Subjects -> MEDICAL SCIENCES (Total: 8821 journals)
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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (159 journals)

UROLOGY, NEPHROLOGY AND ANDROLOGY (159 journals)                     

Showing 1 - 159 of 159 Journals sorted alphabetically
Acta Urológica Portuguesa     Open Access   (Followers: 1)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 1)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 11)
Advances in Urology     Open Access   (Followers: 13)
African Journal of Nephrology     Open Access  
African Journal of Urology     Open Access   (Followers: 7)
AJP Renal Physiology     Hybrid Journal   (Followers: 8)
Aktuelle Urologie     Hybrid Journal   (Followers: 4)
American Journal of Kidney Diseases     Hybrid Journal   (Followers: 42)
American Journal of Men's Health     Open Access   (Followers: 9)
American Journal of Nephrology     Full-text available via subscription   (Followers: 38)
Andrologia     Hybrid Journal   (Followers: 2)
Andrology     Hybrid Journal   (Followers: 4)
Andrology & Gynecology : Current Research     Hybrid Journal   (Followers: 4)
Andrology and Genital Surgery     Open Access   (Followers: 7)
Andrology-Open Access     Open Access  
Annales d'Urologie     Full-text available via subscription  
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arab Journal of Urology     Open Access   (Followers: 7)
Archives of Clinical Nephrology     Open Access   (Followers: 2)
Archivio Italiano di Urologia e Andrologia     Open Access   (Followers: 1)
Archivos Españoles de Urología     Open Access  
Asian Journal of Andrology     Open Access   (Followers: 1)
Asian Journal of Urology     Open Access   (Followers: 3)
Bangladesh Journal of Urology     Open Access   (Followers: 5)
BANTAO Journal     Open Access  
Basic and Clinical Andrology     Open Access  
BJU International     Hybrid Journal   (Followers: 34)
BJUI Compass     Open Access   (Followers: 2)
BMC Nephrology     Open Access   (Followers: 11)
BMC Urology     Open Access   (Followers: 14)
Canadian Journal of Kidney Health and Disease     Open Access   (Followers: 8)
Canadian Urological Association Journal     Open Access   (Followers: 2)
Cancer Urology     Open Access   (Followers: 2)
Cardiorenal Medicine     Full-text available via subscription   (Followers: 1)
Case Reports in Nephrology     Open Access   (Followers: 5)
Case Reports in Nephrology and Dialysis     Open Access   (Followers: 9)
Case Reports in Urology     Open Access   (Followers: 12)
Clinical and Experimental Nephrology     Hybrid Journal   (Followers: 4)
Clinical Journal of the American Society of Nephrology     Full-text available via subscription   (Followers: 22)
Clinical Kidney Journal     Open Access   (Followers: 4)
Clinical Medicine Insights : Urology     Open Access   (Followers: 3)
Clinical Nephrology     Full-text available via subscription   (Followers: 8)
Clinical Nephrology and Urology Science     Open Access   (Followers: 6)
Clinical Queries: Nephrology     Hybrid Journal   (Followers: 1)
Cuadernos de Cirugía     Open Access   (Followers: 3)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 10)
Current Opinion in Urology     Hybrid Journal   (Followers: 12)
Current Urology     Open Access   (Followers: 10)
Current Urology Reports     Hybrid Journal   (Followers: 5)
Der Nephrologe     Hybrid Journal  
Der Urologe     Hybrid Journal   (Followers: 1)
Diabetic Nephropathy     Open Access   (Followers: 1)
EMC - Urología     Full-text available via subscription  
Enfermería Nefrológica     Open Access   (Followers: 1)
European Urology     Full-text available via subscription   (Followers: 33)
European Urology Focus     Hybrid Journal   (Followers: 5)
European Urology Oncology     Hybrid Journal   (Followers: 1)
European Urology Open Science     Open Access   (Followers: 10)
Forum Nefrologiczne     Full-text available via subscription  
Geriatric Nephrology and Urology     Hybrid Journal   (Followers: 7)
Giornale di Clinica Nefrologica e Dialisi     Open Access  
Herald Urology     Open Access   (Followers: 2)
Hong Kong Journal of Nephrology     Open Access   (Followers: 3)
Human Andrology     Partially Free   (Followers: 2)
IJU Case Reports     Open Access  
Indian Journal of Nephrology     Open Access   (Followers: 2)
Indian Journal of Urology     Open Access   (Followers: 5)
International Brazilian Journal of Urology     Open Access   (Followers: 5)
International Journal of Nephrology     Open Access   (Followers: 2)
International Journal of Nephrology and Renovascular Disease     Open Access   (Followers: 2)
International Journal of Urology     Hybrid Journal   (Followers: 12)
International Urology and Nephrology     Hybrid Journal   (Followers: 7)
Jornal Brasileiro de Nefrologia     Open Access  
Journal für Urologie und Urogynäkologie/Österreich     Hybrid Journal  
Journal of Clinical Nephrology     Open Access   (Followers: 2)
Journal of Clinical Urology     Hybrid Journal   (Followers: 14)
