes insipidus and pregnacy is uncommon and can be associated with worsening of the diabetes insipidus. We report a patient who developed a transient nephrogenic diabetes insipidus associated with a pregnancy complicated by preeclampsia. The diabetes insipidus resolved spontaneously within several days after delivery.

ISSN:0250-8095    

DOI:10.1159/000166981

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

We present the case of an adult patient with the nephrotic syndrome. Morphologic and immunofluorescence studies revealed IgM-associated mesangial proliferative glomerulonephritis. On repeat biopsy, progression to focal glomerulosclerosis was noticed. The pathophysiological aspects of this evolution are discussed.

ISSN:0250-8095    

DOI:10.1159/000166982

出版商:S. Karger AG    

年代:1985

数据来源: Karger

摘要:

A case of Ask-Upmark kidney with coexistent contralateral renal artery fibromuscular dysplasia is presented with detailed light and electron microscopic findings. Both lesions are known to produce renin-mediated hypertension which was corrected in this patient by nephrectomy and contralateral renal artery bypass. Ask-Upmark kidney is briefly reviewed.

ISSN:0250-8095    

DOI:10.1159/000166983

出版商:S. Karger AG    

年代:1985

数据来源: Karger

ISSN:0250-8095    

DOI:10.1159/000166984

出版商:S. Karger AG    

年代:1985

数据来源: Karger