• Title/Summary/Keyword: 2-Kidney

Search Result 3,876, Processing Time 0.027 seconds

Diagnosis of Systemic Lupus Erythematosus During Medical Follow-up After Urinary Screening (학교 집단 요 검사 이상으로 추적검사 중 전신 홍반 루푸스로 진단된 1예)

  • Yoon, So-Jin;Song, Ji-Eun;Shin, Jae-Il;Jeong, Il-Cheon;Lee, Jae-Seung;Shim, Hyo-Sup;Jeong, Hyeon-Joo
    • Childhood Kidney Diseases
    • /
    • v.12 no.2
    • /
    • pp.227-232
    • /
    • 2008
  • A 16-year-old girl presented with proteinuria and microscopic hematuria detected through mass urinary screening and was diagnosed as having suspected postinfectious glomerulonephritis by renal biopsy. However, heavy proteinuria did not respond to angiotensin converting enzyme inhibitor therapy. After 6 months, cervical lymphadenitis developed and a neck node biopsy showed subacute necrotizing lymphadenitis. After an additional 2 months, she developed facial erythema and thrombocytopenia. A repeat renal biopsy demonstrated lupus nephritis class IV. She was treated with pulse methylprednisolone(500 mg/day intravenously for 3 consecutive days) followed by oral deflazacort and monthly intravenous cyclophosphamide pulse(1 g/$m^2$) for 6 months. We report a case diagnosed as systemic lupus erythematosus(SLE) during medical follow-up after urinary screening.

Two Cases of Pancreatitis in Children with Hemolytic Uremic Syndrome (용혈성 요독 증후군에서 발생한 췌장염 2례)

  • Park Jee-Min;Kim Ki-Sung;Nam Young-Mi;Kim Eun-Soo;Ahn Sun-Young;Shin Jae-Il;Lee Jae-Seung
    • Childhood Kidney Diseases
    • /
    • v.7 no.2
    • /
    • pp.211-216
    • /
    • 2003
  • An epidemic outbreak of food poisoning due to enterohemorrhagic Escherichia coli(EHEC) occurred throughout Korea from May to September, 2003. Patients infected via contaminated school lunch foods were found mainly in Seoul and Gyeonggi province. As a result of this food poisoning, 36 patients were diagnosed as hemolytic uremic syndrome(HUS) up to mid-September, 2003 and five of them visited our hospital. Before the outbreak this year, we had experienced only 23 cases of HUS, including diarrhea associated (D+) and atypical (D-) forms, for the last 14 years, and there had been no case with pancreatic enzyme elevation. Unlike the past HUS cases, those of this year presented with severe abdominal pain and spiking elevation of pancreatic enzyme levels in 2 cases. We report 2 cases of transient pancreatitis combined with HUS in children during the epidemic outbreak in 2003 with a brief review of related literatures.

  • PDF

The Effects of Mercury and Cadmium Administered in Subcutaneous Tissue on Enzymatic Activity and lipidperoxidation (피하조직에 투여된 수은과 카드뮴의 효소활성과 과산화지질에 미치는 영향)

  • 하배진
    • Journal of Environmental Science International
    • /
    • v.11 no.6
    • /
    • pp.583-588
    • /
    • 2002
  • Heavy metals like Mercury and Cadmium cause various kinds of toxicities in the organs of Liver and Kidney. To observe the results of toxicity in the liver, kidney, and serum when the rats were injected subcutaneously with HgCl$_2$ and CdC1$_2$ and sacrificed after 24 hours and 72 hours from the last injection, we measured variation of lipidperoxide values in rat liver homogenate, variation of aspartate aminotransferase and alanine aminotransferase in rat serum. Variation of lipidperoxide values in rat kidney homogenate and variation of BUN in rat serum. It was found that Mercury and Cadmium administered subcutaneously to the skin in the air could cause the damages of liver and kidney.