Journal of Endoluminal Endourology     Open Access  
Journal of Endourology     Hybrid Journal   (Followers: 2)
Journal of Endourology Case Reports     Hybrid Journal  
Journal of Genital System & Disorders     Hybrid Journal   (Followers: 3)
Journal of Integrative Nephrology and Andrology     Open Access   (Followers: 2)
Journal of Kidney Cancer and VHL     Open Access  
Journal of Lower Genital Tract Disease     Hybrid Journal  
Journal of Nephrology     Hybrid Journal   (Followers: 4)
Journal of Nephrology Research     Open Access   (Followers: 3)
Journal of Pediatric Nephrology     Open Access   (Followers: 5)
Journal of Renal Care     Hybrid Journal   (Followers: 8)
Journal of Renal Nursing     Full-text available via subscription   (Followers: 12)
Journal of Renal Nutrition     Hybrid Journal   (Followers: 28)
Journal of Renal Nutrition and Metabolism     Open Access   (Followers: 1)
Journal of the American Society of Nephrology     Full-text available via subscription   (Followers: 31)
Journal of The Egyptian Society of Nephrology and Transplantation     Open Access  
Journal of Translational Neurosciences     Open Access  
Journal of Urology     Full-text available via subscription   (Followers: 46)
Journal of Urology & Nephrology     Open Access   (Followers: 2)
Kidney Disease and Transplantation     Open Access   (Followers: 4)
Kidney Diseases     Open Access   (Followers: 3)
Kidney International     Hybrid Journal   (Followers: 46)
Kidney International Reports     Open Access   (Followers: 3)
Kidney Medicine     Open Access  
Kidney Research Journal     Open Access   (Followers: 6)
Kidneys (Počki)     Open Access   (Followers: 1)
Nature Reviews Nephrology     Full-text available via subscription   (Followers: 22)
Nature Reviews Urology     Full-text available via subscription   (Followers: 13)
Nefrología (English Edition)     Open Access  
Nefrología (Madrid)     Open Access  
Nephro-Urology Monthly     Open Access   (Followers: 1)
Nephrology     Hybrid Journal   (Followers: 13)
Nephrology Dialysis Transplantation     Hybrid Journal   (Followers: 27)
Nephron     Hybrid Journal   (Followers: 4)
Nephron Clinical Practice     Full-text available via subscription   (Followers: 4)
Nephron Experimental Nephrology     Full-text available via subscription   (Followers: 4)
Nephron Extra     Open Access   (Followers: 1)
Nephron Physiology     Full-text available via subscription   (Followers: 4)
Neurourology and Urodynamics     Hybrid Journal   (Followers: 1)
OA Nephrology     Open Access   (Followers: 2)
Open Access Journal of Urology     Open Access   (Followers: 6)
Open Journal of Nephrology     Open Access   (Followers: 5)
Open Journal of Urology     Open Access   (Followers: 6)
Open Urology & Nephrology Journal     Open Access  
Pediatric Urology Case Reports     Open Access   (Followers: 7)
Portuguese Journal of Nephrology & Hypertension     Open Access   (Followers: 1)
Progrès en Urologie     Full-text available via subscription  
Progrès en Urologie - FMC     Full-text available via subscription  
Prostate Cancer and Prostatic Diseases     Hybrid Journal   (Followers: 6)
Renal Failure     Open Access   (Followers: 12)
Renal Replacement Therapy     Open Access   (Followers: 4)
Research and Reports in Urology     Open Access   (Followers: 4)
Revista de Nefrología, Diálisis y Trasplante     Open Access   (Followers: 1)
Revista Mexicana de Urología     Open Access   (Followers: 1)
Revista Urologia Colombiana     Open Access  
Saudi Journal of Kidney Diseases and Transplantation     Open Access   (Followers: 2)
Scandinavian Journal of Urology     Hybrid Journal   (Followers: 7)
Seminars in Nephrology     Hybrid Journal   (Followers: 11)
The Prostate     Hybrid Journal   (Followers: 8)
Therapeutic Advances in Urology     Open Access   (Followers: 4)
Trends in Urology & Men's Health     Partially Free   (Followers: 1)
Ukrainian Journal of Nephrology and Dialysis     Open Access   (Followers: 1)
Uro-News     Hybrid Journal   (Followers: 1)
Urolithiasis     Hybrid Journal   (Followers: 2)
Urologia Internationalis     Full-text available via subscription   (Followers: 2)
Urologia Journal     Hybrid Journal  
Urologic Clinics of North America     Full-text available via subscription   (Followers: 4)
Urologic Nursing     Full-text available via subscription   (Followers: 4)
Urologic Radiology     Hybrid Journal  
Urological Science     Open Access  
Urologicheskie Vedomosti     Open Access  
Urologie in der Praxis     Hybrid Journal  
Urologie Scan     Hybrid Journal  
Urology     Hybrid Journal   (Followers: 33)
Urology Annals     Open Access   (Followers: 4)
Urology Case Reports     Open Access   (Followers: 3)
Urology Practice     Full-text available via subscription   (Followers: 2)
Urology Times     Free   (Followers: 3)
Urology Video Journal     Open Access   (Followers: 1)
World Journal of Nephrology and Urology     Open Access   (Followers: 15)
World Journal of Urology     Hybrid Journal   (Followers: 11)

