77 results match your criteria Case reports in nephrology and urology[Journal]


Normoglycemic diabetic nephropathy: the role of insulin resistance.

Case Rep Nephrol Urol 2014 May 28;4(2):137-43. Epub 2014 Jun 28.

Department of Pathology, Thomas Jefferson University Hospital, Philadelphia, Pa., USA.

The pathophysiology of diabetic nephropathy (DN) is complex and incompletely understood. Whereas hyperglycemia is clearly important, the role of insulin resistance (IR) is increasingly recognized. We present the case of a normotensive non-smoking obese woman with nephrotic syndrome who was found to have DN by biopsy. Read More

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http://dx.doi.org/10.1159/000364901DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107385PMC
May 2014
6 Reads

A case of bladder-inverted papilloma after brachytherapy for prostate cancer.

Case Rep Nephrol Urol 2014 May 28;4(2):131-6. Epub 2014 Jun 28.

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

An 82-year-old male who presented with the chief complaint of gross hematuria and a history of prostate cancer treated with brachytherapy 6 years previously is described. Cystoscopy revealed multiple bladder tumors on the right posterior wall. A transurethral resection of the bladder tumor was performed and a pathological diagnosis of the inverted papilloma was made. Read More

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http://dx.doi.org/10.1159/000365142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107386PMC
May 2014
3 Reads

Nondialytic therapy for elderly patients in a critical care setting.

Case Rep Nephrol Urol 2014 May 14;4(2):126-30. Epub 2014 Jun 14.

Tokai Central Hospital of Japan, Mutual Aid Association of Public School Teachers, Kakamigahara, Japan.

It is frequently necessary to admit critically ill elderly patients to intensive care units (ICUs) due to their physiological impairments and co-morbidities. Several life-sustaining therapies such as mechanical ventilation are performed as necessary treatment in these ICUs. Sometimes renal replacement therapy (i. Read More

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http://dx.doi.org/10.1159/000363733DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107387PMC
May 2014
15 Reads

Bladder Cancer versus Hemorrhagic Cystitis: A Case of Mistaken Identity in a 34-Year-Old Male Undergoing Therapy for Granulomatosis with Polyangiitis.

Case Rep Nephrol Urol 2014 May 4;4(2):120-5. Epub 2014 Jun 4.

Division of Urology, University of Connecticut Health Center, Farmington, Conn., USA.

A 34-year-old male was referred for management of bladder cancer noted on workup for gross hematuria and new-onset irritative voiding symptoms. The patient's history was significant for recently diagnosed granulomatosis with polyangiitis for which he was undergoing treatment with oral cyclophosphamide and corticosteroids. Cystoscopy revealed lesions suspicious for malignancy, but the patient was diagnosed with hemorrhagic cystitis secondary to BK virus infection upon cytology review, and immunostaining confirmed a polyomavirus infection of the urothelium. Read More

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http://dx.doi.org/10.1159/000363692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086036PMC
May 2014
5 Reads

Neonatal sepsis with multi-organ failure and treated with a new dialysis device specifically designed for newborns.

Case Rep Nephrol Urol 2014 May 3;4(2):113-9. Epub 2014 Jun 3.

SC Nefrologia Dialisi e Trapianto Ospedale Infantile Regina Margherita, AO Città della Salute e della Scienza, Turin, Italy.

Neonatal sepsis due to E. coli is often complicated by multiple organ failure (MOF) and a high mortality risk. We report the case of a term newborn discharged in good condition who suddenly fell into septic shock after 11 days and required immediate resuscitation, volume expansion and a high-dosage amine infusion. Read More

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http://dx.doi.org/10.1159/000363691DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086034PMC
May 2014
10 Reads

Nephrectomy in autosomal dominant polycystic kidney disease: a patient with exceptionally large, still functioning kidneys.

Case Rep Nephrol Urol 2014 May 4;4(2):109-12. Epub 2014 Jun 4.

Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.

Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disease. It is characterized by progressive cyst formation in both kidneys, often leading to end-stage kidney disease. Indications for surgical removal of an ADPKD kidney include intractable pain, hematuria, infection, or exceptional enlargement and small abdominal cavity hampering implantation of a donor kidney. Read More

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http://dx.doi.org/10.1159/000363378DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086038PMC
May 2014
9 Reads

Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy.

Case Rep Nephrol Urol 2014 May 22;4(2):103-8. Epub 2014 May 22.

Department of Nephrology, Yokohama Rosai Hospital, Yokohama, Japan.

