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  • 1
    ISSN: 1440-1797
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: SUMMARY:  Glucocorticoid treatment for steroid-dependent nephrotic syndrome (NS) is associated with severe adverse effects, such as bone fractures and epidural lipomatosis. Furthermore, a high trough level of cyclosporine (CsA) over an extended period of time is known to induce CsA nephropathy. We present a girl with steroid-dependent NS and steroid-induced vertebral compression fractures and epidural lipomatosis who was treated with a high-dose of prednisolone after experiencing several relapses. A high CsA trough level (between 147 and 225 ng/mL) over a period of only 5 months was effective in improving the vertebral compression fractures, alleviating the epidural lipomatosis by enabling the discontinuation of prednisolone treatment. Thus, high trough levels of CsA over a short period of time may enable prednisolone to be discontinued in cases of steroid-dependent NS without causing any clinical, histological, serum and/or urinary CsA-related adverse effects.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Oxford, UK : Blackwell Publishing Ltd
    Nephrology 3 (1997), S. 0 
    ISSN: 1440-1797
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary: A review of 42 primary nephrotic children who underwent kidney biopsies found that six patients had calcification of the renal tubules (aged 2-9 years). These six patients showed significant increases in weight gain, blood pressure, urinary protein, serum urea nitrogen and urinary calcium/creatinine, and significant decreases in serum phosphate, % tubular reabsorption of phosphate and creatinine clearance as compared with 36 nephrotic patients without tubular calcification. Furthermore, these patients received high dose furosemide, and five of six patients received methylprednisolone pulse therapy to treat progressive renal dysfunction. the interval before the first kidney biopsy and after both the onset of the nephrotic syndrome, and the start of glucocorticoid therapy, including methylprednisolone pulse therapy and furosemide, ranged from 1 to 5 months excluding one patient (33 months). Although one patient received haemodialysis, renal insufficiency was resolved from 10 to 18 days after its onset. Glucocorticoid therapy, including methylprednisolone pulse therapy and high dose furosemide in primary nephrotic children with acute renal insufficiency, induced calcification of the renal tubules.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Melbourne, Australia : Blackwell Science Pty
    International journal of urology 12 (2005), S. 0 
    ISSN: 1442-2042
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Abstract  Xanthogranulomatous pyelonephritis (XGP), a morphological and clinical variant of chronic pyelonephritis, is an uncommon disease in children. It is characterized by the destruction of the renal parenchyma and replacement by granulomatous tissue containing foamy lipid-laden macrophages and is classified into diffuse and focal XGP. We present a case of diffuse XGP in a child with myotonic dystrophy complicated by cerebral palsy and discuss the importance of correct diagnosis and preoperative management to reduce inflammation and improve malnutrition associated with the disease.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1437-7799
    Keywords: epidural lipomatosis ; epidural fat ; glucocorticoids ; nephretic syndrome ; magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background This study was designed to investigate whether steroid-induced epidural lipomatosis or an increase in epidural fat developed, and whether there was a difference in the amount of epidural fat in the epidural area, in steroid-sensitive children with nephrotic syndrome who were treated with prednisone. Methods Magnetic resonance imaging (MRI) from the cervical area to the lumbosacral area was performed in 8 steroid-sensitive patients with nephrosis (aged 7 to 10 years, 4 boys and 4 girls) at intervals of 2 to 4 weeks, and at 2 to 3 months, after starting prednisone treatment. A final MRI was performed at 7 to 11 months after the start of treatment, which was 2 to 6 months after the withdrawal of prednisone. The study was performed prospectively and consecutively. Results These 8 patients with nephrotic syndrome did not show any symptoms of steroid-induced epidural lipomatosis (i.e., back pain or paresthesia), but the mean amount of thoracic epidural fat in these patients 2 to 3 months after starting prednisone treatment showed a significant increase compared to that in 8 age-matched control patients. Conclusions It is not necessary to perform MRI in steroid-sensitive, nonrelapsing patients with nephrotic syndrome who are treated with prednisone for less than 1 year. However, it may be necessary to monitor the thoracic area by MRI in renal transplant recipients treated with prednisone over a prolonged period, or frequently relapsing nephrotic patients treated with frequent high doses of prednisone.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1435-5922
    Keywords: Key words: colorectal cancer ; tumor evolution ; genetic change
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1435-5922
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Diseases of the colon & rectum 43 (2000), S. 396-401 
    ISSN: 1530-0358
    Keywords: Colorectal carcinoma ; Cathepsin D ; Immunohistochemistry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: Although it has been suggested that cathepsin D, a lysosomal protease, is involved in tumor invasion and metastasis in human colorectal cancers, conflicting studies have also been reported recently. In addition, this issue has been only rarely studied in human colorectal tumors by use of immunohistochemical methods. The aim of the study presented here was to clarify not only the correlation between cathepsin D expression and tumor invasion or metastasis but also the correlation between the intracellular immunostaining pattern of cathepsin D and tumor invasion and metastasis in human colorectal tumors. METHODS: Thirty-four primary colorectal adenocarcinomas and 24 adenomas were immunostained by use of an anticathepsin D antibody. Both the incidence and the immunostaining patterns of cathepsin D were investigated in all tissue samples. RESULTS: Three different immunostaining patterns,i.e., supranuclear, basal, and diffuse, were observed in samples containing cathepsin D. Although the incidence of cathepsin D-positive carcinomas was not correlated with tumor progression, invasion, or metastasis, the immunostaining pattern was significantly correlated with lymphatic invasion. CONCLUSIONS: The results of this study suggest that abnormal cathepsin D immunostaining patterns (basal or diffuse) can be used to predict a potential for lymphatic invasion in colorectal carcinoma.
    Type of Medium: Electronic Resource
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