Rapidly progressive glomerulonephritis (GN) is one of the harrowingchallenges in nephrology. The condition is histologically characterizedby extracapillary proliferation with crescent formation. Mostcrescentic glomerulonephritides occur in systemic autoimmunediseases and require prompt immunosuppressive treatment. Occasionally,patients with crescentic GN may be diagnosed with an additionallife-threatening disease, namely malignant neoplasms. Immunosuppressivedrugs may promote such malignancies. However, some patientsare initially diagnosed with both diseases, suggesting a moreintimate relationship between crescentic glomerulonephritisand malignancies. We recently encountered a 68-year-old man, referred to us fromthe urology department because of an increasing serum creatinine.He had initially presented with intermittent haematuria a monthearlier. Cystoscopy revealed an exophytic bladder tumour thatwas resected. Histological examination (Figure 1)  相似文献   
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Characterization of the Cryptosporidium antigens from sporulated oocysts of Cryptosporidium parvum.   总被引:9,自引:7,他引:2       下载免费PDF全文
B J Luft  D Payne  D Woodmansee    C W Kim 《Infection and immunity》1987,55(10):2436-2441
The antigenic constituents of sporulated Cryptosporidium parvum oocyst antigens were characterized with antisera from mice immunized against C. parvum. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis followed by silver staining defined the major proteins. Six of seven lectins used recognized as many as 15 bands. The lectins concanavalin A, Dolichos biflorus, and wheat germ agglutinin showed strong activity against the same eight bands with molecular weights ranging from 72,000 to greater than 100,000. An enzyme-linked immunosorbent assay was used to detect antibody to C. parvum. Antibody binding was significantly decreased by heat and enzymatic treatment with trypsin, protease, and mixed glycosidases. C. parvum antigens were further defined by the reactivity of immune sera with a C. parvum sonicate preparation separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and electrophoretically transferred to nitrocellulose paper. Antisera from orally infected mice consistently recognized four antigens with molecular weights ranging from 72,000 to greater than 100,000. These antigens also bound concanavalin A. Treatment of the antigen preparation with mixed glycosidases reduced the reactivity of antisera with most antigens with molecular weights greater than 60,000. The data suggest that the antigenic composition of C. parvum is complex and that carbohydrates alone or in association with lipids or proteins may be important in the immune response to C. parvum.  相似文献   
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Serum ionic fluoride levels in haemodialysis and continuous ambulatory peritoneal dialysis patients   总被引:1,自引:1,他引:0  
al-Wakeel  JS; Mitwalli  AH; Huraib  S; al-Mohaya  S; Abu-Aisha  H; Chaudhary  AR; al-Majed  SA; Memon  N 《Nephrology, dialysis, transplantation》1997,12(7):1420-1424
High serum fluoride (F-) in patients with chronic renal failure (CRF) and end-stage renal disease (ESRD) is associated with risk of renal osteodystrophy and other bone changes. This study was done to determine F- in normal healthy controls and patients with ESRD on haemodialysis (HD) or peritoneal dialysis (PD). Seventeen healthy controls (12 males, 5 females) and 39 ESRD patients on dialysis (17 males, 22 females) were recruited in the study in a community with 47.4 +/- 3.28 microM/l (range 44-51 microM/l) of F- content in drinking water. Control subjects showed a mean serum F- concentration of 1.08 +/- 0.350 microM/l. Males in control group showed slightly higher F- levels (1.15 +/- 0.334, range 0.55-1.9 microM/l) than females (0.92 +/- 0.370, range 0.6-1.5 microM/l). Mean serum F- concentration did not correlate significantly with age and sex among control subjects, whereas such correlation was observed in patients with ESRD on dialysis. Mean serum F- concentration was significantly higher in patients on dialysis (2.67 +/- 1.09, range 0.8-5.2 microM/l) than normal controls. When grouped according to sex, the mean serum F- concentration in males (3.05 +/- 1.04, range 1.8-5.2 microM/l) was significantly higher than females (2.38 +/- 1.08, range 0.8-5.2 microM/l). When patients were grouped according to age, it was observed that F- concentration was significantly higher in patients with age groups 21-70 (2.86 +/- 1.05) than those with age group 13-20 years (1.42 +/- 0.531). Thus F- concentration correlated with age and sex, being higher in males and above 20 years. Despite appreciable clearance of F- (39-90%) across the peritoneum, patients on CAPD showed higher serum F- concentration than those on HD (3.1 +/- 1.97 vs 2.5 +/- 1.137 microM/l). Of the total 39 patients on dialysis 39% had their serum F- concentration above 3.0 microM/l, posing the risk of renal osteodystrophy.   相似文献   
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Pieces of the preeclampsia puzzle.   总被引:1,自引:0,他引:1  
Friedrich C Luft 《Nephrology, dialysis, transplantation》2003,18(11):2209-2210
Introduction Several interesting articles have been published recently thataddress novel mechanisms for preeclampsia. These mechanismsall involve circulating factors, a favourite topic for preeclampsiaresearchers. These factors may interfere with angiogenesis,engage angiotensin (Ang) II signalling, and directly impairendothelial function. VEGF, PlGF and sFlt1 Vascular endothelial growth factor (VEGF) must be very busyduring pregnancy. The growth factor’s receptor, fms-liketyrosine kinase 1 (Flt1), exists in two forms, namely a membrane-boundreceptor tyrosine kinase that transmits angiogenic signals anda soluble secreted ectodomain (sFlt1), which may capture VEGFand keep the growth factor from its active bound receptor. Maynardet al. [  相似文献   
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OBJECTIVE: Nocturnal enuresis is a common pediatric problem, the etiology of which is unclear. In recent years, various studies have been published stating that children with nocturnal enuresis exhibit growth and skeletal maturation retardation. METHODS: In this cross-sectional study, we included 27 patients (16 boys, 11 girls) between the ages of 6 and 14 years who had presented with primary nocturnal enuresis (PNE) complaints. We included in the evaluation 19 healthy subjects (12 boys, 7 girls), who were the siblings of the children with PNE, as the control group. RESULTS: The patients in both groups were similar in chronological age, bone age, height and weight, with no significant difference between groups (P>0.05). CONCLUSION: The two groups in our study consisted of the same genetic background. Thus, our results were found to be different from the previous studies. We have concluded that there is no direct relationship between enuresis nocturnal and skeletal maturation.  相似文献   
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Ohne ZusammenfassungAus dem Luftfahrtmedizinischen Forschungsinstitut des Reichsluftfahrtministeriums. Leiter: Prof.H. Strughold.Warum ich zuletzt am liebsten mit der Natur verkehre, ist, weil sie immer recht hat und der Irrtum bloss auf meiner Seite sein kann.Goethe  相似文献   
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