A 43-year-old male experienced renal infarction (RI) following left upper lobectomy for lung cancer. The patient complained of acute-onset severe left flank pain on the 14th postoperative day. A contrast-enhanced computed tomography (CT) of the abdomen revealed RI by a large wedge-shaped defect in the left kidney. Read More

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http://dx.doi.org/10.1159/000363224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067727PMC
May 2014
11 Reads

Primary Effusion Lymphoma in an Elderly HIV-Negative Patient with Hemodialysis: Importance of Evaluation for Pleural Effusion in Patients Receiving Hemodialysis.

Case Rep Nephrol Urol 2014 May 21;4(2):95-102. Epub 2014 May 21.

Department of General Medicine, Okinawa Yaeyama Hospital, Okinawa, Japan.

Pleural effusion is a ubiquitous complication in hemodialysis (HD) patients. Common etiologies of pleural effusion in this patient group are heart failure, volume overload, parapneumonic effusion, tuberculotic pleuritis, and uremic pleuritis. Although thoracentesis is a useful diagnostic method of pleural effusion, empirical reduction of the dry weight is often attempted without thoracentesis because pleural effusion is commonly caused by volume overload and responds to the dry-weight reduction. Read More

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http://dx.doi.org/10.1159/000363223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4067712PMC
May 2014
23 Reads

Focal Segmental Glomerulosclerosis Secondary to Juxtaglomerular Cell Tumor during Pregnancy: A Case Report.

Case Rep Nephrol Urol 2014 May 7;4(2):88-94. Epub 2014 May 7.

Department of Nephrology, Faculty of Medicine, Toho University, Tokyo, Japan.

Juxtaglomerular cell tumor is a rare renal neoplasm. Secondary hypertension with juxtaglomerular cell tumor can be seen in females in their 20s and 30s. We present a case of juxtaglomerular cell tumor during pregnancy. Read More

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http://dx.doi.org/10.1159/000362757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035682PMC
May 2014
11 Reads

Malignant solitary fibrous kidney tumor with peritoneal disease: a case report.

Case Rep Nephrol Urol 2014 Jan 11;4(1):70-4. Epub 2014 Apr 11.

Department of Urology, Hospital Nuestra Señora de Sonsoles, Ávila, Spain.

We report a case of a large malignant solitary fibrous kidney tumor. A complete surgical resection of the primary tumor and peritoneal disease was carried out, and a histological examination confirmed the initial diagnosis. We describe and discuss the characteristics of this rare kidney neoplasm. Read More

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http://dx.doi.org/10.1159/000362539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4025056PMC
January 2014
10 Reads

Thromboembolism as a cause of renal artery occlusion and acute kidney injury: the recovery of kidney function after two weeks.

Case Rep Nephrol Urol 2014 Jan 17;4(1):82-7. Epub 2014 Apr 17.

Division of Nephrology, Department of Medicine, Turku University Hospital, Turku, Finland.

Thromboembolic occlusion is a rare cause of acute kidney injury (AKI). It may lead to permanent loss of renal function. Our patient, who had dilated cardiomyopathy and prosthetic aortic valve, presented with AKI due to thromboembolic arterial occlusion of a solitary functioning kidney. Read More

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http://dx.doi.org/10.1159/000362538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4025054PMC
January 2014
12 Reads

Pulmonary toxicity in a renal transplant recipient treated with amiodarone and everolimus: a case of hypothetical synergy and a proposal for a screening protocol.

Case Rep Nephrol Urol 2014 Jan 12;4(1):75-81. Epub 2014 Apr 12.

Renal Transplantation Unit 'A. Vercellone', Division of Nephrology Dialysis and Transplantation, Department of Medical Sciences, Turin, Italy.

Pneumotoxic drugs like amiodarone and m-TOR inhibitors (m-TORi) may be administered contemporaneously in therapy for patients who had renal transplants. We present a case of amiodarone pulmonary toxicity (APT) in a patient treated with amiodarone and everolimus. A 57-year-old Caucasian male, under treatment with both everolimus (for 3 years) and amiodarone (for 2 months), presented with fever, dyspnoea and a negative chest X-ray after his second kidney transplant with suboptimal serum creatinine (3 mg/dl). Read More

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http://dx.doi.org/10.1159/000362361DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4025156PMC
January 2014
18 Reads

A Case of Membranous Glomerulonephropathy Associated with Takayasu's Arteritis.

Case Rep Nephrol Urol 2014 Jan 1;4(1):60-9. Epub 2014 Apr 1.

Department of Nephrology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan.

Glomerulonephropathy is a rare complication of Takayasu's arteritis (TA). To date, most glomerulonephropathies associated with TA show the histological feature of mesangial proliferation. Membranous glomerulonephropathy (MG) is a form of glomerulonephropathy in which the mesangial proliferation is not conspicuous and its association with TA is extremely rare. Read More

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http://dx.doi.org/10.1159/000360850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4025153PMC
January 2014
2 Reads

A case of bladder cancer after radiation therapy for prostate cancer.

