• Title/Summary/Keyword: Renal glomeruli

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A Case of Secondary FSGS due to Chronic Chloride Diarrhea

  • Kim, Byung Kwan;Lee, Hyun Soon;Yim, Hyung Eun;Cheong, Hae Il;Yoo, Kee Hwan
    • Childhood Kidney Diseases
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    • v.20 no.2
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    • pp.83-87
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    • 2016
  • Congenital chloride diarrhea (CLD) is a rare autosomal recessive disease that is difficult to diagnose. CLD requires early treatment to correct electrolyte imbalance and alkalosis and to prevent severe dehydration. Renal injury is clearly associated with defective electrolyte balance induced by CLD, particularly during the first months or years of life. A 7-year-old boy was diagnosed with CLD following detection of a homozygous mutation (c.2063-1G>T) in SLC26A3 at 6 months of age. During treatment with electrolyte supplements, mild proteinuria was detected at 8 months of age, and is still present. Renal biopsy showed the presence of focal renal dysplasia, with metaplastic cartilage and mononuclear cell infiltration, calcification, and fibrosis in the interstitium. Up to two-thirds of the glomeruli exhibited global obsolescence, mostly aggregated in the dysplastic area. In nondysplastic areas, the glomeruli were markedly increased in size and severely hypercellular, with increased mesangial matrix, and displayed segmental sclerosis. The marked glomerular hypertrophy with focal segmental glomerulosclerosis suggested a compensatory reaction to the severe nephron loss or glomerular obsolescence associated with renal dysplasia, with superimposed by CLD aggravating the tubulointerstitial damage.

Secondary renal amyloidosis in a 13-year-old girl with bronchiectasis

  • Yang, Eun-Ae;Lee, Dong-Won;Hyun, Myung-Chul;Cho, Min-Hyun
    • Clinical and Experimental Pediatrics
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    • v.53 no.7
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    • pp.770-773
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    • 2010
  • A 13-year-old girl was diagnosed with non-cystic fibrosis (CF)-related multifocal bronchiectasis accompanied by nephrotic-range proteinuria of unknown cause. On renal biopsy, there were many segmental homogeneous deposits of amyloid tissue with positive Congo red staining in the glomeruli and interstitium. On electron microscopy, relatively straight, non-branching, randomly arranged amyloid fibrils were showed in the mesangium of the glomeruli. These fibrils were approximately 10 nm in diameter, compatible with secondary amyloidosis. Her level of serum amyloid A was remarkably elevated. To our knowledge, this girl is the first case of secondary renal amyloidosis induced by bronchiectasis in Korean children.

Extraction of Renal Glomeruli Region using Genetic Algorithm (유전적 알고리듬을 이용한 신장 사구체 영역의 추출)

  • Kim, Eung-Kyeu
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.46 no.2
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    • pp.30-39
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    • 2009
  • Extraction of glomeruli region plays a very important role for diagnosing nephritis automatically. However, it is not easy to extract glomeruli region correctly because the difference between glomeruli region and other region is not obvious, simultaneously unevennesses that is brought in the sampling process and in the imaging process. In this study, a new method for extracting renal glomeruli region using genetic algorithm is proposed. The first, low and high resolution images are obtained by using Laplacian-Gaussian filter with ${\sigma}=2.1$ and ${\sigma}=1.8$, then, binary images by setting the threshold value to zero are obtained. And then border edge is detected from low resolution images, the border of glomeruli is expressed by a closed B-splines' curve line. The parameters that decide the closed curve line with this low resolution image prevent the noises and the border lines from breaking off in the middle by searching using genetic algorithm. Next, in order to obtain more precise border edges of glomeruli, the number of node points is increased and corrected in order from eight to sixteen and thirty two from high resolution images. Finally, the validity of this proposed method is shown to be effective by applying to the real images.

