ISSN:0886-022X    

DOI:10.3109/08860229009066957

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

ISSN:0886-022X    

DOI:10.3109/08860229009066958

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

ISSN:0886-022X    

DOI:10.3109/08860229009066959

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

Seventy-two patients with severe falciparum malaria are described. Twenty-four (33.3%) were complicated by acute renal failure. Comparing patients with renal failure and those without, statistically significant differences occurred regarding presence of cerebral malaria (83% vs 46%), jaundice (92% vs 33%), and death (54% vs 17%). A significantly higher number of patients with renal failure were nonimmune visitors to malaria endemic regions. Renal failure was oliguric in 45% of cases. Dialysis was indicated in 38%, 29% died in early renal failure, and 33% recovered spontaneously. It is concluded that falciparum malaria is frequently complicated by cerebral malaria and renal failure. As nonimmune individuals are prone to develop serious complications, malaria prophylaxis and vigorous treatment of cases is mandatory.

ISSN:0886-022X    

DOI:10.3109/08860229009066960

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

ISSN:0886-022X    

DOI:10.3109/08860229009066961

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

摘要:

The case records of 75 patients who had systemic lupus erythematosus (SLE) and renal involvement on renal histology were reviewed. There were 70 females and 5 males, with a ratio of 14:1. The majority of the patients were in their second and third decades of life. SLE nephritis was distinctly uncommon in patients below 10 years of age and above 50 years of age. In nearly 80% of the patients, SLE nephritis was diagnosed within the year prior to presentation. The most common presenting clinical features were arthritis in 78% and a rash in 48%. The two most common renal features were proteinuria in 60% and renal failure in 55%. Of these patients, 20%, 12%, 48%, and 17% fell into Class II (mesangial GN), Class III (focal GN), Class W (diffuse GN), and Class V (membranous GN), respectively, when the renal histological abnormalities were categorized according to the World Health Organization classification. The remaining 3% of patients had sclerosis and as a result were unclassifiable. The two major clinical manifestations in the Class IV patients were an acute nephritis syndrome in 83% and renal failure in 61%. The nephrotic syndrome was seen in 62% of Class V (membranous GN) cases. There was 100% survival in Classes II (mesangial GN) and V (membranous GN), and 62% percent in Classes III (focal GN) and TV (diffuse GN) combined.

ISSN:0886-022X    

DOI:10.3109/08860229009066962

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

ISSN:0886-022X    

DOI:10.3109/08860229009066963

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor

ISSN:0886-022X    

DOI:10.3109/08860229009066964

出版商:Taylor&Francis    

年代:1990

数据来源: Taylor