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Indian Journal of Nephrology

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https://www.readbyqxmd.com/read/28553053/nephrotoxicity-in-a-patient-treated-with-pemetrexed
#1
Y Zajjari, M Azizi, Y Sbitti, D El Kabbaj
No abstract text is available yet for this article.
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553052/reusing-immunoadsorption-column-making-the-abo-incompatible-renal-transplant-affordable
#2
P K Jha, A K Tiwari, S K Sethi, V Kher
No abstract text is available yet for this article.
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553051/lumps-all-over-a-case-of-chronic-tophaceous-gout-harrison-syndrome
#3
S P Mirgh, M P Venkatesh
No abstract text is available yet for this article.
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553050/successful-treatment-of-multiple-angiomyolipomas-with-sirolimus-in-a-child
#4
K Pabedinskas, M Kobrzynski, G Filler
Tuberous sclerosis complex frequently results in the formation of renal angiomyolipomas (AMLs). Sirolimus (SIR) or everolimus can be used to treat large AMLs, although this treatment has rarely been described in children, particularly for multiple renal AMLs. A 15-year-old girl presented with bilateral severe chronic flank pain coinciding with increased renal size and hundreds of renal AMLs. We opted to treat her with SIR over the course of 3.5 years. Following her treatment, her renal size had substantially decreased and the AMLs had shrunk...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553049/a-case-of-chylothorax-in-a-hemodialysis-patient-with-left-innominate-venous-stenosis
#5
M Limesh, A Desai, P G Kedalaya, S Renuka
Chylothorax is defined as accumulation of chyle-containing lymphatic fluid within the pleural space. Chylothorax is very rarely seen in hemodialysis patients. We report a case of a patient on hemodialysis who developed chylothorax secondary to left innominate vein stenosis, with other features of venous hypertension such as arm edema successfully treated with angioplasty and pigtail drainage.
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553048/acute-ciprofloxacin-induced-crystal-nephropathy-with-granulomatous-interstitial-nephritis
#6
R Goli, K K Mukku, S B Raju, M S Uppin
Crystal-induced acute kidney injury (AKI) is caused by the intratubular precipitation of crystals, which results in obstruction and kidney injury. Ciprofloxacin, a commonly used antibiotic, causes AKI secondary to immune-mediated interstitial injury. Rare mechanisms of ciprofloxacin-induced renal injury include crystalluria, rhabdomyolysis, and granulomatous interstitial nephritis. Clinical and experimental studies have suggested that crystalluria and crystal nephropathy due to ciprofloxacin occur in alkaline urine...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553047/de-novo-collapsing-glomerulopathy-in-renal-allograft-in-association-with-bk-virus-nephropathy-in-a-child-and-stabilization-of-renal-function-by-elimination-of-viremia
#7
D N Gera, M K Shah, V A Ghodela, V B Kute, H L Trivedi
Well-recognized association between HIV 1 infection and collapsing glomerulopathy (CG) raises the possibility that intrarenal infection by other viruses may also contribute to the development of this lesion in native or post-transplant kidneys. There is evidence in literature about association of these lesions with cytomegalovirus, Epstein-Barr virus, hepatitis C virus, and parvovirus B19 infections. Here, we present a case report of post-transplant BK virus nephropathy in a male child who was found to have CG in subsequent biopsy 2 months later...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553046/amelogenesis-imperfecta-with-distal-renal-tubular-acidosis-a-novel-syndrome
#8
R A Misgar, Z Hassan, A I Wani, M I Bashir
Amelogenesis imperfecta (AI) is a heterogeneous group of inherited dental enamel defects. It has rarely been reported in association with multiorgan syndromes and metabolic disorders. The metabolic disorders that have been reported in association with AI include hypocalciuria, impaired urinary concentrating ability, and Bartter-like syndrome. In literature, only three cases of AI and distal renal tubular acidosis (dRTA) have been described: two cases in adults and a solitary case in the pediatric age group...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553045/clinical-and-genetic-profile-of-indian-children-with-primary-hyperoxaluria
