Presentation
Here, we present three patients with edema, heavy proteinuria, chronic renal failure, in whom no past or present symptomatic glucose intolerance or diabetic retinopathy were found. [ncbi.nlm.nih.gov]
The reported cases represent unusual presentations of diabetes mellitus. [casesjournal.biomedcentral.com]
Cardiovascular
- Hypertension
Recent evidence points to the role of hyperglycemia, hyperlipidemia, hypertension and smoking in the mechanisms of this uncommon condition. [ncbi.nlm.nih.gov]
Keywords: diabetic nephropathies; hypertension; smoking Introduction Idiopathic nodular glomerulosclerosis (ING) is a rare condition associated with smoking, hypertension, 1 - 4 and, more recently, dyslipidemia, obesity, and metabolic syndrome. 5 - 8 [scielo.br]
Psychiatrical
- Suggestibility
Both appear quite similar with H&E staining, but the top right image shows the nodules staining positive on silver staining suggestive of diabetic nephropathy. [ajkdblog.org]
This is a valuable case of ING that suggests the existence of as-yet unknown causative factors of ING other than smoking, hypertention or obesity. [ncbi.nlm.nih.gov]
Urogenital
- Nocturia
[…] associated with an increased risk of death in general, particularly from cardiovascular disease. [11] [14] Signs and symptoms [ edit ] The onset of symptoms is 5 to 10 years after the disease begins. [1] A usual first symptom is frequent urination at night: nocturia [en.wikipedia.org]
Reflux nephropathy Congenital vesicoureteral reflux Posterior urethral valves Acetaminophen (Paracetamol)overdose Urolithiasis ANSWER CASE NUMBER 12 [ImageScope] [WebScope] Clinical History: A 65-year-old woman had experienced increasing malaise with nocturia [web.duke.edu]
Loss of tubular function--in particular of concentrating ability--gives rise to polyuria and nocturia. Radiographic studies show asymmetrically contracted kidneys with characteristic coarse scars and blunting and deformity of the calyceal system. [aippg.net]
Workup
Since there were no clinical or workup evidences of DM, the patients was diagnosed with ING. 4, 8 IF showed no typical deposits; only non-specific C3 deposits in vessels and sclerotic sites and poor linear pattern IgG deposits in glomeruli were seen. [scielo.br]
[…] essential thrombocythemia Compare and contrast the clinical and pathologic features of: polycythemia vera relative polycythemia secondary polycythemia Describe the proper mode of submission of a lymph node biopsy to the surgical pathology laboratory for workup [web.duke.edu]
(See Workup.) The overall prevalence of microalbuminuria and macroalbuminuria in both types of diabetes is approximately 30-35%. [emedicine.medscape.com]
X-Ray
- Small Kidney
Pathogenesis begins with small vessel disease. [merckmanuals.com]
Serum
- Creatinine Increased
However, over a 9-month period, serum creatinine increased gradually from 2.4 to 6.3 mg/dL. Proteinuria never fell below 5 g/day; maintenance hemodialysis was initiated due to the development of pericardial effusion, considered a uremic symptom. [ekjm.org]
Dose should be decreased if symptoms of orthostatic hypotension develop or serum creatinine increases by more than 30%. [merckmanuals.com]
Four years previously, nephrology analysis diagnosed probable nephroangiosclerosis (serum creatinine of 1.7 mg/dL, albuminuria/creatinine ratio 50 mg/g, normal sized kidneys with increased cortical echogenicity and normal renal Doppler). [mdpi.com]
Treatment
Early diagnosis and treatment of albuminuria could alter the course of disease progression. [ncbi.nlm.nih.gov]
[…] high blood cholesterol in adults (Adult Treatment Panel III). [nature.com]
Treatment can slow the process of kidney disease. Everyone is different in how they respond to treatment. [kidney.org]
Prognosis
60.3 ± 15.8 0.162 Good Prognosis 54.5 ± 15.9 Proteinuria * Bad prognosis 3.6 ± 2.8 0.584 Good Prognosis 3.9 ± 2.1 eGFR * Bad prognosis 16.3 ± 6.5 Good Prognosis 58.7 ± 29.9 The most frequent histological data in DNND is arteriolar hyalinosis/sclerosis [mdpi.com]
List the three major thrombotic microangiopathies ; describe the renal effects and pathogenesis in terms of: microscopic appearance clinical presentation, course, and prognosis Discuss renal vein thrombosis in terms of: etiology/pathogenesis morphology [web.duke.edu]
SLE Nephropathy Degree of kidney involvement correlates with prognosis in SLE. Anti ds-DNA antibodies. WHO I: Normal WHO II: Increased mesangial matrix WHO III: Focal proliferation WHO IV: Diffuse proliferation, worst. [kumc.edu]
The worst prognosis for renal cell carcinoma is- a)Vascular invasion b)Associated with hyper calcemia c)Presence of Hematuria d)Size more than 5 cm. [aippg.net]
Etiology
Exact etiology for the development of non-diabetic glomerulosclerosis is unclear. [jhu.pure.elsevier.com]
Molecular genetic approaches for studying the etiology of diabetic nephropathy. Curr Mol Med. 2005 Aug;5(5):509-25. PMID: 16101480 [humpath.com]
Epidemiology
New chapters on glomerulonephritis associated with complement disorders, interventional treatments for hypertension, renal disease and cancer, and epidemiology and prognostic impact of acute kidney injury. [books.google.de]
International statistics Striking epidemiologic differences exist even among European countries. [emedicine.medscape.com]
[…] nephropathy is the most common cause of end-stage kidney disease, [11] [12] which may require hemodialysis or even kidney transplantation. [13] It is associated with an increased risk of death in general, particularly from cardiovascular disease. [11] [14] Epidemiology [en.wikipedia.org]
Further evidence from the Pittsburgh Epidemiology of Diabetes Complication Study. [mdpi.com]
Pathophysiology
Each disease-oriented section begins with an up-to-date review of pathophysiology and then focuses on specific diseases. [books.google.de]
Concepts in Diabetic Nephropathy: From Pathophysiology to Treatment. [jrenhep.com]
PMID 19970254. ^ "Diabetic Nephropathy: Background, Pathophysiology, Etiology". 2015-06-20. ^ a b Blázquez-Medela AM, López-Novoa JM, Martínez-Salgado C (March 2010). "Mechanisms involved in the genesis of diabetic nephropathy". [en.wikipedia.org]
[…] course, and prognosis Discuss renal vein thrombosis in terms of: etiology/pathogenesis morphology method(s) of diagnosis clinical and laboratory features Discuss urolithiasis in terms of: composition and relative incidence of various types of stones pathophysiologic [web.duke.edu]
Prevention
The ability of MSCs to repair damaged mesangium represents a novel therapeutic intervention to reverse mesangial injury and is potentially a powerful and unique approach to prevent progression ending in end-stage renal disease (ESRD). [ncbi.nlm.nih.gov]
Screening for microalbuminuria and controlling hyperglycemia remain the pillars for the prevention of diabetic nephropathy. However, evidence from multiple studies suggests that controlling DKD is more challenging. [jrenhep.com]
Both type I and type II diabetes prevent the body from turning sugar into energy. Normally, eating sugar causes an organ called the pancreas to release the hormone insulin. This insulin turns the sugar into energy. [unckidneycenter.org]
Prevention Edit Low protein diet helps in preventing or delaying the onset of kidney disease. High blood pressure requires proper treatment as continued high blood pressure accelerates the onset of kidney disease. [diabetes.wikia.com]