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World Journal of Nephrology 2024年第4期13卷 91-102页

作者： Metalia Puspitasari Yulia Wardhani Prenali Dwisthi Sattwika Wynne Wijaya Department of Internal Medicine Universitas Gadjah MadaYogyakarta 55281Indonesia Clinical Epidemiology and Biostatistics Unit Universitas Gadjah MadaYogyakarta 55281Indonesia Radcliffe Department of Medicine University of OxfordOxford OX39DUOxfordshireUnited Kingdom Department of Oncology University of OxfordOxford OX37DQOxfordshireUnited Kingdom

BACKGROUND Glomerular diseases rank third among the causes of chronic kidney disease worldwide and in Indonesia,and its burden continues to increase,especially regarding the sociodemographic *** biopsy remains the gold standard for the diagnosis and classification of glomerular *** is crucial for developing treatment plans,determining the degree of histologic changes,and identifying disease *** To describe the patterns of biopsy-proven kidney diseases in adult *** We retrospectively reviewed the demographic,histopathologic,clinical,and laboratory data of 75 adult patients with biopsy-proven kidney diseases at our institution recorded from 2017 to *** Among the patients,43(57.3%)were females,and the mean age was 31.52 years±11.70 *** most common histopathologies were lupus nephritis(LN)(33.3%),minimal change disease(MCD)(26.7%),and focal segmental glomerulosclerosis(10.7%).LN(41.7%)was frequently diagnosed in women and MCD(28.1%)in *** most common cause of nephritic syndrome was LN(36.7%)and of nephrotic syndrome was MCD(40%).CONCLUSION Different kidney disease patterns were observed in different sexes,age categories,clinical syndromes,and biopsy dates relative to the coronavirus disease 2019 pandemic.

关键词： kidney biopsy kidney diseases Glomerular diseases Epidemiology Renal biopsy

Epidemiology of biopsy Proven Glomerular Disorders and Effect of Severe Cyclone on Its Incidence in Central Queensland Region of Australia

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Open Journal of Nephrology 2021年第4期11卷 477-488页

作者： Manaf Aljishi Tony Pham Justin Chan Matthew McGrail Thin Han Jennifer Borg Dwarakanathan Ranganathan Zaw Thet Department of Nephrology Central Queensland Hospital and Health Service Queensland Australia The University of Queensland Rural Clinical School Rockhampton Queensland Australia Department of Nephrology Royal Brisbane and Women’s Hospital Queensland Australia The Griffith University Queensland Australia

Aim: The objectives of this study are to determine the epidemiology of biopsy-proven glomerular disease (GD) in Central Queensland and the effect of a severe cyclone on its incidence and clinical phenotype. Background: Central Queensland (CQ) has a relatively high incidence of kidney disease. Since its biopsy service commenced in 2005, there have been no data on biopsy-proven GD. It has been suggested that GD incidence changes around times of natural disasters. In February 2015, the CQ region was affected by a category 5 Cyclone Marcia. This provides an opportunity to explore possible environmental triggers of GD. Methods: This was a single-centre retrospective observational study on biopsy-proven kidney disease in CQ. All kidney biopsies performed between January 2005 and December 2019 were included. Patients with biopsy-proven GD during 3 years before and after Cyclone Marcia (from 2012 to 2018) were analysed. Results: 170 native kidney biopsies occurred during the 15 years. The number of annual biopsies steadily increased from 7 to 16. The most common biopsy-proven kidney disease was IgA Nephropathy (27%) followed by diabetic nephropathy (20%). GD comprised 64% of biopsies. Unlike other GD, the incidence of ANCA-associated vasculitis (AAV) significantly increased after cyclone (one pre- and eight post-cyclone, P value = 0.039). The majority of AAV cases occurred in the first year after the cyclone. Conclusion: kidney biopsies in CQ provide important epidemiological data on biopsy-proven kidney disease. Cyclones have a possible effect on the incidence and clinical phenotype of ANCA associated vasculitis.

关键词： Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis Australia Cyclonic Storms Glomerulonephritis kidney biopsy Queensland

Multifaceted relationship between diabetes and kidney diseases:Beyond diabete

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World Journal of Diabetes 2023年第10期14卷 1450-1462页

作者： Pasquale Esposito Daniela Picciotto Francesca Cappadona Francesca Costigliolo Elisa Russo Lucia Macciò Francesca Viazzi Department of Internal Medicine and Medical Specialties(DiMI) University of GenoaGenoa 16132Italy Unit of Nephrology Dialysis and TransplantationIRCCS Ospedale Policlinico San MartinoGenoa 16132Italy

