scholarly journals The kidneys in paroxysmal nocturnal hemoglobinuria

Blood ◽  
1981 ◽  
Vol 57 (1) ◽  
pp. 83-89 ◽  
Author(s):  
DA Clark ◽  
SA Butler ◽  
V Braren ◽  
RC Hartmann ◽  
DE Jr Jenkins

Long-term study of 21 PNH patients revealed an unexpectedly high incidence of functional and anatomic renal abnormalities. Most patients demonstrated varying degrees of hematuria and proteinuria distinct from hemoglobinuria. Evaluation of renal function revealed hyposthenuria, abnormal tubular function, and declining creatinine clearance. Radiologically these patients had enlarged kidneys, cortical infarcts, cortical thinning, and papillary necrosis which were confirmed by autopsy studies. Hypertension developed in eight patients. Urinary tract infection was uncommon. The renal findings bear striking similarity to those of sickle cell anemia. Contrary to the usual opinion, out studies clearly showed evidence of widespread renal pathology in PNH most likely due to repeated microvascular thrombosis similar to the venous thrombosis involving other organs in this disorder.

Blood ◽  
1981 ◽  
Vol 57 (1) ◽  
pp. 83-89 ◽  
Author(s):  
DA Clark ◽  
SA Butler ◽  
V Braren ◽  
RC Hartmann ◽  
DE Jr Jenkins

Abstract Long-term study of 21 PNH patients revealed an unexpectedly high incidence of functional and anatomic renal abnormalities. Most patients demonstrated varying degrees of hematuria and proteinuria distinct from hemoglobinuria. Evaluation of renal function revealed hyposthenuria, abnormal tubular function, and declining creatinine clearance. Radiologically these patients had enlarged kidneys, cortical infarcts, cortical thinning, and papillary necrosis which were confirmed by autopsy studies. Hypertension developed in eight patients. Urinary tract infection was uncommon. The renal findings bear striking similarity to those of sickle cell anemia. Contrary to the usual opinion, out studies clearly showed evidence of widespread renal pathology in PNH most likely due to repeated microvascular thrombosis similar to the venous thrombosis involving other organs in this disorder.


2017 ◽  
Vol 152 (6) ◽  
pp. 1329-1336.e1 ◽  
Author(s):  
Edwin Liu ◽  
Fran Dong ◽  
Anna E. Barón ◽  
Iman Taki ◽  
Jill M. Norris ◽  
...  

1964 ◽  
Vol 206 (2) ◽  
pp. 265-269 ◽  
Author(s):  
Robert S. Shepard ◽  
Albert J. Whitty

Bilateral cervical vagotomy was followed by prolonged changes in heart rate, blood pressure, and respiration, and a progressive deterioration of cardiac function. This study was based on recordings from 18 unanesthetized, unrestrained, reclining dogs prior to and after gastroenterostomy, arterial catheterization, and bilateral cervical vagotomy. During the first 7 days after denervation, the heart rate was almost doubled and the pulse pressure was decreased. The diastolic pressure was increased only on the first day, whereas on the second day after denervation the systolic pressure became significantly lower. The markedly elevated heart rate was maintained for 3 weeks. There was a complete loss of inspiratory tachycardia for 20 weeks, a prolonged inspiratory period for 2 weeks, and a high incidence of retching and vomiting for over 43 weeks. Although the animals refused to exercise strenuously, they were fully ambulatory and showed normal interest in their surroundings. Death in 13 cases occurred by the second week postvagotomy and was associated with lung congestion or consolidation, and in two cases the liver had a nutmeg appearance.


2009 ◽  
Vol 24 (6) ◽  
pp. 649-658 ◽  
Author(s):  
Tom Bäck ◽  
Börje Haraldsson ◽  
Ragnar Hultborn ◽  
Holger Jensen ◽  
Martin E. Johansson ◽  
...  

1994 ◽  
Vol 72 (12) ◽  
pp. 961-966 ◽  
Author(s):  
M. Capek ◽  
C. Schnack ◽  
B. Ludvik ◽  
A. Kautzky-Willer ◽  
M. Banyai ◽  
...  

1965 ◽  
Vol 58 (1) ◽  
pp. 9-20 ◽  
Author(s):  
R Edgar Hope-Simpson

Dr Hope-Simpson presents a study of all cases of herpes zoster occurring in his general practice during a sixteen-year period. The rate was 3·4 per thousand per annum, rising with age, and the distribution of lesions reflected that of the varicella rash. It was found that severity increased with age, but that the condition did not occur in epidemics, and that there was no characteristic seasonal variation. A low prevalence of varicella was usually associated with a high incidence of zoster. Dr Hope-Simpson suggests that herpes zoster is a spontaneous manifestation of varicella infection. Following the primary infection (chickenpox), virus becomes latent in the sensory ganglia, where it can be reactivated from time to time (herpes zoster). Herpes zoster then represents an adaptation enabling varicella virus to survive for long periods, even without a continuous supply of persons susceptible to chickenpox.


2019 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Romina Alcuaz ◽  
Eduardo Nozzi ◽  
Nora Vivas ◽  
Guillermo Diaz ◽  
David Aiziczon ◽  
...  

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