Case Rep Nephrol Urol 2014 Jan 27;4(1):53-9. Epub 2014 Mar 27.

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

An 86-year-old male who presented with the chief complaint of clot retention and had a history of prostate cancer treated with external beam radiation therapy 11 years previously is described. Cystoscopy revealed radiation cystitis in coexistence with bladder cancer. Since bladder cancer may be present in patients with macroscopic hematuria who have a history of radiation therapy, referral to an urologist is recommended. Read More

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http://dx.doi.org/10.1159/000361013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999451PMC
January 2014
7 Reads

Carotid thromboembolism associated with nephrotic syndrome treated with dabigatran.

Case Rep Nephrol Urol 2014 Jan 21;4(1):42-52. Epub 2014 Mar 21.

Department of Nephrology, Okinawa Chubu Hospital, Okinawa, Japan.

Nephrotic syndrome (NS) may be complicated by thromboembolism, which occasionally manifests as stroke. Although the optimal, standardized approach to the prophylaxis and management of thromboembolic complications associated with NS has not been established, anticoagulation with heparin and subsequent warfarin is the de facto standard of treatment. Dabigatran, a novel direct thrombin inhibitor, has become a substitute for warfarin and heparin for many indications, including the prophylaxis of stroke associated with nonvalvular atrial fibrillation and postoperative thromboprophylaxis in orthopedic patients. Read More

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http://dx.doi.org/10.1159/000362162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000300PMC
January 2014
8 Reads

Immunoadsorption: a new strategy to induce remission in membranous lupus nephritis.

Case Rep Nephrol Urol 2014 Jan 19;4(1):37-41. Epub 2014 Mar 19.

Department of Pediatric Nephrology, APHP, DHU i2B Inflammation-Immunopathology-Biotherapy, Armand-Trousseau Hospital, Paris, France.

We report the case of an 11-year-old previously healthy girl who presented for microscopic hematuria and nephrotic proteinuria with normal renal function, which persisted after 6 months of steroids, angiotensin-converting enzyme inhibitors (ACEi)/angiotensin receptor blockers, hydroxychloroquine, mycophenolic acid and a low-salt diet. A serum investigation suggested lupus nephritis and a renal biopsy, performed 2 weeks after the first proteinuria detection, revealed membranous lupus nephritis. We decided to perform ten sessions of daily immunoadsorption. Read More

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http://dx.doi.org/10.1159/000361014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000301PMC
January 2014
11 Reads

IgA Nephropathy with Pathologic Features of Membranoproliferative Glomerulonephritis following Burn Injury.

Case Rep Nephrol Urol 2014 Jan 6;4(1):31-6. Epub 2014 Mar 6.

Department of Nephrology, Renmin Hospital of Wuhan University, Wuhan, China.

IgA nephropathy (IgAN) is the most common primary glomerulonephritis worldwide, accounting for approximately 30-40% of patients undergoing renal biopsy in Asia. The characteristic and diagnostic lesion of IgAN is the deposition of glomerular IgA. The morphological lesions observed by light microscopy are extremely variable. Read More

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http://dx.doi.org/10.1159/000360523DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975747PMC
January 2014
9 Reads

Hemodialysis without Anticoagulation for a Patient with Chronic Disseminated Intravascular Coagulation.

Case Rep Nephrol Urol 2014 Jan 18;4(1):25-30. Epub 2014 Feb 18.

Nephrology Center, Toranomon Hospital, Tokyo, Japan ; Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Tokyo, Japan.

We report a 68-year-old Japanese man with end-stage renal failure requiring hemodialysis and chronic disseminated intravascular coagulation (DIC) related to thrombosis in an aortic aneurysm. He had undergone graft replacement for the dissection of the ascending and descending thoracic aorta in 1990 and 2002, respectively. Computed tomography disclosed an aneurysm with thrombosis in the residual aorta adjacent to the graft anastomosis. Read More

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http://dx.doi.org/10.1159/000358269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975721PMC
January 2014
4 Reads

The use of lanreotide in polycystic kidney disease: a single-centre experience.

Case Rep Nephrol Urol 2014 Jan 5;4(1):18-24. Epub 2014 Feb 5.

Department of Nephrodialysis, Charleroi University Hospital, Charleroi, Belgium.