           

Similar Journals
Journal Cover
Indian Journal of Nephrology
Journal Prestige (SJR): 0.347
Citation Impact (citeScore): 1
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0971-4065 - ISSN (Online) 1998-3662
Published by Medknow Publishers Homepage  [419 journals]
  • Prof. Pratap S Avasthi (1935-2021)

    • Authors: RN Srivastava
      Abstract: RN Srivastava
      Indian Journal of Nephrology 2021 31(2):0-0

      Citation: Indian Journal of Nephrology 2021 31(2):0-0
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/0971-4065.313991
      Issue No: Vol. 31, No. 2 (2021)
       
  • Living well with kidney disease by patient and care-partner empowerment:
           Kidney health for everyone everywhere

    • Authors: Kamyar Kalantar-Zadeh, Philip Kam-Tao Li, Ekamol Tantisattamo, Latha Kumaraswami, Vassilios Liakopoulos, Siu-Fai Lui, Ifeoma Ulasi, Sharon Andreoli, Alessandro Balducci, Sophie Dupuis, Tess Harris, Anne Hradsky, Richard Knight, Sajay Kumar, Maggie Ng, Alice Poidevin, Gamal Saadi, Allison Tong, for the World Kidney Day Steering Committee
      Pages: 83 - 88
      Abstract: Kamyar Kalantar-Zadeh, Philip Kam-Tao Li, Ekamol Tantisattamo, Latha Kumaraswami, Vassilios Liakopoulos, Siu-Fai Lui, Ifeoma Ulasi, Sharon Andreoli, Alessandro Balducci, Sophie Dupuis, Tess Harris, Anne Hradsky, Richard Knight, Sajay Kumar, Maggie Ng, Alice Poidevin, Gamal Saadi, Allison Tong, for the World Kidney Day Steering Committee
      Indian Journal of Nephrology 2021 31(2):83-88
      Living with chronic kidney disease (CKD) is associated with hardships for patients and their care-partners. Empowering patients and their care-partners, including family members or friends involved in their care, may help minimize the burden and consequences of CKD-related symptoms to enable life participation. There is a need to broaden the focus on living well with kidney disease and re-engagement in life, including an emphasis on patients being in control. The World Kidney Day (WKD) Joint Steering Committee has declared 2021 the year of “Living Well with Kidney Disease” in an effort to increase education and awareness on the important goal of patient empowerment and life participation. This calls for the development and implementation of validated patient-reported outcome measures to assess and address areas of life participation in routine care. It could be supported by regulatory agencies as a metric for quality care or to support labeling claims for medicines and devices. Funding agencies could establish targeted calls for research that address the priorities of patients. Patients with kidney disease and their care-partners should feel supported to live well through concerted efforts by kidney care communities including during pandemics. In the overall wellness program for kidney disease patients, the need for prevention should be reiterated. Early detection with a prolonged course of wellness despite kidney disease, after effective secondary and tertiary prevention programs, should be promoted. WKD 2021 continues to call for increased awareness of the importance of preventive measures throughout populations, professionals, and policy makers, applicable to both developed and developing countries.
      Citation: Indian Journal of Nephrology 2021 31(2):83-88
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_59_21
      Issue No: Vol. 31, No. 2 (2021)
       