Histopathological Observations on the Renal Injury in Rats Administered with Enrofloxacin and Oxalate (Oxalate와 Enrofloxacin 투여한 랫트신장에 대한 병리조직학적관찰)

  • 오원석;이차수;오규실;정원일;정재용;정다히;정규식
    • Journal of Veterinary Clinics
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    • v.20 no.4
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    • pp.449-457
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    • 2003
  • To investigate the renal effects of enrofloxacin administration on rats induced with dehydration or hyperoxaluria, male rats were treated with enrofloxacin of 50 mg to 500 mg/kg b.w.. The microscopical observations of kidney and urine sediment were carried out in the experimental groups. The result obtained were as follows; The male rats deprived of water for 72 hours and administered with enrofloxacin. As enrofloxacin administration dose was increased, clinical signs such as loss of appetite, depression, weakness, and loss of urine output became more severe. In the histopathological findings, there were hyperemia and hemorrhage in renal cortex, vacuolation and necrosis of renal tubular epithelia, proteinous casts within renal tubules. The male rats were orally administered with sodium oxalate and injected with enrofloxacin for 7days. As enrofloxacin administration dose was increased, clinical signs such as the loss of appetite and water consumption, and weakness became more severe. In the histopathological findings, there are hemorrhage of glomeruli and cortical hyperemia, vacuolation and necrosis of tubular epithelia, proteinous casts in renal tubules. In the microscopical findings of urine sediment, there are calcium oxalate crystal (diamond-like type) and magnesium ammonium phosphate crystals (rhomboid). The male rats were intraperitoneally injected with sodium oxalate and administered with enrofloxacin for 7days. As enrofloxacin administration dose was increased, clinical signs such as the loss of appetite and water consumption, weakness were more severe. In the histopathological findings, there were hyperemia and hemorrhage in both glomeruli and renal cortex. Severe necrosis of renal tubular epithelia, bluish materials within renal tubules were also found. In the microscopical findings of urine sediment, there were many calcium oxalate crystals. The present results suggest that enrofloxacin has some injurious effects in rats having dehydration or hyperoxaluria, and clinically, we should consider these renal injury effects when we use enrofloxacin in patients accompanied renal disease, dehydration and hyperoxaluria conditions.

Fine Structural Changes of the Renal Corpuscle of the Mice following the Administration of 5-Fluorouracil or Mitomycin C (5-Fluorouracil 및 Mitomycin C 투여후 생쥐 콩팥소체의 미세구조 변화)

  • Ko, Jeong-Sik;Oh, Won-Young;Kim, Jin-Gook;Park, Kyung-Ho;Ahn, E-Tay
    • Applied Microscopy
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    • v.29 no.1
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    • pp.25-41
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    • 1999
  • The experiment was performed to study the morphological responses of the renal glomeruli of the mice after administration of 5-fluorouracil or mitomycin C. 5-fluorouracil (60 mg/kg) or mitomycin-C $(400{\mu}g/kg)$ were injected subcutaneously to the animals every other day, and animals were sacrificed at 4 days or 7 days following the first injections. Pieces of tissues were observed with a JEM 100CX-II electron microscope. The observed results were as follows: 1. In the fourth day following the first injection of 5-fluorouracil or mitomycin C, components of the renal glomeruli of the mice are looked compact since they were filled with the widened the mesangium, and showed narrowing lumen of glomerular capillaries and of urinary spaces. The changes were more significant in the mitomycin C treated mice. 2. In the 5-fluorouracil treated mice, morphological changes of glomeruli were generally recovered in the seventh day, whereas the glomeruli of the mitomycin C treated mice have not shown general recovery. 3. In the fourth and seventh days following the first injection of mitomycin C, in the renal glomeruli of the mice, swollen endothelial cells, and protruded mesangeal cells into the capillary lumen are frequently observed. 4. In the fourth day following the first injection of mitomycin C, in the glomerular basal lamina of the mice, the electron densities of the lamina rara interna and the lamina rara externa were similar to the density of the lamina densa and the expanded lamina rara interna were often seen. From the above results, it is suggested that the cytotoxic effects of the mitomycin C on renal glomeruli are more severe as compared with those of 5-fluorouracil.

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Renal Cyst in a Mongrel Dog (개의 신낭종의 1례)

  • Han Jeong-Hee;Kim Doo
    • Journal of Veterinary Clinics
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    • v.8 no.2
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    • pp.143-146
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    • 1991
  • Renal cyst was detected in a mongrel dog aged 3 months old. The most prominent clinical abnormalities were vomiting, loss of appetite, depression, abdominal swelling and lethargy. Gross appearances included ascites and bilaterally irregular capsular surfaces of the kidneys. Characteristic microscopical findings were various sized cysts formation, shrunken glomeruli with hypercellularity, connective tissue porliferation in the interstitum, tubular dilatation and sligth leukocytic infiltration. The cause. of the renal disorder in a mongrel dog could not be determined.