The secretion of large volumes of fluid into cysts and changes in the structure and mobility of the cilia of the renal tubular epithelium can lead to nephromegaly. This in turn often causes a deterioration of kidney function and arterial hypertension. In recent clinical studies, somatostatin analogues have demonstrated efficacy in isolated polycystic liver disease and, to a lesser extent, in polycystic kidney disease. Read More

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http://dx.doi.org/10.1159/000358268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975724PMC
January 2014
1 Read

Revision of perineal urethrostomy using a meshed split-thickness skin graft.

Case Rep Nephrol Urol 2014 Jan 30;4(1):12-7. Epub 2014 Jan 30.

Department of Urology, Ghent University Hospital, Ghent, Belgium.

Perineal urethrostomy is considered to be the last option to restore voiding in complex/recurrent urethral stricture disease. It is also a necessary procedure after penectomy or urethrectomy. Stenosis of the perineal urethrostomy has been reported in up to 30% of cases. Read More

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http://dx.doi.org/10.1159/000358556DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934782PMC
January 2014

Rapidly progressive lupus nephritis with extremely high levels of antineutrophil cytoplasmic antibodies.

Case Rep Nephrol Urol 2014 Jan 29;4(1):5-11. Epub 2014 Jan 29.

Division of Nephrology, Kantonsspital Baselland, Liestal, Switzerland.

A 43-year-old woman, with a 3-month history of fatigue, anaemia and swollen lymph nodes, underwent biopsy of a lymph node, which revealed reactive lymphadenopathy. Due to an increased serum creatinine concentration and severe proteinuria, a kidney biopsy was performed, which revealed diffuse, segmental, proliferative, immune-complex glomerulonephritis with crescents. Electron microscopy showed tubulo-reticular structures within one endothelial cell. Read More

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http://dx.doi.org/10.1159/000358557DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934786PMC
January 2014
11 Reads

Optimizing evaluation of split renal function in a living kidney donor using scintigraphy and calculation of the geometric mean: a case report.

Case Rep Nephrol Urol 2014 Jan 10;4(1):1-4. Epub 2014 Jan 10.

Department of Urology, Berlin, Germany.

Within the evaluation process of living kidney donors, split renal function is usually evaluated by renal scintigraphy. Since split renal function measured by conventional posterior scans depends on the position of the kidney, actual suitable donors may be rejected because of an inaccurate examination technique. We report the case of a 28-year-old male living kidney donor. Read More

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http://dx.doi.org/10.1159/000358007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3934684PMC
January 2014
1 Read

A case of water intoxication with prolonged hyponatremia caused by excessive water drinking and secondary SIADH.

Case Rep Nephrol Urol 2013 Jul 21;3(2):147-52. Epub 2013 Dec 21.

Department of Nephrology and Hypertension, Saitama Medical Center, Saitama Medical University, Kawagoe, Ranzan, Japan.

Water intoxication is a life-threatening disorder accompanied by brain function impairment due to severe dilutional hyponatremia. We treated a 22-year-old man without psychotic illness who had been put in a detention facility. He drank 6 liters of water over a 3-hour period at the facility as a game's penalty, and he showed progressive psychiatric and neurological signs including restlessness, peculiar behavior and convulsions. Read More

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http://dx.doi.org/10.1159/000357667DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924712PMC
July 2013
22 Reads

A case of atypical hemolytic uremic syndrome successfully treated with eculizumab.

Case Rep Nephrol Urol 2013 Jul 14;3(2):139-46. Epub 2013 Dec 14.

Division of Pathology, University of Arizona, Tucson, Ariz., USA.

Atypical hemolytic uremic syndrome (aHUS) is a rare thrombotic microangiopathy (TMA) characterized by the triad of hemolytic anemia, thrombocytopenia, and acute renal failure. Eculizumab, a monoclonal complement C5 antibody which prevents the induction of the terminal complement cascade, has recently emerged as a therapeutic option for aHUS. We report a case of aHUS successfully treated with eculizumab. Read More

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http://dx.doi.org/10.1159/000357520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924711PMC
July 2013
2 Reads

An unusual prostate-specific antigen decrease in an advanced castration-resistant prostate cancer patient with intracerebral hemorrhage subsequently treated with luteinizing hormone-releasing hormone antagonist.

Case Rep Nephrol Urol 2013 Jul 17;3(2):136-8. Epub 2013 Dec 17.

Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.

An unusual prostate-specific antigen (PSA) decrease in a Japanese patient with advanced castration-resistant prostate cancer (CRPC) treated with luteinizing hormone-releasing hormone (LH-RH) antagonist after cerebral bleeding was presented. There have been no previous reports that cerebral bleeding or trepanation/drainage of hematoma decreased PSA level, which would make this the first. The LH-RH antagonist may be only one reason for the PSA decrease. Read More

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http://dx.doi.org/10.1159/000357668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924709PMC
July 2013
7 Reads

Glomerulopathy with homozygous apolipoprotein e2: a report of three cases and review of the literature.