  • NOTTO COVID-19 vaccine guidelines for transplant recipients

    • Authors: Vivek B Kute, Sanjay K Agarwal, Jai Prakash, Sandeep Guleria, Sunil Shroff, Ashish Sharma, Prem Varma, Narayan Prasad, Manisha Sahay, Subhash Gupta, S Sudhindran, Kewal Krishan, Vasanthi Ramesh, Sunil Kumar
      Pages: 89 - 91
      Abstract: Vivek B Kute, Sanjay K Agarwal, Jai Prakash, Sandeep Guleria, Sunil Shroff, Ashish Sharma, Prem Varma, Narayan Prasad, Manisha Sahay, Subhash Gupta, S Sudhindran, Kewal Krishan, Vasanthi Ramesh, Sunil Kumar
      Indian Journal of Nephrology 2021 31(2):89-91
      In December 2019, novel coronavirus (SARS-CoV-2) infection started in Wuhan and resulted in a pandemic within a few weeks' time. Organ transplant recipients being at a risk for more severe COVID-19 if they get SARS CoV-2 viral infection, COVID-19 vaccine has a significant role in these patients. The vaccine is a safer way to help build protection and would either prevent COVID-19 infection or at least diminish the severity of the disease. It would also reduce the risk of the continuing transmission and enhance herd immunity. Immuno-compromised patients should not receive live vaccines as they can cause vaccine-related disease and hence the guidelines suggest that all transplant recipients should receive age-appropriate 'inactivated vaccine' as recommended for general population. Though trials have not been undertaken on transplant recipients, efficacy and safety of COVID-19 vaccine have been scientifically documented for few vaccines among the general population.
      Citation: Indian Journal of Nephrology 2021 31(2):89-91
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_64_21
      Issue No: Vol. 31, No. 2 (2021)
       
  • From the president's pen

    • Authors: Chakko Korula Jacob
      Pages: 92 - 92
      Abstract: Chakko Korula Jacob
      Indian Journal of Nephrology 2021 31(2):92-92

      Citation: Indian Journal of Nephrology 2021 31(2):92-92
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_413_20
      Issue No: Vol. 31, No. 2 (2021)
       
  • C4d in Proliferative Glomerulonephritis

    • Authors: Geetika Singh
      Pages: 93 - 94
      Abstract: Geetika Singh
      Indian Journal of Nephrology 2021 31(2):93-94

      Citation: Indian Journal of Nephrology 2021 31(2):93-94
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_224_20
      Issue No: Vol. 31, No. 2 (2021)
       
  • Optimum Chain Length in Kidney Exchange Program and the Way Ahead

    • Authors: Vivek B Kute, Himanshu V Patel, Vineet V Mishra, Sanjay K Agarwal
      Pages: 95 - 96
      Abstract: Vivek B Kute, Himanshu V Patel, Vineet V Mishra, Sanjay K Agarwal
      Indian Journal of Nephrology 2021 31(2):95-96

      Citation: Indian Journal of Nephrology 2021 31(2):95-96
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_376_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • The nitty-gritties of Kt/Vurea calculations in hemodialysis and peritoneal
           dialysis

    • Authors: Brian Mark Churchill, Pallavi Patri
      Pages: 97 - 110
      Abstract: Brian Mark Churchill, Pallavi Patri
      Indian Journal of Nephrology 2021 31(2):97-110
      In advanced Chronic Kidney Disease, patients require renal replacement therapy (dialysis or transplantation) for clearance of toxins, electrolyte and acid-base balance and removal of excess fluid. Dialysis adequacy should be taken into consideration in the adjustment of the dialysis prescription. Kt/Vurea is one method of measuring dialysis adequacy that is commonly used in clinical practice. Different formulae for calculating Kt/V are available. The appropriate Kt/V formula to be used depends on the clinical scenario, as well as parameters such as gender and size of patient, frequency of dialysis, mode of dialysis (ie hemodialysis vs, peritoneal dialysis), inter-dialysis weight gain, clinical symptoms, complications (fluid overload, hyperkalemia, intolerance to dialysis, etc), and residual kidney function. Nutrition parameters including serum protein and albumin levels, vitamin B12 and β2-microglobulin levels should be factored into the assessment of dialysis adequacy. In this review, we have described how Kt/Vurea is calculated in hemodialysis and peritoneal dialysis with examples. We reviewed the available literature by searching for papers related to calculating Kt/Vurea, single pool Kt/V, double pool Kt/V, weekly Kt/V, standard Kt/V, surface area normalized Kt/V, and various equations commonly practiced in clinical practice. We found several original articles, some review articles along with detailed information from manufacturers of different dialyzers published on their websites or as package inserts. Understanding the different equations available for calculating Kt/Vurea and the application of these results in the clinical setting is important for refining patient care and for designing clinical studies.
      Citation: Indian Journal of Nephrology 2021 31(2):97-110
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_245_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • A novel glomerular C4d scoring system: A tool to prognosticate
           proliferative exudative pattern of glomerular injury