A clinical study on the interrelation between mutation of personality and Lumbago -On the MMPI test- (인성변화(人性變化)와 요통(腰痛)의 상관관계(相關關係)에 관한 임상적(臨床的) 고찰(考察) -MMPI를 중심(中心)으로-)

  • Kim Sung-Hoon
    • Journal of Oriental Neuropsychiatry
    • /
    • v.2 no.1
    • /
    • pp.82-93
    • /
    • 1991
  • A clinical study was done to investigate how the personality traits of Lumbago are reflected in the Minesota Multiphasic Personality Inventory(MMPI). This study was done on 35 lumbago patients(23 lumbago due to Kidney-asthenia<腎虛腰痛> and 12 lumbago due to Spleen-asthenia<脾虛腰痛>). The results were as follows ; 1. The mean T-scores on each scale were within normal range in lumbago group. 2. The personality traits of lumbago showed elevation seales of Hs, D, Hy. 3. Comparing lumbago due to Kidney-asthenia group with lumbago due to Spleen-asthenia group, scale of HS, D, Hy, Pa(P<0.05) were significantly higher in the former. 4. According to pattern analysis, Psycho-neurotic trait was recognized in 8.70% of lumbago due to Kidney-asthenia group, 33.33% of lumbago due to Spleen-asthenia group. This finding supports the existing hypothesis that Spleen-asthenia(脾虛) are strongly related to Seven-modes-of-emotions(七情) than Kidney-asthenia(腎虛).

  • PDF

Acute Kidney Injury in the Newborn: Etiology, Pathophysiology and Diagnosis (신생아의 급성신손상)

  • Kim, So-Young
    • Neonatal Medicine
    • /
    • v.17 no.2
    • /
    • pp.161-167
    • /
    • 2010
  • Acute kidney injury (AKI), formerly referred to as acute renal failure (ARF) is defined as the sudden impairment of kidney function (estimated from the glomerular filtration rate [GFR]) that results in the lack of excretion of waste products. More than 30 definitions of AKI exist in the literature, most of which are based on serum creatinine. Lack of a uniform and multidimensional AKI definition has led to failure to recognize significant renal injury, delays in treatment, and inability to generalize single-study results. The RIFLE criteria were developed to standardize the diagnosis of ARF and in the process the term AKI has been proposed to encompass the entire spectrum of the syndrome from minor changes in renal function to requirement for renal replacement therapy. Large prospective studies are needed to test definitions and to better understand risk factors, incidence, independent outcomes, and mechanisms that lead to poor short- and long-term outcomes. Early biomarkers of AKI need to be explored in critically ill neonates.

Distribution of Renal Artery in the Kidney of Korean Native Cattle (한우신동맥(韓牛腎動脈) 분포(分布)에 관하여)

  • Kim, Chong-Sup
    • Korean Journal of Veterinary Research
    • /
    • v.23 no.2
    • /
    • pp.129-135
    • /
    • 1983
  • The distribution of renal artery of fifty Korean native cattles (100 kidneys) was observed. Vinylite solution was injected into renal artery of ninety specimens for cast preparation. The angiography was prepared in 10 specimens by injecting thirty percent of barium sulfate solution into renal arteries, and then radiographed on a soft X-ray apparatus (Shimadzu Waltes 60). 1. A. renalis arose from the each side of abdominal aorta in the Korean native cattles. 2. The renal arteries were bifurcated into Ramus cranialis and caudalis (91%), and Ramus cranialis, medius and caudalis(9%) which were ramified 1-4 segmental arteries, respectively. 3. The segmental arteries were originated from R. cranialis and R. caudalis (87%), R. medius (9%) and A. renalis (4%). 4. The kidney were divided separately into 5-7 arterial segments by running of the segmental artery into the parenchyma. Among them six segments were mostly frequent(53%). 5. The Arcus arteriosus renalis was observed at 44% of the left kidney and 14% of the right kidney.

  • PDF

Abattoir survey of kidney lesions in Korean cattle (도축한우의 신장에 대한 병리학적 연구)

  • 노영선;윤여백;김영진;이성희;레브코로지스키;임병무;임채웅
    • Korean Journal of Veterinary Service
    • /
    • v.24 no.2
    • /
    • pp.139-146
    • /
    • 2001
  • To examine the prevalence and types of kidney lesions in Korean cattle, a survey was carried out at a abattoir in september 2000 and January 2001. The collected kidneys were examined grossly and histopathologically and investigated for the patterns of renal diseases with considering season and sex. Of 735 cattle (99 bulls and 246 cows in September and 140 bulls, 3 steers, and 247 cows in January) surveyed, 301 (41%) cattle had various renal lesions. The most common prominent finding was focal or multiple interstitial nephritis (36.2%). Other lesions included focal or multiple renal cyst (9.1%), infarction (0.1%), hemorrhage (0.3%), and renal atrophy (0.3%). Microscopically, main pathological lesions were acute or chronic interstitial nephritis with moderate infiltration of neutrophil or lymphocyte, respectively. Finally, the kidney lesions are more or less correlated with the meat quality, especially in female Korean cattle.