Case Rep Nephrol Urol 2013 Jul 28;3(2):128-35. Epub 2013 Nov 28.

Department of Medicine, Kidney Center, Tokyo Women's Medical University, Tokyo, Japan.

Most cases of type III hyperlipoproteinemia are accounted for by apolipoprotein E2 (apoE2) homozygotes, a genetic mutation of apoE (Arg158Cys). Glomerulopathy with homozygous apoE2 is rare and characterized by marked foam cell infiltration in the glomerular capillaries and mesangium. Here, we report 3 cases of apoE2 homozygote glomerulopathy diagnosed by renal biopsy and DNA analysis. Read More

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http://dx.doi.org/10.1159/000356849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924710PMC
July 2013
34 Reads
5 Citations

Rosuvastatin-induced acute interstitial nephritis.

Case Rep Nephrol Urol 2013 13;3(1):87-90. Epub 2013 Jun 13.

Department of Nephrology and Dialysis, Ospedale S. Andrea, La Spezia, Italy.

We report a case of acute interstitial nephritis (AIN), most likely induced by rosuvastatin, in an 83-year-old male patient. The patient underwent angioplasty of the left internal carotid artery, after which he began a regimen of rosuvastatin (20 mg/day). After 3 weeks the patient was admitted to our unit for acute renal failure with mild proteinuria with negligible urinary sediment. Read More

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http://dx.doi.org/10.1159/000353175DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808806PMC
October 2013
17 Reads
2 Citations

Delayed progression to dialysis with early and intensive management of predialysis chronic kidney disease: a case-based approach.

Authors:
Stephen Thomsen

Case Rep Nephrol Urol 2013 11;3(1):74-86. Epub 2013 Jun 11.

Hudson Essex Nephrology, Union City, N.J., USA.

In addition to hypertension and diabetes, disorders in mineral metabolism and bone disease (e.g. affecting phosphorus, calcium, parathyroid hormone, and vitamin D) are common complications of chronic kidney disease (CKD) and contribute to morbidity and mortality. Read More

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http://dx.doi.org/10.1159/000353265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808807PMC
October 2013
1 Read

A case of malignancy-associated cryoglobulinemia.

Case Rep Nephrol Urol 2013 11;3(1):69-73. Epub 2013 Jun 11.

Department of Nephrology, Cork University Hospital, Cork, Ireland.

We present a case of type 1 cryoglobulinemia with an underlying hematological malignancy. Unusually, the entire unifying diagnosis was made on the basis of the renal biopsy. Initially, serum cryoglobulin was not identified; repeat samples were positive. Read More

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http://dx.doi.org/10.1159/000353170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808805PMC
October 2013
1 Read

A case of arteriovenous fistula after renal biopsy in an IgA nephropathy patient with macroscopic hematuria.

Case Rep Nephrol Urol 2013 17;3(1):64-8. Epub 2013 May 17.

Division of Nephrology, Department of Internal Medicine.

Macroscopic hematuria is a common symptom in IgA nephropathy and is also one of the most frequent complications after a percutaneous renal biopsy. Here, we describe a patient with IgA nephropathy and recurrent macroscopic hematuria who developed an arteriovenous fistula after renal biopsy. Read More

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http://dx.doi.org/10.1159/000351510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808791PMC
October 2013
8 Reads

Disseminated mucormycosis in a patient with recent kidney transplantation: a case report and review of the literature.

Case Rep Nephrol Urol 2013 7;3(1):58-63. Epub 2013 May 7.

Scott & White Healthcare/Texas A&M Health Science Center College of Medicine, Temple, Tex., USA.

Mucormycosis is an invasive fungal infection commonly seen in diabetics and immunocompromised patients. We report a case of disseminated mucormycosis in a 47-year-old diabetic male who underwent deceased donor renal allograft transplantation about 5 weeks prior to presentation. Our patient presented with increasing fatigue, diarrhea and oligoanuria and was found to have significant acute kidney injury. Read More

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http://dx.doi.org/10.1159/000351517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808793PMC
October 2013
6 Reads

Initially Nondiagnosed Fabry's Disease when Electron Microscopy Is Lacking: The Continuing Story of Focal and Segmental Glomerulosclerosis.

Case Rep Nephrol Urol 2013 4;3(1):51-7. Epub 2013 May 4.

Nephrology Service, Hospital Británico, Buenos Aires, Argentina.