    • Authors: Shubada Bansode, Swarnalata Gowrishankar
      Pages: 111 - 115
      Abstract: Shubada Bansode, Swarnalata Gowrishankar
      Indian Journal of Nephrology 2021 31(2):111-115
      Aim: Proliferative exudative pattern of glomerular injury is usually a manifestation of an infection related or a post-infectious glomerulonephritis (PIGN). Rarely, it may represent a C3 glomerulopathy, which is a dysfunction of the alternative pathway of complement activation, and is then termed an atypical PIGN (aPIGN). C4d deposits in the glomerulus are footprints of the classical and/or lectin pathway of complement activation and hence is expected to be positive in immune-mediated glomerulonephritis (GN) like classical infection-related GN, and could be used to differentiate classical PIGN from atypical PIGN. Materials and Methods: We report a novel C4d scoring system based on the intensity and the proportion of glomerular tuft staining, in a series of 104 biopsies with the proliferative exudative pattern of glomerular injury. Using a statistically derived cut-off score of 1.45, the cases were divided into C4d positive and C4d negative groups and compared to IF findings and the follow-up, available in 36 cases. Results: The C4d positive group had a significantly greater proportion of cases with immune complexes compared to the group with C3 deposits alone. In the follow-up, C4d negative group had also a greater number with partial/incomplete response compared to the C4d positive group. Conclusions: We recommend that the C4d stain be done in all cases with a proliferative exudative pattern of glomerular injury to identify patients who would need a close follow up and further assays of complement function.
      Citation: Indian Journal of Nephrology 2021 31(2):111-115
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_284_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Remote ischemic preconditioning for prevention of contrast-induced acute
           kidney injury in patients of CKD stage III and IV undergoing elective
           coronary angiography: A randomized controlled trial

    • Authors: Raju Sahu, Dipankar Sircar, Saroj Mondal, Koushik Bhattacharjee, Debabrata Sen, Arpita Raychoudhury, Rajendra Pandey
      Pages: 116 - 123
      Abstract: Raju Sahu, Dipankar Sircar, Saroj Mondal, Koushik Bhattacharjee, Debabrata Sen, Arpita Raychoudhury, Rajendra Pandey
      Indian Journal of Nephrology 2021 31(2):116-123
      Introduction: Contrast-induced acute kidney injury (CI-AKI) is a serious complication of coronary angiography (CA). The aim of this randomized, parallel group, single blind, sham-controlled trial was to assess the safety and efficacy of the remote ischemic preconditioning on the prevention of CI-AKI. Methods: Patients of 18–80 years of age with CKD 3 and 4, who were admitted for elective coronary angiography in a tertiary care hospital in eastern India were randomized in a 1:1 ratio to standard care with ischemic preconditioning (n = 45; intermittent arm ischemia through 4 cycles of 5-min inflation and 5-min deflation of a blood pressure cuff) or with standard care and sham ischemic preconditioning (n = 42). Overall, both study groups were at moderate risk of developing CI-AKI according to the Mehran risk score. The primary endpoint was the incidence of CI-AKI, defined as an increase in serum creatinine ≥25' or ≥0.5 mg/dL above baseline at 48 h after contrast medium exposure. Results: CI-AKI occurred in 8 patients (19.04') in the control group and 2 (4.4') in the remote ischemic preconditioning group (odds ratio, 0.198, 95' confidence interval, 0.087 to 0.452; P = 0.04). No major adverse events were related to remote ischemic preconditioning. Conclusions: This study indicates that remote ischemic preconditioning is a simple and well-tolerated procedure, which reduces the incidence of CI-AKI in CKD 3 and 4 patients undergoing coronary angiography.
      Citation: Indian Journal of Nephrology 2021 31(2):116-123
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_416_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Peritoneal dialysis catheter insertion by nephrologist using
           minilaparotomy: Do survival and complications vary in obese?

    • Authors: Pavitra Manu Dogra, Ranjith K Nair, Amit Katyal, G Shanmugraj, Ashok K Hooda, Anantharam Jairam, Satish Mendonca, Parikshit Singh Chauhan
      Pages: 124 - 129
      Abstract: Pavitra Manu Dogra, Ranjith K Nair, Amit Katyal, G Shanmugraj, Ashok K Hooda, Anantharam Jairam, Satish Mendonca, Parikshit Singh Chauhan
      Indian Journal of Nephrology 2021 31(2):124-129
      Introduction: Peritoneal dialysis catheter (PDC) placement for chronic kidney disease (CKD) amongst overweight and obese patients is difficult owing to deeper operating field. Literature being discordant on survival and complications in this patient subset, we attempted to analyse this research question in Indian population. Materials and Methods: We retrospectively analysed PDC inserted by nephrologist using surgical minilaparotomy for survivals and complications amongst 'overweight and obese' cohort ('O') at two tertiary care government hospitals in India, and compared results with normo-weight cohort ('N'), with 12−36 months follow-up. Results: 245 PDCs were inserted by surgical minilaparotomy and 'N' to 'O' ratio was 169:76. 'O' group were more rural residing (P = 0.003) and post-abdominal surgery (P = 0.008) patients. The 1, 2, and 3-year death censored catheter survival rate was 98.6%, 95.8%, and 88.2% respectively in 'O' group, and 97.6%, 94.5% and 91.8% in 'N' group respectively (P = 0.52). Patient survival (P = 0.63), mechanical complications (P = 0.09) and infective complications (P = 0.93) were comparable despite technically challenging surgery in 'O' group. Refractory peritonitis related PDC removal was comparable (P = 0.54). Prior haemodialysis or catheter related blood stream infections or diabetes were non-contributory to results. Conclusions: Catheter survival and patient survival amongst obese and overweight CAPD patients was non-inferior to normal weight patients. Mechanical, and infective complications were comparable despite technically challenging abdominal terrain in 'O' group. The overall CAPD performance was good amongst obese and overweight.
      Citation: Indian Journal of Nephrology 2021 31(2):124-129
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_341_20
      Issue No: Vol. 31, No. 2 (2021)
       
