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]
Entire Body System
- Swelling
These include: Swelling. Because of fluid retention, you may have swelling in various parts of the body, including: Hands Feet Legs Abdomen Around the eyes The swelling may be painful. It may also cause rapid weight gain. Changes in urine. [webmd.com]
Diuretics : These medications help your body get rid of excess fluid and swelling. These can be used to lower your blood pressure too. [kidney.org]
Protein loss in the urine due to damage to the glomeruli may become massive, and cause a low serum albumin with resulting generalized body swelling (edema) and result in the nephrotic syndrome. [en.wikipedia.org]
His body had started to swell 1 month previously and this had worsened during the previous week after he caught a cold. His blood pressure was 150/100 mmHg at presentation. [ekjm.org]
Katzung Pharmacology p. 377 SIDE EFFECTS OF PENICILLIN:-Allergy: Allergic reactions include urticaria, severe pruritus, fever, joint swelling. hemolytic anemia, nephritis, and anaphylaxis. [aippg.net]
- Weight Gain
It may also cause rapid weight gain. Changes in urine. You may have foamy or bubbly urine, caused by proteinuria. Often, glomerulosclerosis is discovered during a routine checkup. [webmd.com]
Signs and symptoms of FSGs include: Swelling in body parts like your legs, ankles and around your eyes (called edema) Weight gain due to extra fluid building in your body Foamy urine caused by high protein levels in the urine (called proteinuria ) High [kidney.org]
- Pallor
The physical examination was unremarkable, except by blood pressure of 140/70 mmHg, body mass index of 22.1 kg/m2, and pallor. [ncbi.nlm.nih.gov]
Gastrointestinal
- Diarrhea
Nocturnal Diarrhea in Diabetes - Acta med. scand.146 143, 1953. PubMed Google Scholar Boeck V. H. F.: Diabetic Neurogenic Arthropathy - Bull. Millard Fillmore Hosp.1 7, 1953. [link.springer.com]
Cardiovascular
- Hypertension
ING is a very rare clinicopathological disease associated with smoking, obesity and hypertension, chronic obstructive pulmonary disease and metabolic syndrome. [ncbi.nlm.nih.gov]
But, hypertension, smoking, obesity, intermittent hyperglycemia predating the diagnosis of diabetes possibly explain the development of nodular glomerulosclerosis in these patients. [jhu.pure.elsevier.com]
Kimmelstiel-Wilson syndrome - nephrotic syndrome and hypertension in diabetics, associated with diabetic glomerulosclerosis. Synonym(s): Kimmelstiel-Wilson disease Wilson, Clifford, English physician, 1906–. [medical-dictionary.thefreedictionary.com]
- Vascular Disease
Kidney nontumor Glomerular disease Other primary glomerular disease Idiopathic nodular glomerulosclerosis Last author update: 5 March 2012 Last staff update: 28 June 2022 Copyright: 2002-2022, PathologyOutlines.com, Inc. [pathologyoutlines.com]
There was a high prevalence of hypertension (95.7%; mean = 15.1 +/- 3.4 years), smoking (91.3%; mean = 52.9 +/- 6.9 pack-years), hypercholesterolemia (90%), and extrarenal vascular disease (43.5%). [ncbi.nlm.nih.gov]
Unsuspected Diabetes Mellitus in Peripheral Vascular Disease -New. Engl. J. Med.259 633, 1958. PubMed Google Scholar Lax H., Feinberg A. W.: Abnormalities of the Arterial Pulse Wave in Young Diabetic Subjects - Circulation20 1106, 1959. [link.springer.com]
renal diseases with organized deposits, and in contexts of hypoxia or chronic ischemia, as in cases of Takayasu arteritis with renal artery stenosis, among others. 3, 10 Smoking has been strongly associated with the development of ING, renal vascular [scielo.br]
Urogenital
- Renal Insufficiency
The clinical course was characterized by rapidly progressing renal insufficiency terminating in uremia within three months. [ncbi.nlm.nih.gov]
- Kidney Failure
Stage V: This is the final stage of kidney disease and may lead to kidney failure. Prevention Edit Low protein diet helps in preventing or delaying the onset of kidney disease. [diabetes.wikia.com]
Untreated, it can lead to kidney failure. In some cases, kidney failure can occur despite treatment. FSGS most frequently occurs without a cause. In such cases it is called idiopathic or primary FSGS. [webmd.com]
When severe, Kimmelstiel-Wilson syndrome leads to kidney failure, end-stage renal disease, and the need for chronic kidney dialysis or a kidney transplant. [medicinenet.com]
Kidney failure is a common outcome. glomerulosclerosis renal glomerulus degeneration and fibrosis; associated with arteriosclerosis and diabetes glomerulosclerosis progressive hyalinization such that glomeruli become shrunken, eosinophilic and hypocellular [medical-dictionary.thefreedictionary.com]
- 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
- Hypercholesterolemia
[…] and 78% men (Hum Pathol 2002;33:826) Typically presents with renal insufficiency (83%, mean serum creatinine of 2.4 mg/dL), proteinuria > 3 g/day (70%) and nephrotic syndrome (22%) Associated with hypertension (96%), smoking (91%, mean 53 pack years), hypercholesterolemia [pathologyoutlines.com]
They presented with renal insufficiency, proteinuria often nephrotic-range, and usually had hypertension, hypercholesterolemia and were smokers. [med.virginia.edu]
There was a high prevalence of hypertension (95.7%; mean = 15.1 +/- 3.4 years), smoking (91.3%; mean = 52.9 +/- 6.9 pack-years), hypercholesterolemia (90%), and extrarenal vascular disease (43.5%). [ncbi.nlm.nih.gov]
- Creatinine Increased
Dose should be decreased if symptoms of orthostatic hypotension develop or serum creatinine increases by more than 30%. [merckmanuals.com]
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]
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]
Treatment can slow the process of kidney disease. Everyone is different in how they respond to treatment. [kidney.org]
And the FDA has not approved any drugs specifically for its treatment. But several treatments can slow its progression and control symptoms. [webmd.com]
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 <0.001 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]
After diagnosis, SHaNGS has a poor prognosis for renal function. [ncbi.nlm.nih.gov]
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]
Etiology
Exact etiology for the development of non-diabetic glomerulosclerosis is unclear. [jhu.pure.elsevier.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. Kidney Int. 2002, 62, 963–970. [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]