Focal and segmental glomerulosclerosis is classified as either primary or secondary. We present a patient with a past history of biopsy-proven focal and segmental glomerulosclerosis. Despite initial response to dual blockade and steroids, proteinuria raised when steroids were decreased. Read More

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http://dx.doi.org/10.1159/000351516DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3808792PMC
October 2013
1 Read

Delayed development of pulmonary hemorrhage in a patient with positive circulating anti-neutrophil cytoplasmic antibody: a clinical dilemma.

Case Rep Nephrol Urol 2013 2;3(2):121-7. Epub 2013 Oct 2.

Department of Internal Medicine, Oyama Municipal Hospital, Oyama, Jichi Medical University, Shimotsuke, Japan ; Dialysis Center, Oyama Municipal Hospital, Oyama, Jichi Medical University, Shimotsuke, Japan ; Divison of Nephrology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan.

Detection of circulating anti-neutrophil cytoplasmic antibody (ANCA) provides a powerful clue in the diagnosis of vasculitis, but the clinical interpretation of the results is difficult in some cases. Here, we describe the case of a 65-year-old man who underwent hemodialysis due to focal segmental glomerulosclerosis and abruptly developed hemoptysis 14 years after a renal biopsy. At the time of the biopsy, computed tomography (CT) showed interstitial shadows in the lungs and pleural thickening, indicating pneumoconiosis that was accompanied by tuberculosis. Read More

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http://dx.doi.org/10.1159/000355509DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806712PMC
October 2013
7 Reads

Generalized subcutaneous emphysema caused by injection of air into the penis for autoerotic purposes.

Case Rep Nephrol Urol 2013 25;3(2):117-20. Epub 2013 Sep 25.

Department of Urology, University of Cologne, Cologne, Germany.

The injection of air or water into the scrotum has been described only a few times so far in the literature. Injection of air into the penis and its consequences has not been described at all. Here, we present the case of a young man who, acting on his previously suppressed sexual fantasies, injected air into his penis and caused generalized subcutaneous emphysema. Read More

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http://dx.doi.org/10.1159/000355514DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806669PMC
October 2013

A case of podocytic infolding glomerulopathy with focal segmental glomerulosclerosis.

Case Rep Nephrol Urol 2013 8;3(2):110-6. Epub 2013 Aug 8.

Department of Internal Medicine, Nagaoka Red Cross Hospital, Nagaoka, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Podocytic infolding glomerulopathy (PIG) has been proposed as a new disease entity. A 14-year-old girl underwent renal biopsy at our institution because of a chance finding of proteinuria. Light microscopic findings revealed a minor glomerular abnormality, but under a higher magnification, after periodic acid methenamine silver staining, a bubbling appearance in the glomerular basement membrane (GBM) was observed. Read More

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http://dx.doi.org/10.1159/000354591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3770251PMC
September 2013
6 Reads

Intussusception presenting with malignant hypertension and lethargy.

Case Rep Nephrol Urol 2013 Jul 17;3(2):105-9. Epub 2013 Jul 17.

Department of Pediatric Intensive Care, University Medical Center Groningen, Groningen, The Netherlands.

The most common cause of malignant hypertension in children is renal or renovascular pathology. The combination with lethargy suggests a diagnosis of hypertensive crisis with hypertensive encephalopathy. Here, we present a case of severe hypertension with lethargy as the sole presenting symptoms of ileocecal intussusception. Read More

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http://dx.doi.org/10.1159/000353849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731624PMC
July 2013
8 Reads

Acute Kidney Injury due to Crescentic Glomerulonephritis in a Patient with Polycystic Kidney Disease.

Case Rep Nephrol Urol 2013 Jul 11;3(2):99-104. Epub 2013 Jul 11.

Division of Nephrology and Hypertension, Department of Medicine, University of Florida, Jacksonville, Fla., USA.

Polycystic kidney disease is an inherited condition, characterized by the development of cysts in the kidney, as well as in other organs. Patients with polycystic kidney can suffer from the same causes of acute kidney injury as the general population. Nephritic syndrome is an uncommon cause of acute kidney injury in the general population and less common in patients with polycystic kidney disease. Read More

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http://dx.doi.org/10.1159/000353850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731623PMC
July 2013
11 Reads

A Rare Case of Type I RenalTubular Acidosis with Membranous Nephropathy Presenting as Hypokalemic Paralysis.

Case Rep Nephrol Urol 2013 Jun 1;3(2):91-8. Epub 2013 Jul 1.

Department of Nephrology, PGIMER, Dr. R.M.L. Hospital, New Delhi, India.