  • Comparative Assessment of Peritoneal Membrane Characteristics in Patients
           on Continuous Ambulatory Peritoneal Dialysis Using Standard Peritoneal
           Equilibration Test and Fast Peritoneal Equilibration Test

    • Authors: Aman Gupta, Pradeep Deshpande, G Sridhar, J Ramashankar
      Pages: 130 - 134
      Abstract: Aman Gupta, Pradeep Deshpande, G Sridhar, J Ramashankar
      Indian Journal of Nephrology 2021 31(2):130-134
      Background: Evaluation of peritoneal membrane permeability in patients on continuous ambulatory peritoneal dialysis (CAPD) is crucial in prescribing treatment regimens. This study evaluated peritoneal membrane characteristics in patients on CAPD using standard peritoneal equilibration test (PET) and fast PET. Methods: A prospective observational longitudinal study included patients on CAPD with no symptoms of peritonitis for at least 4 weeks before the PET. Both, standard and fast PET were performed using 2.5% glucose-containing dialysate. The dialysate and plasma (D/P) creatinine ratios at each time point (i.e., 0 h, 2nd h, and 4th h) in standard and at 4th hour only in fast PET were determined. Patients were classified according to D/P creatinine value as high, high-average, low-average, low transporter. The follow-up period was 6 months and changes in membrane characteristics were compared again to revalidate the efficacy of fast PET. Results: A total of 50 patients between 41 and 70 years of age were enrolled. The majority had diabetic nephropathy (40%) and chronic glomerulonephritis (28%). Based on transport type, a significant positive correlation was observed between the D/P creatinine ratio of baseline standard PET I and fast PET I (r = 0.992, P ≤ 0.05) and standard PET II and fast PET II (r = 0.969, P ≤ 0.05) done after 6 months. The results of the PET and transport category after 6 months were similar in 82% cases determined by fast PET and 98% cases determined by the standard pet. There was significant agreement between both the methods of PET (K value = 0.872, P < 0.001). A significant (P ≤ 0.001) correlation was observed between standard PET I and standard PET II transport status. Conclusion: Fast PET is a good alternative for assessing peritoneal membrane characteristics especially in the setting of less availability of resources and is a less cumbersome procedure as compared to standard PET.
      Citation: Indian Journal of Nephrology 2021 31(2):130-134
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_386_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Delayed gastric emptying among Indian patients with non-diabetic chronic
           kidney disease

    • Authors: Madapathi Sampath Kumar, Kolar Vishwanath Vinod, Nandini Pandit, Vivek Kumar Sharma, Halanaik Dhanapathi, Sreejith Parameswaran
      Pages: 135 - 141
      Abstract: Madapathi Sampath Kumar, Kolar Vishwanath Vinod, Nandini Pandit, Vivek Kumar Sharma, Halanaik Dhanapathi, Sreejith Parameswaran
      Indian Journal of Nephrology 2021 31(2):135-141
      Introduction: Upper gastrointestinal symptoms such as nausea, vomiting, abdominal bloating, and poor appetite are more frequent among chronic kidney disease (CKD) patients and may contribute to poor nutritional intake and malnutrition. Delayed gastric emptying (GE), one of the important contributors to these symptoms, has not been evaluated systematically in different stages of non-diabetic CKD, among Indian patients. Materials and Methods: This hospital-based, cross-sectional analytical study aimed to find out the frequency of delayed GE in non-diabetic CKD (stages: 3,4,5) patients and also to study the correlation between delayed GE and symptoms of gastroparesis, autonomic neuropathy and nutritional parameters. Patients were subjected to evaluation of symptoms of gastroparesis by standardized questionnaire (gastroparesis cardinal symptom index), nutritional status (by anthropometric measures and serum albumin), autonomic function by heart rate variability (HRV) and GE by gastric scintigraphy with a standardized solid rice idli (savory cake) meal labeled with technetium-99m sulfur colloid. Results: Of the 89 non-diabetic CKD (stages-3,4,5) patients evaluated, 22 (≈25%) had delayed GE and 8 (≈9%) rapid GE. Prevalence of delayed GE was higher among stage 5 (15/49, 31%) compared to stages 3 and 4 (7/40, 17.5%), though the difference was statistically insignificant. There was no association between delayed GE and symptoms of gastroparesis and autonomic neuropathy. Though not statistically significant, nutritional parameters (body mass index, skinfold thickness, and serum albumin) were poorer in the delayed GE group compared to the rest. Conclusion: Delayed GE, irrespective of symptoms, may contribute to malnutrition and hence should be looked for in non-diabetic CKD patients with unexplained malnutrition.
      Citation: Indian Journal of Nephrology 2021 31(2):135-141
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_331_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • A study of association of urinary nephrin with albuminuria in patients
           with diabetic nephropathy