#9
A Pinapala, M Garg, N Kamath, A Iyengar
Primary hyperoxaluria (PH) has heterogeneous renal manifestations in infants and children. This often leads to delay in diagnosis. In the past 3 years, genetic samples were sent for seven children with a clinical diagnosis of PH. Their medical records were reviewed for clinical presentation and outcomes. Of the seven children, three were males. The median age of presentation was 4.9 years with the youngest presenting at 3 months of age. Nephrolithiasis, the most common presentation was associated with renal dysfunction in two children...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553044/postrenal-transplant-metastatic-colonic-neoplasm-posttransplant-lymphoproliferative-disorder-or-adenocarcinoma
#10
H Lal, P Yadav, M Dey, N Kumar
Transplant recipients are vulnerable to a horde of infections and neoplastic conditions due to immunosuppression. Posttransplant lymphoproliferative disorder (PTLD) is a condition unique to the transplant recipient occurring due to monoclonal lymphocytic proliferation. It may affect any organ system with reportedly highest incidence in the gastrointestinal tract. The incidence of adenocarcinoma of the colon, however, has not been shown to be uniformly higher in transplant recipients. We report here an unusual case of adenocarcinoma of the ascending colon presenting with liver, lymph node and skin metastasis in a transplant recipient, which simulated PTLD both clinically and radiologically...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553043/unusual-case-of-acute-lung-injury-in-a-renal-allograft-recipient
#11
U Anandh, S Marda
A renal allograft recipient developed cough with hemoptysis on the 1(st) postoperative day. A chest X-ray was performed which was suggestive of fluid overload. His fluid was restricted and diuretics were added. On the same day, his pulmonary infiltrates worsened and a computed tomography (CT) of the chest was carried out, which was suggestive of the right lower lobe consolidation and left pleural effusion. He underwent a bronchoscopy and the lavage was sent for cultures, which did not grow any infective organism...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553042/successful-renal-transplantation-across-hla-barrier-report-from-india
#12
G Aggarwal, A K Tiwari, P Dorwal, R Chauhan, D Arora, R C Dara, V Kher
Organ donors are sometimes found "unsuitable" due to the presence of donor-specific anti-HLA antibodies in the recipient. In recent years, improved desensitization protocols have successfully helped to overcome HLA incompatibility hurdle. We present three cases where optimum desensitization was achieved in patients with the donor-specific anti-HLA antibody (DSA) leading to successful renal transplantation. All patient-donor pair underwent HLA typing, complement dependent cytotoxicity crossmatch (CDC-XM), flow cytometry XM (FC-XM), and panel reactive antibody...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553041/a-single-center-experience-of-kidney-transplantation-from-donation-after-circulatory-death-challenges-and-scope-in-india
#13
S Singh, S Kumar, S Dasgupta, D B Kenwar, M Rathi, A Sharma, H S Kohli, V Jha, K L Gupta, M Minz
Donation after circulatory death (DCD) has never been attempted in India because of legal constraints and lack of guidelines for the withdrawal of life support in end-of-life situations. The present report describes the initial experience of transplantation of organs from DCD donors in a tertiary care center in India. Between 2011 and 2015, five donors had kidneys retrieved after cardiac arrest. These patients were declared dead after waiting for 5 min with no electrocardiographic signal on monitor following cardiopulmonary resuscitation (CPR), which was restarted in three patients till organ retrieval...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553040/prosthetic-hemodialysis-access-induced-distal-hand-ischemia-and-its-contributors-in-diabetics
#14
S M Alamshah, I Nazari, A Nahidi, M Sametzadeh, S Khodabakhshi