Type 1 renal tubular acidosis (RTA), or distal RTA (dRTA), is a disorder of renal tubular acidification, which is generally asymptomatic but may rarely present as hypokalemic paralysis. Here, we report the case of a young male who presented with sudden onset weakness of all 4 limbs and a 2-month history of swelling of the legs. An investigation revealed hypokalemia, metabolic acidosis, and nephrotic syndrome. Read More

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http://dx.doi.org/10.1159/000353768DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3721128PMC
June 2013
8 Reads

Hyponatremia - a rare but serious complication of amiodarone: a case report and review of the literature.

Case Rep Nephrol Urol 2013 Jan 19;3(1):46-50. Epub 2013 Apr 19.

Department of Medicine, St. Elizabeth Health Center, Youngstown, Ohio, USA.

Introduction: Hyponatremia secondary to the syndrome of inappropriate antidiuretic hormone secretion (SIADH) during amiodarone therapy is a rare but potentially lethal adverse effect. We report a case of severe hyponatremia associated with amiodarone, and discuss its clinical implications.

Case Report: An 84-year-old Caucasian man with a past medical history of hypertension and diabetes was admitted to the hospital with a non-ST elevation myocardial infarction. Read More

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https://www.karger.com/Article/FullText/350910
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http://dx.doi.org/10.1159/000350910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656677PMC
January 2013
9 Reads

Interferon-α Treatment for Growing Teratoma Syndrome of the Testis.

Case Rep Nephrol Urol 2013 Jan 10;3(1):40-5. Epub 2013 Apr 10.

Department of Urology, Teikyo University School of Medicine, Tokyo, Japan.

A 23-year-old man with a right scrotal mass and back pain was referred for further treatment after right radical orchiectomy for testicular cancer. CT scans brought by the patient showed extensive metastasis to the retroperitoneal lymph nodes with no lung involvement. α-Fetoprotein and human chorionic gonadotropin were elevated preoperatively (384 ng/ml and 112 mIU/ml, respectively). Read More

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http://dx.doi.org/10.1159/000350897DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3636960PMC
January 2013
14 Reads

Secondary membranous nephropathy associated with guillain-barré syndrome.

Case Rep Nephrol Urol 2013 Jan 10;3(1):34-9. Epub 2013 Apr 10.

Department of Medicine, Thomas Jefferson University, Philadelphia, Pa., USA ; Division of Nephrology, Thomas Jefferson University, Philadelphia, Pa., USA.

Membranous nephropathy (MN) is one of the most common causes of nephrotic syndrome (NS) in adults. It may be primary, usually mediated by IgG4 anti-phospholipase A2 autoantibodies or secondary to various other conditions. Guillain- Barré syndrome (GBS) has been associated with MN, but a cause and effect relation has not been proven. Read More

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http://dx.doi.org/10.1159/000350903DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3636961PMC
January 2013
3 Reads

Chronic portal-systemic shunt encephalopathy in a hemodialysis patient treated with balloon-occluded retrograde transvenous obliteration.

Case Rep Nephrol Urol 2013 Jan 6;3(1):28-33. Epub 2013 Apr 6.

Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Itoigawa, Japan.

We report a case of chronic portal-systemic shunt encephalopathy in a 79-year-old female hemodialysis patient with end-stage renal disease. Approximately 1 month before admission, she occasionally had a discrepant conversation. It was considered that hepatic encephalopathy was caused by an increase in the ammonia level in the blood flow of the shunt, which had been diagnosed 7 years previously between the splenic vein and the left renal vein. Read More

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http://dx.doi.org/10.1159/000350908DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3636958PMC
January 2013
1 Read

Encapsulating peritoneal sclerosis: a rare complication of peritoneal dialysis in Al-ain, United arab emirates.

Case Rep Nephrol Urol 2013 Jan 7;3(1):22-7. Epub 2013 Mar 7.

Department of Nephrology, United Arab Emirates University, Al-Ain, United Arab Emirates.

Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis (PD) with devastating consequences. Although it can occur among patients on PD, it may present long after PD has been discontinued; thus, its diagnosis depends on a high index of suspicion. We present a rare case of EPS in the United Arab Emirates with a protracted course and delays in recognizing the condition until after resolution of the acute attack. Read More

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http://dx.doi.org/10.1159/000349999DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618055PMC
January 2013
12 Reads

Recurrence of anti-neutrophil cytoplasmic antibody-associated vasculitis in appropriately immunosuppressed renal transplant patients: a discussion of two cases.

Case Rep Nephrol Urol 2013 Jan 27;3(1):16-21. Epub 2013 Jan 27.

Department of Nephrology, Beaumont Hospital, Dublin, Limerick, Ireland.