Diabetes mellitus is one of the most common causes of chronic kidney *** involvement in patients with diabetes has a wide spectrum of clinical presentations ranging from asymptomatic to overt proteinuria and kidney *** development of kidney disease in diabetes is associated with structural changes in multiple kidney compartments,such as the vascular system and *** alterations include thickening of the glomerular basement membrane,loss of podocytes,and segmental mesangiolysis,which may lead to microaneurysms and the development of pathognomonic Kimmelstiel-Wilson *** lesions directly related to diabetes,awareness of the possible coexistence of nondiabetic kidney disease in patients with diabetes is *** nondiabetic lesions include focal segmental glomerulosclerosis,IgA nephropathy,and other primary or secondary renal *** diagnosis of these conditions is crucial in guiding clinical management and therapeutic ***,the relationship between diabetes and the kidney is bidirectional;thus,new-onset diabetes may also occur as a complication of the treatment in patients with renal ***,we review the complex and multifaceted correlation between diabetes and kidney diseases and discuss clinical presentation and course,differential diagnosis,and therapeutic opportunities offered by novel drugs.

关键词： Diabetes Diabetic kidney disease Nondiabetic kidney disease Biomarkers Glomerular disease kidney biopsy Sodium-glucose cotransporter-2 inhibitors

Native and transplant kidney histopathological manifestations in association with COVID-19 infection: A systematic review

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World Journal of Transplantation 2021年第11期11卷 480-502页

作者： Vishnu Jeyalan Joshua Storrar Henry H L Wu Arvind Ponnusamy Smeeta Sinha Philip A Kalra Rajkumar Chinnadurai Department of Renal Medicine Royal Preston HospitalPreston PR29HTUnited Kingdom Department of Renal Medicine Salford Care OrganisationNorthern Care Alliance NHS Foundation TrustSalford M68HDUnited Kingdom Faculty of Biology Medicine and HealthUniversity of ManchesterManchester M139PLUnited Kingdom

BACKGROUND Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)can result in clinically significant multi-system disease including involvement in the *** underlying histopathological processes were unknown at the start of the *** case reports and series have been published describing the underlying renal histopathology from kidney biopsies,we have started to gain an insight into the renal manifestations of this novel *** To provide an overview of the current literature on the renal histopathological features and mechanistic insights described in association with coronavirus disease 2019(COVID-19)*** A systematic review was performed by conducting a literature search in the following websites-‘PubMed’,‘Web of Science’,‘Embase’and‘Medline-ProQuest’with the following search terms-“COVID-19 AND kidney biopsy”,“COVID-19 AND renal biopsy”,“SARS-CoV-2 AND kidney biopsy”and“SARS-CoV-2 AND renal biopsy”.We have included published data up until February 15,2021,which includes kidney biopsies(native,transplant and postmortem)from patients with *** on clinical presentation,histopathological features,management and outcome was extracted from the reported *** The total number of biopsies reported on here is 288,of which 189 are postmortem,84 native and 15 *** results are varied and show underlying pathologies ranging from collapsing glomerulopathy and acute tubular injury(ATI)to anti-nuclear cytoplasmic antibody associated vasculitis and pigment *** was variation in the specific treatment used for the various renal conditions,which included steroids,hydroxychloroquine,eculizumab,convalescent plasma,rituximab,anakinra,cyclophosphamide and renal replacement therapy,amongst *** pathological process which occurs in the kidney following COVID-19 infection and leads to the described biopsy findings has been hypothesized in some conditions but not others(for example,sepsis related hypoperf

关键词： COVID-19 Histopathology kidney biopsy Transplant SARS-CoV-2

Bleeding complications after percutaneous kidney biopsies–nationwide experience from Brunei Darussalam

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World Journal of Nephrology 2023年第5期12卷 147-158页

作者： Chiao Yuen Lim Sai Laung Khay Department of Renal Services RIPAS HospitalBandar Seri Begawan BA1712Brunei Darussalam

BACKGROUND kidney biopsy serves as a valuable method for both diagnosing and monitoring kidney *** studies have identified several risk factors associated with bleeding complications following the procedure,but these findings have shown inconsistency and *** To investigate the risk of bleeding complications following percutaneous kidney biopsy in Brunei *** sought to explore the relevant clinical and pathological risk factors associated with these complications while also considering the findings within the broader international literature *** We conducted a retrospective study of all adult patients who underwent kidney biopsy in Brunei Darussalam from October 2013 to September *** outcomes of interest were post-biopsy bleeding and the need for blood ***,clinical,laboratory and procedural-related data were *** regression analysis was used to identify predictors of *** A total of 255 kidney biopsies were included,with 11%being performed on transplanted *** majority of biopsies were done under ultrasound guidance(83.1%),with the rest under computer tomography guidance(16.9%).The most common indications for biopsy were chronic kidney disease of undefined cause(36.1%),nephrotic syndrome(24.3%)and acute kidney injury(11%).Rate of bleeding complication was 6.3%–2%frank hematuria and 4.3%perinephric *** transfusion was required in 2.8%of *** patient lost a kidney or died because of the *** logistic regression identified baseline hemoglobin[odds ratio(OR):4.11;95%confidence interval(95%CI):1.12-15.1;P=0.03 for hemoglobin≤11 g/dL vs.>11 g/dL)and the presence of microscopic hematuria(OR:5.24;95%CI:1.43-19.1;P=0.01)as independent risk factors for post-biopsy ***,low baseline platelet count was identified as the dominant risk factor for requiring postbiopsy ***,each 10109/L decrease in baseline pl