    • Authors: Kishore Kondapi, N Lakshmana Kumar, Swathi Moorthy, Santhi Silambanan
      Pages: 142 - 148
      Abstract: Kishore Kondapi, N Lakshmana Kumar, Swathi Moorthy, Santhi Silambanan
      Indian Journal of Nephrology 2021 31(2):142-148
      Background and Aims: Diabetes mellitus and its complications are associated with high mortality and morbidity. Early detection is mandatory to improve quality of life years in patients with diabetic nephropathy. Hyperglycaemia disrupts podocytes, both structurally and functionally, leading to excretion of nephrin which is present in the glomerular filtration barrier. This study was undertaken to find out whether urinary nephrin is a better indicator of podocyte injury than albuminuria in patients with diabetic nephropathy. Methods: The study included 125 type 2 diabetes mellitus patients as cases categorized into three groups, depending upon albumin excretion. Age and sex matched 45 individuals without diabetes mellitus were chosen as the control group. The study protocol was approved by Institutional Ethics committee. Microalbumin was estimated by immunoturbidometry and urinary nephrin by ELISA. ANOVA and Tukey post-hoc tests were done to compare the data between the groups. Correlation studies were done. Odds ratio for nephrin was calculated. P value less than 0.05 was considered statistically significant. The statistical analyses were performed with SPSS software version 13.0. Results: The urinary nephrin was found to be proportionately increased from normoalbuminuria to macroalbuminuria and it was statistically significant, with sensitivity of 92.5% and specificity of 76.7%, the cut-off value of urinary nephrin was 97.5ng/mL. Conclusion: Albuminuria has been used as an independent predictor of diabetic nephropathy. The statistical significant difference between the groups inferred that urinary nephrin excretion increased even in the stage of normoalbuminuria. Nephrin expression and its phosphorylation get altered by hyperglycaemia, contributing to renal damage. Nephrin was found to be a sensitive marker of early kidney dysfunction in diabetic patients.
      Citation: Indian Journal of Nephrology 2021 31(2):142-148
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_305_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • The Effect of Synbiotic and Probiotic Supplementation on Mental Health
           Parameters in Patients Undergoing Hemodialysis: A Double-blind,
           Randomized, Placebo-controlled Trial

    • Authors: Neda Haghighat, Majid Mohammadshahi, Shokouh Shayanpour, Mohammad Hossein Haghighizadeh, Samaneh Rahmdel, Majdadin Rajaei
      Pages: 149 - 156
      Abstract: Neda Haghighat, Majid Mohammadshahi, Shokouh Shayanpour, Mohammad Hossein Haghighizadeh, Samaneh Rahmdel, Majdadin Rajaei
      Indian Journal of Nephrology 2021 31(2):149-156
      Introduction: The purpose of this double-blind clinical trial, was to examine the effect of supplementation with the synbiotic and probiotic on the mental health, quality of life, and anemia in HD patients. Methods: Seventy-five HD patients were randomly assigned to receive the synbiotic (n = 23) as 15 g of prebiotics, 5 g of probiotic powder containing Lactobacillus acidophilus, Bifidobacterium bifidum, Bifidobacterium lactis, and Bifidobacterium longum (2.7 × 107 CFU/g each); probiotics (n = 23) as 5 g probiotics similar to the synbiotic group with 15 g of maltodextrin as placebo; and placebo (n = 19) as 20 g of maltodextrin. Serum hemoglobin (Hb) and albumin (Alb) were measured. Beck depression and anxiety index (BDI/BAI) was used to assess symptoms of depression and anxiety. The health-related quality of life (HRQoL) was assessed using the questionnaire SF-36. Results: From baseline to 12 weeks, synbiotic and probiotic supplementation resulted in a significant decrease in BDI and BAI score in comparison to the placebo (P < 0.05). Between and intergroup comparison showed no significant changes between the groups in terms of HRQoL. However, the serum Hb level increased significantly in the synbiotic and probiotic group compared to the placebo group (P < 0.001). Conclusion: Overall, 12 weeks of synbiotic and probiotic supplementation resulted in an improvement in mental health and anemia compared with the placebo, whereas they failed to enhance the quality of life in HD patients.
      Citation: Indian Journal of Nephrology 2021 31(2):149-156
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_341_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Etiological spectrum and clinical features in 215 patients of crescentic
           glomerulonephritis: Is it different in India?