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Characteristics of Some Animal Models of Experimental Renal Failure (실험적 신장해 모델의 특성 비교)

  • Shim, Chang-Koo
    • Journal of Pharmaceutical Investigation
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    • v.17 no.4
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    • pp.205-211
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    • 1987
  • Renal dysfunction can have pronounced effects on the pharmacokinetic and pharmacodynamic characteristics of drugs. Because the exploration of these effects in patients may be limited by ethical and practical considerations, it often become necessary to perform studies on animals with experimental renal failure(ERF). ERF was produced in rats by the administration of uranyl nitrate, glycerol, salicylate, gentamicin and folate in this study. Changes in glomerular filtration rate(GFR) and renal secretion clearance of tetraethylammonium bromide$(CL^{scn}_{TEA})$, together with morphological changes of kidney cortex were evaluated and compared among ERF models. GFR(or glomeruli) and $CL^{scn}_{TEA}$(or renal tubules) were not damaged parallelly in some ERF model rats. Therefore, it seemed to be necessary to adjust dosage regimen of some basic drugs like TEA in renal dysfunction considering the functional changes of renal secretion in addition to glomerular filtration.

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A Case of Infantile Nephrotic Syndrome (부신 석회화가 동반된 영아형 신증후군)

  • Lee, Kyung-A;Shin, Son-Mun;Park, Yong-Hoon
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.427-435
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    • 1992
  • We have experienced a case of infantile nephrotic syndrome confirmed by renal biopsy in a 13-month-old female patient who showed growth and develop mental retardation and persistent proteinuria. She revealed mild eyelid edema, joint laxity, delayed speech development and adrenal cortical calcification on the radiologic study. Renal biopsy showed microcystic tubular change, micro-glomeruli and marked mesangial proliferation.

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An Influence of Water Extract of Akebiae Lignum on Renal Function of the Dog (개의 신장기능에 미치는 목통 수성 엑기스의 영향)

  • 이은화
    • YAKHAK HOEJI
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    • v.22 no.4
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    • pp.207-214
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    • 1978
  • Influence of Akebiae Lignum on the renal function of the dog was observed with water-extract, utilizing clearance technique. Akebiae Lignum water-extract (AWE) given intravenously in does of 3.0mg/kg and 30.0mg/kg elicited a marked antidiuretic effect and produced a distinguished decrease of glomerular filtration rate and renal plasma flow as reduction of sodium and potassium excretion in urine, positive free water clearance and osmolar clearance. AWE infused into a renal artery in doses of 0.03mg/kg/min and 0.1mg/kg/min exhibited identical results to the intravenous action confined only to the infused kidney. These results suggest that AWE elicits antidiuresis in the dog by decreasing glomerulor filtration and renal plasma flow, which are caused by the constriction of vas afferens in the glomeruli.

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Influence of Bethanidine on the Renal Function of the Dog (개의 신장 기능에 미치는 Bethanidine의 영향)

  • 고석태
    • YAKHAK HOEJI
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    • v.22 no.3
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    • pp.138-147
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    • 1978
  • Bethanidine, which is known as a sympathetic blocking agent, was injected into the vein of a dog in an attempt to investigate the influence on renal funciton. Bethanidine resulted in an increased urine flow and glomerular filtration rate, and it produced an increase of urinary sodium and potassium excretion and a decrease of reabsorption rate of sodium and potassium in renal tubules, whereas renal plasma flow showed no significant changes. After pretreatment of phentolamine, a specific alpha adrenergic blocking agent, bethanidine did not significantly increase glomerular filtration rate and diuresis, significantly increased urinary sodium and potassium excretion although the magnitudes were reduced when compared with that of bethanidine alone. In conclusion, bethanidine-induced diuresis appears to be the result of an inhibited tubuler reabsorpting of electrolytes within the kidney through its sympathetic blockade of renal nerves and of an increased glomerular filtration rate, which was caused by the constriction of vas efferense in the glomeruli.

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