Background: Granulomatosis with polyangiitis (GPA) (formerly known as Wegener's granulomatosis) is a multisystem autoimmune disease of unknown aetiology. Renal disease manifests as a crescentic glomerulonephritis, with varying degrees of renal failure. Ten percent of patients progress to end-stage kidney disease. Read More

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http://dx.doi.org/10.1159/000347142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573804PMC
January 2013
14 Reads

Multiple pathologies in the kidney biopsy of a recently pregnant woman.

Case Rep Nephrol Urol 2013 Jan 26;3(1):9-15. Epub 2013 Jan 26.

Division of Nephrology, Department of Internal Medicine, State University of New York, Buffalo, N.Y., USA.

We report a 42-year-old woman with underlying hypertension, mild renal dysfunction and proteinuria who presented as an obstetric emergency with uncontrolled hypertension and nephrotic syndrome. The rapid deterioration in her kidney function and worsening of her symptoms led to an urgent termination of her twin pregnancy. Although a clinical improvement was noticed within 10 days, the persistently elevated serum creatinine required further evaluation. Read More

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http://dx.doi.org/10.1159/000346862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573803PMC
January 2013
3 Reads

Distant metastasis from benign solitary fibrous tumor of the kidney.

Case Rep Nephrol Urol 2013 Jan 24;3(1):1-8. Epub 2013 Jan 24.

Department of Urology, St. Marianna University School of Medicine, Kawasaki, Japan.

Solitary fibrous tumor (SFT) rarely occurs in the kidneys, and only one reported case of renal SFT has shown distant metastasis. We report the second case of renal SFT exhibiting distant metastasis. A 48-year-old man was referred to our hospital because of a right renal mass. Read More

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http://dx.doi.org/10.1159/000346850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573797PMC
January 2013
12 Reads

Relapsing acute kidney injury associated with pegfilgrastim.

Case Rep Nephrol Urol 2012 Jul 21;2(2):165-71. Epub 2012 Nov 21.

Division of Nephrology and Hypertension, Department of Medicine, Temple University School of Medicine, Pittsburgh, Pa., USA.

We report a previously unrecognized complication of severe acute kidney injury (AKI) after the administration of pegfilgrastim with biopsy findings of mesangioproliferative glomerulonephritis (GN) and tubular necrosis. A 51-year-old white female with a history of breast cancer presented to the hospital with nausea, vomiting and dark urine 2 weeks after her third cycle of cyclophosphamide and docetaxel along with pegfilgrastim. She was found to have AKI with a serum creatinine (Cr) level of 6. Read More

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http://dx.doi.org/10.1159/000345278DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542938PMC
July 2012
3 Reads

A case of diffuse endocapillary proliferative glomerulonephritis associated with polymyalgia rheumatica.

Case Rep Nephrol Urol 2012 Jul 15;2(2):158-64. Epub 2012 Nov 15.

Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-shi, Japan.

A 70-year-old man complained of muscle pain in his neck, shoulders and pelvic girdle. Proteinuria and hematuria subsequently developed. Blood analysis showed increased acute phase reactants. Read More

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http://dx.doi.org/10.1159/000345280DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3542932PMC
July 2012
26 Reads

A case of cell-free and concentrated ascites reinfusion therapy effective for refractory ascites in spontaneous bacterial peritonitis in a renal transplant patient.

Case Rep Nephrol Urol 2012 Jul 24;2(2):138-44. Epub 2012 Sep 24.

Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Iizuka, Japan.

A 58-year-old Japanese male with chronic hepatitis C underwent kidney transplantation from an unrelated donor in October 1998. In December 2004, the patient was admitted for spontaneous bacterial peritonitis (SBP). Abdominal paracentesis and albumin transfusion were performed, but control of ascites was poor. Read More

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https://www.karger.com/Article/FullText/343247
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http://dx.doi.org/10.1159/000343247DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3499181PMC
July 2012
4 Reads

Sarcoma-like pyogenic granuloma of the thumb and respiratory restrictive syndrome in a non-compliant hemodialysis patient.

Case Rep Nephrol Urol 2012 Jul 8;2(2):152-7. Epub 2012 Nov 8.

Department of Nephrology, Université Libre de Bruxelles, Brussels, Belgium.

Pyogenic granuloma is a benign vascular tumor of the skin or mucosae usually observed after irritative processes. We report the case of a non-compliant hemodialysis patient with severe hyperparathyroidism who rapidly developed growing pyogenic granuloma of the distal part of the left thumb. This tumor mimicked sarcoma and caused recurrent bleeding during hemodialysis sessions. Read More

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https://www.karger.com/Article/FullText/345281
Publisher Site
http://dx.doi.org/10.1159/000345281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507275PMC
July 2012
24 Reads