  • PDF

Mitochondrial fatty acid metabolism in acute kidney injury

  • Jang, Hee-Seong;Padanilam, Babu J.
    • Journal of Medicine and Life Science
    • /
    • v.15 no.2
    • /
    • pp.37-41
    • /
    • 2018
  • Mitochondrial injury in renal tubule has been recognized as a major contributor in acute kidney injury (AKI) pathogenesis. Ischemic insult, nephrotoxin, endotoxin and contrast medium destroy mitochondrial structure and function as well as their biogenesis and dynamics, especially in renal proximal tubule, to elicit ATP depletion. Mitochondrial fatty acid ${\beta}$-oxidation (FAO) is the preferred source of ATP in the kidney, and its impairment is a critical factor in AKI pathogenesis. This review explores current knowledge of mitochondrial dysfunction and energy depletion in AKI and prospective views on developing therapeutic strategies targeting mitochondrial dysfunction in AKI.

Tolvaptan: a possible preemptive treatment option in children with autosomal dominant polycystic kidney disease?

  • Hee Sun Beak;Min Hyun Cho
    • Childhood Kidney Diseases
    • /
    • v.27 no.2
    • /
    • pp.76-81
    • /
    • 2023
  • Tolvaptan is a highly selective vasopressin receptor 2 antagonist that regulates cyclic adenosine monophosphate levels to inhibit both epithelial cell proliferation and chloride ion excretion, two mechanisms known to induce cyst expansion in autosomal dominant polycystic kidney disease (ADPKD). Tolvaptan is currently the preferred treatment of rapidly progressive disease ADPKD in adult patients; however, since cyst formation in ADPKD begins early in life, (frequently in utero), and significant disease progression with cyst expansion occurs in the first decade, tolvaptan may be advantageous as a preemptive treatment in children with ADPKD. Tolvaptan has already been used to successfully treat refractory edema or hyponatremia in children; this literature review provides insight into the biochemical basis of its action to contextualize its use in the pediatric population.

Reabsorption of Neutral Amino Acids Mediated by Amino Acid Transporter LAT2 and TAT1 in The Basolateral Membrane of Proximal Tubule

  • Park Sun Young;Kim Jong-Keun;Kim In Jin;Choi Bong Kyu;Jung Kyu Yong;Lee Seoul;Park Kyung Jin;Chairoungdua Arthit;Kanai Yoshikatsu;Endou Hitoshi;Kim Do Kyung
    • Archives of Pharmacal Research
    • /
    • v.28 no.4
    • /
    • pp.421-432
    • /
    • 2005
  • In order to understand the renal reabsorption mechanism of neutral amino acids via amino acid transporters, we have isolated human L-type amino acid transporter 2 (hLAT2) and human T-type amino acid transporter 1 (hTAT1) in human, then, we have examined and compared the gene structures, the functional characterizations and the localization in human kidney. Northern blot analysis showed that hLAT2 mRNA was expressed at high levels in the heart, brain, placenta, kidney, spleen, prostate, testis, ovary, lymph node and the fetal liver. The hTAT1 mRNA was detected at high levels in the heart, placenta, liver, skeletal muscle, kidney, pancreas, spleen, thymus and prostate. Immunohistochemical analysis on the human kidney revealed that the hLAT2 and hTAT1 proteins coexist in the basolateral membrane of the renal proximal tubules. The hLAT2 transports all neutral amino acids and hTAT1 transports aromatic amino acids. The basolateral location of the hLAT2 and hTAT1 proteins in the renal proximal tubule as well as the amino acid transport activity of hLAT2 and hTAT1 suggests that these transporters contribute to the renal reabsorption of neutral and aromatic amino acids in the basolateral domain of epithelial proximal tubule cells, respectively. Therefore, LAT2 and TAT1 play essential roles in the reabsorption of neutral amino acids from the epithelial cells to the blood stream in the kidney. Because LAT2 and TAT1 are essential to the efficient absorption of neutral amino acids from the kidney, their defects might be involved in the pathogenesis of disorders caused by a disruption in amino acid absorption such as blue diaper syndrome.