Metanephric Adenoma with Embryonal Hyperplasia of Bowman's Capsular Epithelium: Previously Unreported Association

2000 ◽  
Vol 3 (5) ◽  
pp. 472-478 ◽  
Author(s):  
Keshani de Silva ◽  
Vivienne Tobias ◽  
Gad Kainer ◽  
Bruce Beckwith
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
Chronic Renal Failure ◽  
Focal Segmental Glomerulosclerosis ◽  
Left Kidney ◽  
Bilateral Nephrectomy ◽  
Metanephric Adenoma ◽  
Histological Features ◽  
Segmental Glomerulosclerosis

We report a case of a 9-year-old boy with focal, segmental glomerulosclerosis who, following peritoneal dialysis, underwent renal transplantation and bilateral nephrectomy. The kidneys showed histological features of embryonal hyperplasia of Bowman's capsular epithelium, an uncommon lesion that is seen most often in patients with chronic renal failure who are being maintained on dialysis. In addition, a 1-cm tumor in the left kidney showed features of metanephric adenoma. Although both lesions are uncommon, they share many similarities on a morphological, immunohistochemical, and ultrastructural basis. This association has not been previously reported and may shed some light on the histogenesis of these recently described lesions.

Focal Segmental Glomerulosclerosis and Progressive Renal Failure Associated with a Unilateral Kidney

PEDIATRICS ◽  
1984 ◽  
Vol 73 (6) ◽  
pp. 806-810 ◽  
Author(s):  
Paul S. Thorner ◽  
Gerald S. Arbus ◽  
David S. Celermajer ◽  
Reuben Baumal
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Focal Segmental Glomerulosclerosis ◽  
Unilateral Nephrectomy ◽  
Critical Number ◽  
Progressive Renal Failure ◽  
The Third ◽  
Persistent Proteinuria ◽  
Segmental Glomerulosclerosis

Persistent proteinuria, chronic renal failure, and focal segmental glomerulosclerosis developed in three children with solitary kidneys. Two of these children were born with unilateral kidneys. The third had bilateral reflux and underwent a unilateral nephrectomy and reimplantation of the remaining ureter; persistent proteinuria developed 7 years later. It is postulated that hyperperfusion of a critical number of glomeruli during childhood may be the mechanism responsible for the production of focal segmental glomerulosclerosis in these patients.

Continuous Ambulatory Peritoneal Dialysis in South Africa -A Four-Year Experience

1984 ◽  
Vol 4 (2) ◽  
pp. 78-81 ◽  
Author(s):  
I. Parsoo ◽  
Y.K. Seedat ◽  
S. Naicker ◽  
J.C. Kallmeyer
Keyword(s):  
South Africa ◽  
Developing Countries ◽  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
Chronic Renal Failure ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Minority Groups ◽  
Alternative Therapy ◽  
Major Complication

This study describes our experience with continuous ambulatory peritoneal dialysis (CAPD) over a four year period, during which 88 patients were offered CAPD. It compares and contrasts the response to CAPD among four racial groups in Natal viz asiatics, blacks, coloureds and whites. Peritonitis -the major complication, occurred with an overall incidence of one episode every 4.41 patient months. CAPD remains a useful alternative therapy in developing countries where a high percentage of patients with chronic renal failure would be denied a chronic renal failure program because of lack of expertise in hemodialysis and/or renal transplantation, or limited financial resources. Continuous ambulatory peritoneal dialysis (CAPD) was first described by Moncrief and Popovich (1) and, since its modification by Oreopoulos and his group (2), this technique has gained world wide usage. South Africa, like many developing countries has a high incidence of end-stage renal disease (ESRD) but because of lack of resources and economical problems, few patients with ESRD can be treated by dialysis or renal transplantation. CAPD affords a relatively simple and inexpensive form of therapy for these patients. At the present time about 200 patients are on CAPD in South Africa. Natal, the smallest of four provinces in South Africa, has a population of about five million, the majority being blacks. The minority groups include whites, asiatics and coloureds. There is only one chronic dialysis centre in Natal; situated in Durban, it serves the entire province including parts of the Transkei. This paper describes a four-year experience with CAPD in this mixed population and discusses problems unique to this situation.

scholarly journals Analysis of Mutations in Alpha-Actinin 4 and Podocin Genes of Patients with Chronic Renal Failure Due to Sporadic Focal Segmental Glomerulosclerosis

Renal Failure ◽  
2003 ◽  
Vol 25 (1) ◽  
pp. 87-93 ◽  
Author(s):  
Atsushi Komatsuda ◽  
Hideki Wakui ◽  
Nobuki Maki ◽  
Akihiro Kigawa ◽  
Hiroyuki Goto ◽  
...  
Keyword(s):  
Renal Failure ◽  
Chronic Renal Failure ◽  
Focal Segmental Glomerulosclerosis ◽  
Segmental Glomerulosclerosis

Case Report of a Patient with Bilateral Renal Cell Carcinoma Successfully Maintained on Continuous Ambulatory Peritoneal Dialysis after Bilateral Nephrectomy

1997 ◽  
Vol 20 (4) ◽  
pp. 213-216
Author(s):  
Y. Nishida ◽  
N. Yorioka ◽  
M. Arita ◽  
S. Harada ◽  
A. Yano ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Case Report ◽  
Chronic Renal Failure ◽  
Cell Carcinoma ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Renal Cell ◽  
Bilateral Nephrectomy ◽  
Bilateral Renal Cell Carcinoma

We report on a patient who developed bilateral renal cell carcinoma during continuous ambulatory peritoneal dialysis for chronic renal failure. He was successfully maintained on this type of dialysis after bilateral abdominal nephrectomy.

Arterial Calcifications in Patients Undergoing Chronic Peritoneal Dialysis: Incidence, Progression and Regression

1985 ◽  
Vol 5 (4) ◽  
pp. 241-245 ◽  
Author(s):  
H. Erik Meema ◽  
Dimitrios G. Oreopoulos
Keyword(s):  
Diabetes Mellitus ◽  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Renal Transplantation ◽  
Chronic Renal Failure ◽  
End Stage Renal Disease ◽  
Arterial Calcification ◽  
Chronic Peritoneal Dialysis ◽  
Stage Renal Disease ◽  
End Stage

The authors graded radiologically detectable arterial calcification (A.C.) in 168 patients with end-stage renal disease treated with peritoneal dialysis; 41 of them had diabetes mellitus (DM). Comparison of DM and nondiabetic (ND) patients showed that during an average dialysis period of more than two years, the incidence of A.C. increased from 37% before dialysis to 45% at the last examination in the ND patients, and from 90% to 100% in DM patients. Both prevalence and progression of A.C. were significantly higher in DM patients (P < 0.001 and <0.05 respectively). Regressions of A.C., unrelated to parathyroidectomy or renal transplantation, were observed in 5 ND and 4 DM patients. This 9% incidence of regressions should encourage further investigations to detect the factors responsible because severe A.C. sometimes is associated with gangrene and other complications. Although numerous publications on radiologic changes in renal osteodystrophy include descriptions of arterial calcifications (A. C.), only a few have focused on the latter (1–4). Furthermore, none have looked at the relative proportions of diabetic (DM) and non-diabetic (ND) patients with A.C. and chronic renal failure. The main purpose of this paper is to make such a comparison.

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