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Clinicopathologic predictors of renal outcomes in light chain cast nephropathy:...

Royal, V; Leung, N; Troyanov, S; Nasr, Sh; Écotière, L; LeBlanc, R; Adam, BA; Angioi, A; Alexander, MP; Asunis, AM; Barreca, A; Bianco, PC; Cohen, C

Light chain cast nephropathy (LCCN) in multiple myeloma often leads to severe and poorly reversible acute kidney injury. Severe renal impairment influences the allocation of chemotherapy and its tolerability; it also affects patient survival. Whether renal biopsy findings add to the clinical assessment in predicting renal and patient outcomes in LCCN is uncertain. We retrospectively reviewed clinical presentati...


Gastrointestinal Tuberculosis Mimicking Crohn’s Disease

Rafael, MA; Figueiredo, L; Oliveira, AM; Costa, M; Manso, RT; Martins, A

We present the case of a 24-year-old woman with complaints of abdominal pain, bloody diarrhea, and weight loss for 3 months. An outpatient colonoscopy revealed scattered ulcers, suggestive of Crohn's disease (CD). Histopathology also favored the diagnosis of CD. However, after admission to our hospital for further investigation, a chest radiograph revealed pulmonary cavitations. A computed tomography scan sugge...


The inflammation-related biomarker CXCR7 independently predicts patient outcome...

Santos, PB; Lobo, J; Félix, A; Silva, F; Manso, RT; Costa, J, et al.

INTRODUCTION: The influence of inflammation on prostate tumor carcinogenesis is currently much better known than with its role in prostate cancer (CaP) progression. We evaluated the prognostic value of epigenetic (HDAC1, HDAC4, H3Ac) and inflammation-related (CXCR4, CXCR7, CXCL12) biomarkers immunoexpression, in radical prostatectomy specimens, from 2 cohorts of CaP patients with long term follow-up. MATERIALS ...




Severe Systemic Lupus Erythematosus presentation in patient with alternative co...

Pereira, F; Cunha, L; Campos, P; Gaspar, A; Manso, RT; Soto, K

Systemic lupus erythematosus (SLE) is an autoimmune disease which can involve almost any organ, making its difficult therapeutic approach. Immune complex deposition can often activate complement, accounting for many of SLE clinical manifestations and laboratory findings. We present a case of a patient who presented with acute pancreatitis and acute kidney injury as onset manifestations of SLE, later developing ...


Kidney biopsy in Lupus Nephritis: still essential in clinical practice

Pereira, F; Cunha, L; Manso, RT; Soto, K; Rovin, B

Renal involvement in Systemic Lupus Erythematous is common and its management remains a daily challenge for clinical providers. Percutaneous kidney biopsy remains the gold standard for diagnosis of lupus nephritis. More recently, we have seen the role of the biopsy being challenged, considering the widespread use of corticosteroids and mycophenolate mofetil for all forms of lupus nephritis. We present a review ...


Cellular Variant of Focal Segmental Glomerulosclerosis Treated with Plasma Exch...

Cunha, L; Pereira, F; Manso, RT; Fervenza, F; Soto, K

Focal segmental glomerulosclerosis (FSGS) is the most common primary glomerular disease in nephrotic patients in the United States, frequently leading to end stage renal disease (ESRD). The cellular variant is a rare form of FSGS commonly associated with poor outcome. We report a case of cellular variant FSGS with progressive kidney dysfunction successfully treated with plasma exchange (PE). A 49-year-old Cauca...


IgA nephropathy in a young adult with nephrotic syndrome: Case report

Cassis, J; Sousa, H; Manso, RT; Ramos, S; Machado, D

IgA nephropathy has many clinical presentations, of which nephrotic syndrome is possibly the rarest. Recently, the association of IgA nephropathy with minimal change disease was better described with patients having complete response to steroid therapy and no progression to CKD. We report a similar case in a young male presenting with nephrotic syndrome.


IgA nephropathy in a young adult with nephrotic syndrome: Case report

Cassis, J; Sousa, H; Manso, RT; Ramos, S; Machado, D

IgA nephropathy has many clinical presentations, of which nephrotic syndrome is possibly the rarest. Recently, the association of IgA nephropathy with minimal change disease was better described with patients having complete response to steroid therapy and no progression to CKD. We report a similar case in a young male presenting with nephrotic syndrome.


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