• Title/Summary/Keyword: renal pathology

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A Case of Membranoproliferative Glomerulonephritis Superimposed on Type 1 Diabetes Mellitus (제1형 당뇨병 환자에서 병발한 막증식성 사구체신염 1례)

  • Choi Hyun-Jin;Cho, Hee-Yeon;Kang Ju-Hyeong;Yang Sei-Won;Cheong Hae-Il;Choi Yong;Moon Kyung-Chul;Ha Il-Soo
    • Childhood Kidney Diseases
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    • v.9 no.1
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    • pp.97-101
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    • 2005
  • Renal diseases other than diabetic nephropathy can occur In diabetic patients. Urinary abnormalities or clinical courses inconsistent with the natural progression of diabetic nephropathy are suggestive of non-diabetic renal diseases and should lead to more extensive investigations. Presence of non-diabetic renal diseases in diabetic patients can alter the treatment plan and the prognosis. We report a 9-year-old girl who had type 1 membranoproliferatiye glomerulonephritis as well as type 1 diabetes mellitus.

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Renomedullary Interstitial Cell Tumor Mimicking Renal Cell Carcinoma: A Case Report (신세포암으로 오인한 신수질 간질세포 종양: 증례 보고)

  • Hyunji Oh;Sung Bin Park;Tae-Jin Lee;Byung Hoon Chi;Hyun Jeong Park;Eun Sun Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1412-1417
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    • 2022
  • Renomedullary interstitial cell tumors are often incidentally identified either upon autopsy or kidney resection for other reasons. However, rare renomedullary interstitial cell tumor cases resulting in a clinical symptomatic mass have been reported. We present a case of renomedullary interstitial cell tumor that was manifested as an incidentally detected renal mass and mimicked renal cell carcinoma on the imaging features.

Multilocular Cystic Renal Neoplasm of Low Malignant Potential: A Case Report and Literature Review (낮은악성가능성을 가진 다방성낭성신장생성물: 증례 보고와 문헌 고찰)

  • Jihyun Lee;Dong Won Kim;Joo Yeon Song;Seong Kuk Yoon
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.173-177
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    • 2022
  • Multilocular cystic renal neoplasm of low malignant potential (MCRNLMP) is a rare subtype of renal cell carcinoma that has a favorable outcome. Most cases of MCRNLMP usually present as distinct multilocular cystic lesions; however, they may appear as small complicated cysts with hemorrhagic components. Herein, we present a case of MCRNLMP and provide a review of the literature.

Nephrogenic Systemic Fibrosis with Myopathy (근병증을 동반한 콩팥성전신섬유화증)

  • Heo, Deok-Hyun;Jang, Il-Mi;Roh, Hakjae;Ahn, Moo-Young;Jin, So-Young
    • Annals of Clinical Neurophysiology
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    • v.14 no.1
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    • pp.36-40
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    • 2012
  • Nephrogenic systemic fibrosis (NSF) is a systemic disease that affects the skin and other tissues in patients with renal insufficiency and exposure to gadolinium-containing contrast. A 55-year-old woman with end-stage renal disease on hemodialysis was consulted for progressive general weakness. After she had undergone multiple MRIs with gadolinium-containing contrast media, muscle weakness and skin lesions were developed. Her skin and muscle biopsy specimens showed CD34+ fibroblast entrapping collagen bundles. There are few reports of NSF with myopathy.

A Case of Orthostatic Proteinuria Progressed to Persistent Proteinuria Associated with Renal Pathology

  • Kim, Yoo-Jin;Cho, Byoung-Soo;Ha, Tae Sun
    • Childhood Kidney Diseases
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    • v.21 no.2
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    • pp.152-155
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    • 2017
  • Orthostatic or postural proteinuria is the most common cause of asymptomatic proteinuria in children. As orthostatic proteinuria (OP) is a benign disease with relatively good prognosis, it has no specific management, and patients only need to be observed. However, if OP shows a persistently high level of proteinuria, in theory, glomerular changes can occur. An 11-year-old girl was referred to the hospital due to asymptomatic proteinuria and was diagnosed as having OP based on the results of clinical and laboratory examinations, urinalysis, and protein/creatinine (TP/Cr) ratio at both supine and erect positions. During follow-up observation, the 24-hour TP/Cr ratio was persistently higher than 1.5 mg/mg for 2 years. We performed renal biopsy, which showed mesangial proliferative glomerular lesions with focal effacement of the podocyte foot processes, but without immune depositions. OP can be accompanied by glomerular lesions if moderate to severe proteinuria persists.

A Case of Infantile Nephrotic Syndrome with Focal Segmental Glomerulosclerosis (국소성 분절성 사구체 경화증에 의한 영아형 신증후군 1례)

  • Kim Se Eun;Han Young Sim;Song Min Seop;Chung Woo Yeong
    • Childhood Kidney Diseases
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    • v.3 no.1
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    • pp.100-103
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    • 1999
  • Focal Segmental Glomerulosclerosis(FSGS) is one of the underlying pathology of congenital and infantile nephrotic syndrome. There is no ultimate curative treatment except renal transplantation. We have experienced a case of infantile nephrotic syndrome In a 10 month old boy who presented with proteinuria and hematuria. His elder brother also suffered from nephrotic syndrome and died at the age of 18 months due to sepsis. We have diagnosed this patient with clinical manifestations, laboratory data and pathologic findings which was done by open renal biopsy. The patient expired 54 days after admission because or progressive uremia and sepsis.

