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Renal Disease in Madeira Islands: Twenty-Seven Years' Experience of Native Kidn...

Vieira, P; Gonçalves, AM; Durães, JM; Rosa, N; Resende, L; Silva, G; Alves Teixeira; Rodrigues, F; Galvão, MJ; Brinca, A; Viana, H; Carvalho, F

Introduction: Renal biopsy plays an essential role either in the diagnosis or in the prognosis of patients with renal disease. In order to assess its epidemiology and evolution in Madeira Islands, we analysed twenty-seven years of native kidney biopsies. Methods: We performed a retrospective analysis of clinical records, including histological revision from 1986 to 2012, totalling 315 native kidney biopsies. Th...


Atheroembolic Renal Disease As a Cause of Allograft Primary Non-Function

Viana, H; Ferreira, C; Carvalho, F; Santos, AR; Galvão, MJ; Remédio, F; Nolasco, F

Atheroembolic renal disease, also referred to as cholesterol crystal embolization, is a rare cause of renal failure, secondary to occlusion of renal arteries, renal arterioles and glomerular capillaries with cholesterol crystals, originating from atheromatous plaques of the aorta and other major arteries. This disease can occur very rarely in kidney allografts in an early or a late clinical form. Renal biopsy s...


Bone Histomorphometry Revisited

Vidal, B; Pinto, A; Galvão, MJ; Santos, AR; Rodrigues, A; Cascão, R; Abdulghani, S; Caetano-Lopes, J; Ferreira, A; Fonseca, JE; Canhão, H

Bone histomorphometry is defined as a quantitative evaluation of bone micro architecture, remodelling and metabolism. Bone metabolic assessment is based on a dynamic process, which provides data on bone matrix formation rate by incorporating a tetracycline compound. In the static evaluation, samples are stained and a semi-automatic technique is applied in order to obtain bone microarchitectural parameters such ...


C4d Detection in Renal Allograft Biopsies: Immunohistochemistry vs. Immunofluor...

Santos, A; Viana, H; Galvão, MJ; Carvalho, F; Nolasco, F

Introduction. Peritubular capillary complement 4d staining is one of the criteria for the diagnosis of antibody-mediated rejection, and research into this is essential to kidney allograft evaluation. The immunofluorescence technique applied to frozen sections is the present gold-standard method for complement 4d staining and is used routinely in our laboratory. The immunohistochemistry technique applied to para...


Clinical and Pathological Findings in Women with Fabry Disease

Natário, A; Viana, H; Galvão, MJ; Carvalho, F

Introduction. Fabry disease is a rare metabolic disorder caused by the genetic deficiency of the lysosomal hydrolase alpha-galactosidase A, located on chromosome X. Females with the defective gene are more than carriers and can develop a wide range of symptoms. Nevertheless, disease symptoms generally occur later and are less severe in women than in men. The enzyme deficiency manifests as a glycosphingolipidosi...


Renal Pathology in Portuguese HIV-Infected Patients

Ferreira, AC; Carvalho, D; Carvalho, F; Galvão, MJ; Nolasco, F

HIV-infected patients may be affected by a variety of renal disorders. Portugal has a high incidence of HIV2 infection and a low prevalence of HIV-infected patients under dialysis treatment. The aim of this study was to characterise the type of renal disease in Portuguese HIV-infected patients and to determine if HIV2 infection is associated to renal pathology. Only 60 of the 5158 HIV-infected patients followed...


Collapsing Glomerulopathy in Portugal: a Review of the Histological and Clinica...

Ferreira, AC; Carvalho, D; Carvalho, F; Galvão, MJ; Nolasco, F

BACKGROUND: Collapsing glomerulopathy (CG) is a glomerulonephritis seen in association with human immunodeficiency virus (HIV) infection, known as HIV-associated nephropathy (HIVAN), and less frequently observed in non-HIV-infected patients. Method. The aim of this study was to review the histological and clinical findings of all CG diagnosed since 1981 in our laboratory. Result. Since 1981, 18 kidney biopsies ...


Optimization of the Tartrate-Resistant Acid Phosphatase Detection by Histochemi...

Galvão, MJ; Santos, AR; Ribeiro, MD; Ferreira, A; Nolasco, F

According to the new KDIGO (Kidney Disease Improving Global Outcomes) guidelines, the term of renal osteodystrophy, should be used exclusively in reference to the invasive diagnosis of bone abnormalities. Due to the low sensitivity and specificity of biochemical serum markers of bone remodelling,the performance of bone biopsies is highly stimulated in dialysis patients and after kidney transplantation. The tart...


Zero-Time Kidney Histology Predicts Early Graft Function

Viana, H; Carvalho, F; Galvão, MJ; Santos, A; Nolasco, F

Our purposes are to determine the impact of histological factors observed in zero-time biopsies on early post transplant kidney allograft function. We specifically want to compare the semi-quantitative Banff Classification of zero time biopsies with quantification of % cortical area fibrosis. Sixty three zero-time deceased donor allograft biopsies were retrospectively semiquantitatively scored using Banff class...


Renal Involvement in Monoclonal Gammopathies

Ferreira, AC; Carvalho, F; Carvalho, D; Galvão, MJ; Viana, H; Santos, MC; Ferreira, A; Nolasco, F


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