ABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Amyloidosis/complications , Nephrotic Syndrome/drug therapy , Colchicine/therapeutic use , Treatment Outcome , Familial Mediterranean Fever/complicationsABSTRACT
(AU) Describimos el caso de un varón joven, con un fracaso renal agudo anúrico severo e hiperpotasemia tóxica, relacionados con una rabdomiólisis tras una agresión física y que había pasado desapercibida en 2 visitas previas a Urgencias y, posteriormente, agravada por consumo de anfetaminas. Este caso ilustra la necesidad de considerar la posibilidad de una rabdomiólisis ante paciente con cualquier grado de daño muscular
Subject(s)
Humans , Hyperkalemia , RhabdomyolysisSubject(s)
Humans , Male , Middle Aged , Glomerulonephritis, Membranous/complications , Glomerulonephritis, Membranous/diagnosis , Glomerulonephritis, Membranous/drug therapy , Cholecystitis/complications , Cholecystitis , Glomerulonephritis, Membranous/physiopathology , Glomerulonephritis, Membranous , Postoperative Period , Magnetic Resonance ImagingSubject(s)
Humans , Male , Aged, 80 and over , Kidney Diseases/complications , Kidney Diseases/diagnosis , Kidney Diseases/therapy , Calcium/therapeutic use , Angioplasty/instrumentation , Angioplasty/methods , Angioplasty , Hypertension/complications , Hypertension/diagnosis , Hypercholesterolemia/complications , Hypercholesterolemia/diagnosis , Blood Protein Electrophoresis/methods , Blood Protein Electrophoresis , Neuromuscular Blocking Agents/therapeutic useABSTRACT
Introducción. La biopsia renal (BR) representa el patrón de oro para diagnosticar las enfermedades renales. En este trabajo analizamos si la indicación de BR y la histopatología en pacientes de 65 años o más es diferente respecto al resto de pacientes. Material y métodos. Estudio retrospectivo de 93 biopsias de riñón nativo realizadas en el Hospital General de Segovia en el periodo 20042008. La BR se realiza de forma percutánea con control ecográfico a tiempo real, usando agujas automáticas de 16G. Resultados. La edad media de los pacientes biopsiados fue de 56,89±19 (rango 1489), 57% varones. Se realizaron 39 BR en personas de ≥65 años. Globalmente el síndrome nefrótico es la indicación más frecuente de BR y la glomerulonefritis IgA la histología más común. En personas de ≥65 años, el fracaso renal agudo (FRA) es la indicación más habitual de BR siendo la GN extracapilar/vasculitis el diagnóstico más detectado. Al considerar la edad, no hay diferencias significativas en el número de glomérulos obtenidos por BR ni en el número de BR hechas a un mismo paciente. Conclusiones. En personas de 65 años o más, el FRA es la principal indicación de BR y la glomerulonefritis extracapilar/vasculitis el diagnóstico más frecuente(AU)
Background. Renal biopsy (RB) represents the gold standard for diagnosis of kidney diseases. In this paper we analyse whether the indication of RB and histopathology in patients 65 years or older is different from the other patients. Material and methods. Retrospective study of 93 native renal biopsies performed in the General Hospital of Segovia in the period 20042008. The RB was performed percutaneously under ultrasound guidance in real time, using a 16G automatic needle. Results. Mean age of biopsied patients was 56.89±19 (range 1489) , and 57% were males. A total of 39RB were performed on people aged 65 years or older. Overall, nephrotic syndrome (NS) is the most common indication of RB, and IgA glomerulonephritis the most common histology. In people ≥65 years, acute renal failure (ARF) is the most common indication for RB, and rapidly progressing (crescentic) glomerulonephritis/vasculitis the most detected the diagnosis. When taking age into account, no significant differences in the number of glomeruli obtained by RB or in the number of RB performed on the same patient. Conclusions. In people 65 years or older, ARF is the main indication of RB and crescentic glomerulonephritis/vasculitis the most frequent diagnosis(AU)
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Biopsy/instrumentation , Biopsy/methods , Nephrotic Syndrome/complications , Nephrotic Syndrome/epidemiology , Liver Failure, Acute/epidemiology , Glomerulonephritis, IGA/diagnosis , Glomerulonephritis, IGA/epidemiology , Biopsy/trends , Nephrotic Syndrome/physiopathology , Retrospective Studies , ComorbidityABSTRACT
BACKGROUND: Renal biopsy (RB) represents the gold standard for diagnosis of kidney diseases. In this paper we analyse whether the indication of RB and histopathology in patients 65 years or older is different from the other patients. MATERIAL AND METHODS: Retrospective study of 93 native renal biopsies performed in the General Hospital of Segovia in the period 2004-2008. The RB was performed percutaneously under ultrasound guidance in real time, using a 16G automatic needle. RESULTS: Mean age of biopsied patients was 56.89 ± 19 (range 14-89) , and 57% were males. A total of 39RB were performed on people aged 65 years or older. Overall, nephrotic syndrome (NS) is the most common indication of RB, and IgA glomerulonephritis the most common histology. In people ≥ 65 years, acute renal failure (ARF) is the most common indication for RB, and rapidly progressing (crescentic) glomerulonephritis/vasculitis the most detected the diagnosis. When taking age into account, no significant differences in the number of glomeruli obtained by RB or in the number of RB performed on the same patient. CONCLUSIONS: In people 65 years or older, ARF is the main indication of RB and crescentic glomerulonephritis/vasculitis the most frequent diagnosis.