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A novel RET mutation identified in a patient with pheochromocytoma and renal cell carcinoma

  • Kwon, Jae Wan;Jung, Eui Dal;Jeon, Eon Ju;Park, Jung Kyu;Lee, Joon Kee;Cho, Chang Ho
    • Kosin Medical Journal
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    • v.33 no.3
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    • pp.446-453
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    • 2018
  • Pheochromocytomas might be sporadic or genetic. Genetic pheochromocytoma is associated with multiple endocrine neoplasia (MEN) type 2A, MEN type 2B, and von Hippel-Lindau (VHL) disease. RET mutations are identified in more than 90% of index cases of MEN2 and familial medullary thyroid cancer and in about 4-12% of apparent sporadic cases. Here, we report a 54-year-old man presenting with pheochromocytoma and renal cell carcinoma, who was identified as having a novel missense RET mutation.

A Case of Microscopic Polyangiitis with Pulmonary Hemorrhage and Rapidly Progressive Glomerulonephritis (폐출혈과 급속 진행성 사구체신염을 동반한 현미경적 다발성 동맥염 (Microscopic Polyangiitis) 1례)

  • Kwon Hae Sik;Lee Young-Mock;Kim Ji Hong;Kim Pyung-Kil;Kang Hae Youn;Hong Soon Won;Jeong Hyeon Joo
    • Childhood Kidney Diseases
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    • v.5 no.2
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    • pp.213-218
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    • 2001
  • Microscopic Polyangiitis(MPA) belongs to a spectrum of systemic vasculits, and particularly antineutrophil cytoplasmic autoantibodies(ANCA)-associated small-vessel vasculitis which is characterized by involvement of the lung and kidney. The diagnosis of MPA is often difficult to make, and delayed because of the variability of the clinical presentation. Renal biopsies have a very important diagnostic and prognostic value in MPA. We experienced a case of microscopic polyangiits which was confirmed by renal biopsy and positive serum perinuclear ANCA, associated with alveolar hemorrhage and gastrointestinal bleeding. We began methylprednisolone pulse therapy, combined with a low dose of cyclophosphamide and plasmapheresis therapy. ACE inhibitor and Ca channel blocker were used when proteinuria and hypertention developed. On admission, the patient's lab findings showed BUN l17 mg/dL, Cr 2.3 mg/dL, while on the 60th hospital day BUN/Cr values fell to 20.8 mg/dL / 1.6 mg/dL and though proteinuria persisted, the patient's condition was tolerable and is currently under observation on an out-patient basis. The last lab values were BUN 26 mg/dL / Cr 1.6 mg/dL. (J. Korean Soc Pediatr Nephrol 2001 ; 5 : 213-18)

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A Case of Congenital Hepatic Fibrosis Accompanied by Renal Tubular Ectasia, Caroli Syndrome and Choledochal Cyst (신세뇨관 확장증, Caroli 증후군 및 총 담관낭을 동반한 선천성 간 섬유증 1례)

  • Choi, Bong Seok;Bae, Sang Nam;Im, Yong Tak;Park, Jae Hong;Lee, Chang Hoon;Lee, Jun Woo
    • Clinical and Experimental Pediatrics
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    • v.45 no.7
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    • pp.923-927
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    • 2002
  • Congenital hepatic fibrosis is a relatively rare disease, characterized by bile ductular proliferation and prominent fibrosis in the portal area of liver resulting in portal hypertension. It is frequently associated with other abnormalities such as polycystic kidney, Caroli syndrome, cystic dysplasia of pancreas, intestinal lymphangiectasia, pulmonary emphysema, hemangioma, and cleft palate. We report here a case of congenital hepatic fibrosis associated with renal tubular ectasia in a 3-year-old girl, whose chief complaint was abdominal distension. Her liver function test did not reveal any abnormal findings. Hepatosplenomegaly and multiple dilated bile ducts were seen in the abdominal CT scaning. Esophageal varix was not detected by an endoscopic examination. Microscopically, diffuse portal fibrosis and widening with proliferation of blie ductules in the liver specimen and tubular ectasia in renal cortex were seen.

Effects of Green Tea Catechin on Renal Dyshunction in Chronic Cadmium Poisoned Rats (만성 카드뮴 중독 쥐의 신장기능 장애에 미치는 녹차 Catechin의 영향)

  • Choi, Jeong-Hwa;Park, Keun-Yong;Song, Dae-Kyu;Bae, Jae-Hoon;Park, Won-Kyun;Kim, Yong-Jin;Rhee, Soon-Jae
    • Journal of Nutrition and Health
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    • v.33 no.7
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    • pp.725-732
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    • 2000
  • The purpose of this study was to investigate the effects of green tea catechin on renal dysfunction and blood presure change in chronic cadmium poisoned rats. Sprague-Dawley male rats weighing 100$\pm$10g were randomly assigned to one normal group and three cadmium poisoned groups. Cadmium groups were classified to catechin free diet(Cd-0C group) 0.25% catechin diet(Cd-0.25C group) and 0.5% catechin diet(Cd-0.5C group) according to the levels of catechin supplement. Animals were raids for 20weeks. Cadmium were supplied as drinking water of 50ppm Cd2+ Morphological changes shown through a light microscope and an electro-microscope revealed the mitochondria and tubule epithelial cell edema in Cd -0C group but they were alleviated in catechin supplementation. The urinary $\beta$2-microglobulin that measured to observe the glomerular injury were higher in Cd-poisoned groups than in normal group but they was lowered by catechin supplementation. Glomerular filtration ratios(GFR) in Cd-poisoned groups were significantly lower than in normal group but that of catechin supplementation group was similar to normal group. This suggested that catechin protected the kidney from the functional damage. Angiotensin converting enzyme(ACE) activity and blood pressure(BP) in Cd-poisoned groups were significantly higher than in normal group. Heart rate was tended to increase in Cd-poisoned groups. The results indicate that green tea catechin supplementation on chronic cadmium-poisoned rats normalized the renal dysfunction and blood pressure system.

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