关键词： kidney biopsy Bleeding complications Logistic regression Retrospective cohort study Risk

Renal manifestations of hepatitis E among immunocompetent and solid organ transplant recipients

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World Journal of Hepatology 2022年第3期14卷 516-524页

作者： Karthik Kovvuru Nicholas Carbajal Abhinandan Reddy Pakanati Charat Thongprayoon Panupong Hansrivijit Boonphiphop Boonpheng Pattharawin Pattharanitima Voravech Nissaisorakarn Wisit Cheungpasitporn Swetha R Kanduri Department of Medicine Ochsner Clinic FoundationNew OrleansLA 70121United States Department of Medicine The Kidney Clinic LLCSnellvilleGA 30078United States Department of Nephrology and Hypertension Mayo ClinicRochesterMN 55905United States Department of Internal Medicine UPMC PinnacleHarrisburgPA 17104United States Department of Nephrology David Geffen School of MedicineUniversity of CaliforniaLos AngelesCA 90095United States Department of Internal Medicine Faculty of MedicineThammasat UniversityPathum Thani 12121Thailand Department of Internal Medicine MetroWest Medical CenterTufts University School of MedicineBostonMA 01760United States Department of Medicine Mayo ClinicRochesterMN 55905United States

Hepatitis E virus(HEV)infections are generally *** cases of hepatitis E induced fulminant liver failure requiring liver transplantation are reported in the *** though HEV infection is generally encountered among developing countries,a recent uptrend is reported in developed *** of unprocessed meat and zoonosis are considered to be the likely transmission modalities in developed *** involvement of HEV generally holds a benign and self-limited *** rare cases of cryoglobulinemia are reported in immunocompetent patients,glomerular manifestations of HEV infection are frequently encountered in immunocompromised and solid organ transplant *** spectrum of renal manifestations of HEV infection include prerenal failure,glomerular disorders,tubular and interstitial *** biopsy is the gold standard diagnostic test that confirms the pattern of *** predominantly includes conservative *** of immunosuppressive medications and ribavirin(for 3-6 mo)is considered among patients with solid organ *** we review the clinical course,pathogenesis,renal manifestations,and management of HEV among immunocompetent and solid organ transplant recipients.

关键词： Hepatitis E Acute kidney injury Glomerular disorders kidney biopsy Solid organ transplant kidney transplant

The Spectrum of kidney Disease in Type Two Diabetic Patients: A Single-Center Study

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Open Journal of Nephrology 2022年第1期12卷 1-14页

作者： Amir Muse Mohamud Ning Xu Guangyi Liu Bekzod Odilov Bei Jiang Zhao Hu Department of Nephrology School of Medicine Cheeloo College of Medicine Shandong University Jinan China Department of Nephrology Qilu Hospital Cheeloo College of Medicine Shandong University Jinan China Department of Endocrinology School of Medicine Cheeloo College of Medicine Shandong University Jinan China Department of Endocrinology Qilu Hospital Cheeloo College of Medicine Shandong University Jinan China

Background: Diabetic nephropathy (DN) is the dominant reason for end-stage kidney disease linked with a rise in cardiovascular mortality rate. However, besides DN, type 2 diabetic patients may also suffer from various non-diabetic renal diseases (NDRD). Aim: The objective of the current research was to assess the occurrence and type of NDRD diagnosed by kidney biopsy in type 2 diabetic subjects, evaluate the association of various clinical and laboratory characteristics with histopathology findings, and identify essential predictors of NDRD. Methods: Retrospective analysis has been performed through medical record revision of 101 patients with type 2 diabetes undergoing percutaneous renal biopsy at Qilu Hospital of Shandong University (Jinan, China) between January 2015 and December 2020. Results: Renal biopsy results showed that NDRD was found in 59 patients (58.42%), while DN existed in 32 patients (31.68%) and 10 patients (9.90%) showed DN complicated with NDRD. Membranous nephropathy was prevailing NDRD (42%), followed by focal segmental glomerulosclerosis (11.6%) and IgA nephropathy (10.1%). In univariate analysis, patients with NDRD had older age (p Conclusions: Clinical parameters such as short duration of diabetes, older age, higher hemoglobin level, and lower proteinuria might be associated with NDRD in type 2 diabetic patients. An early diagnosis of NDRD poses a favorable renal prognosis because it requires a different approach than DN, further larger multicenter randomized prospective investigations focused on identifying possible risk markers of NDRD are still in priority.

关键词： Type-Two Diabetes Mellitus Non-Diabetic Renal Disease Diabetic Nephropathy kidney biopsy