Avoidance of hand ischemia in the construction of prosthetic access for hemodialysis in diabetics that have no suitable vein for arteriovenous fistula is appreciated. Taper type may be an appropriately matched conduit to prevent its occurrence. This is a prospective controlled trial of 38 selected diabetics requiring hemodialysis, who were referred to our clinic during a period of 6 months. The aim of the study was to evaluate the efficacy of tapered grafts in preventing distal hand hypoperfusion and determining its most likely contributors...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553039/baseline-anti-blood-group-antibody-titers-and-their-response-to-desensitization-and-kidney-transplantation
#15
B V Shah, P Rajput, Z A Virani, S Warghade
In recent years, immunological barriers historically considered as absolute contraindications to transplantation are being reevaluated. One such barrier is the ABO blood group incompatibility. With better understanding of immunological mechanisms and effective various regimens for controlling it, ABO-incompatible (ABO-I) kidney transplantation is now being performed with increasing frequency. For good outcome, most important is to achieve and maintain low anti-blood group antibody titers (ABGATs). Twenty-two patients with ABO-I donors have been studied...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553038/the-relationship-between-metabolic-acidosis-and-nutritional-parameters-in-patients-on-hemodialysis
#16
A D Sajgure, T A Dighe, J S Korpe, C B Bale, A O Sharma, N S Shinde, A A Goel, A V Mulay
The progressive loss of kidney function is accompanied by metabolic acidosis. The relationship between metabolic acidosis, nutritional status, and oral bicarbonate supplementation has not been assessed in the Indian chronic kidney disease (CKD) population who are on maintenance hemodialysis (MHD). This is a single-center prospective study conducted in the Western part of India. Thirty-five patients, who were receiving MHD were assessed for metabolic acidosis along with various nutritional parameters at the baseline and at the follow-up after 3 months, postcorrection of acidosis with oral sodium bicarbonate supplements...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553037/a-comparison-of-practice-pattern-and-outcome-of-twice-weekly-and-thrice-weekly-hemodialysis-patients
#17
T Mukherjee, G Devi, S Geetha, N J Anchan, S Sankarasubbaiyan
Renal replacement therapy (RRT) options and practice varies in countries worldwide and is influenced by patients' choice, nephrologists' practice patterns, health system, payer practice, public policy, and socioeconomic factors. In India, hemodialysis (HD) remains the dominant RRT modality, and the practice is largely influenced by socioeconomics of the region of practice since third party payer is limited. Resource stretch to maximize outcome benefit is essential and HD session twice weekly is an improvized and cost-effective clinical practice...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553036/postpartum-acute-kidney-injury-experience-of-a-tertiary-care-center
#18
M M Mir, M S Najar, A M Chaudary, H Azad, A R Reshi, K A Banday, M A Bhat, I A Wani, M M Wani, M Ursilla
Pregnancy-related-acute kidney injury (PR-AKI) had decreased from 40% to 20% in 1960 to <10% in recent series, mostly due to meticulous antenatal management. Postpartum-AKI (PP-AKI) resulting from late obstetric complications has become more apparent after improvement in antenatal care and legalization of medical termination of pregnancy. Women with renal injury in peripartum period admitted to our hospital over a period of 2 years (April 2013 to May 2015) were studied. Of 713 patients of AKI admitted, 61 had PR-AKI with an incidence of 4...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553035/brachiocephalic-arteriovenous-fistula-for-hemodialysis-through-the-median-antecubital-vein
#19
E Elamurugan, R Hemachandar
In patients unsuitable for radiocephalic fistula creation, the next option is brachiocephalic fistula. In such patients, we exploited the venous interconnections in the cubital fossa for median cubital vein-Brachiocephalic arteriovenous fistula (AVF) creation. In this article, we describe our experience in the creation of such technical variant of the brachiocephalic fistula AVF, its success and associated complications. A retrospective review of such AVF created between September 2014 and August 2015 was done...
May 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/28553034/hemodialysis-vascular-access-the-perils-and-potentials
#20
D Banerjee, R Jenkins
No abstract text is available yet for this article.
May 2017: Indian Journal of Nephrology
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