    • Authors: Anubha Gupta, Vinita Agrawal, Anupma Kaul, Ritu Verma, Manoj Jain, Narayan Prasad, Rakesh Pandey
      Pages: 157 - 162
      Abstract: Anubha Gupta, Vinita Agrawal, Anupma Kaul, Ritu Verma, Manoj Jain, Narayan Prasad, Rakesh Pandey
      Indian Journal of Nephrology 2021 31(2):157-162
      Introduction: Crescentic glomerulonephritis (CrGN) characterized by the presence of crescents in most (=50%) glomeruli on renal histology clinically presents as rapidly progressive renal failure. It can occur due to diverse etiologies with varying course and renal outcomes. We studied the prognostic significance of its classification as pauci-immune, anti-GBM, and immune-complex mediated CrGN. Materials and Methods: Renal biopsies diagnosed as CrGN over 9 years were included. Clinical, biochemical, serological, and histological features of various classes of CrGN were correlated with renal outcome. Results: 215 biopsies were diagnosed as CrGN during this period. A majority (63%) were immune-complex mediated while 32% were pauci-immune, followed by anti-GBM disease (5%). 85.5% of pauci-immune CrGN were ANCA associated. The levels of proteinuria and serum creatinine were significantly higher in anti-GBM CrGN as compared to the other two classes. The various histological features including Bowman's capsule rupture, peri-glomerular granulomatous reaction, fibrinoid necrosis, and vasculitis were more common in anti-GBM disease and pauci-immune CrGN. The median renal survival was 6.3, 5.3, 2.1 months in immune-complex mediated, pauci-immune, and anti-GBM CrGN, respectively. Conclusion: Immune-complex mediated is the commonest etiology of CrGN in India. Anti-GBM disease has the worst prognosis followed by pauci-immune and immune-complex mediated CrGN. Raised serum creatinine levels (>5mg%) and the degree of glomerulosclerosis at diagnosis were predictors of poor renal survival. High index of suspicion and prompt diagnosis can improve the outcome in these patients.
      Citation: Indian Journal of Nephrology 2021 31(2):157-162
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_237_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Relation between vitamin d level and cyclin-dependent kinase-1 gene
           expression in egyptian patients with lupus nephritis and their impact on
           disease activity

    • Authors: Eman M. A. Osman, Salma Y Abu El Nazar, Dalia A Maharem, Dhargam M Al-Jebouri, Iman S Naga
      Pages: 163 - 168
      Abstract: Eman M. A. Osman, Salma Y Abu El Nazar, Dalia A Maharem, Dhargam M Al-Jebouri, Iman S Naga
      Indian Journal of Nephrology 2021 31(2):163-168
      Introduction: Lupus nephritis (LN) is a common complication of systemic lupus erythematosus. Vitamin D and cycline-dependent kinase-1 (CDK1) have been implicated in its pathogenesis. The aim of this study was to determine the relation between vitamin D level and CDK-1 in lupus nephritis patients and their impact on disease activity. Patients and Methods: The current study was conducted on 50 LN patients and 20 control subjects from Egyptian population using ELISA to assess vitamin D level in serum and TaqMan assay for CDK1 gene expression. Results: Serum vitamin D level was significantly lower in LN patients and CDK-1 gene was down expressed in the majority of LN patients. A significant inverse correlation was found between vitamin D level and 24 h protein in urine, ANA, anti-dsDNA, CRP, with a significant positive correlation with renal biopsy indices, eGFR. There was a non-significant inverse correlation between vitamin D and CDK-1 (before RO-3306 addition) and a positive correlation after RO-3306. A significant positive correlation was found between CDK-1 gene expressions with urinary albumin/creatinine ratio. However, a significant positive correlation was found between CDK-1 (after RO-3306 addition) and proteinuria. While a significant positive correlation was found between CDK-1 expression (after RO-3306 addition) and ANA, a significant positive correlation was found between CDK-1 expression (before RO-3306 addition) and anti-dsDNA but CDK-1 is not associated with renal biopsy indices nor with activity indices of SLE. There was a positive correlation between CDK-1 gene expression and CRP before and after RO-3306 addition. Conclusions: Vitamin D deficiency acts as a risk factor for developing LN. CDK-1 may have an association with the diagnosis of LN but its association with the progression of staging of LN is still confusing
      Citation: Indian Journal of Nephrology 2021 31(2):163-168
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_359_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • First successful three-way kidney exchange transplantation in North India

    • Authors: Irfan Ahmad, Sanjiv Saxena, Ravi Bansal, Rajesh Goel, Prit P Singh, Jagdeep Balyan, Amit S Malhotra, Bhaskar Borah
      Pages: 169 - 172
      Abstract: Irfan Ahmad, Sanjiv Saxena, Ravi Bansal, Rajesh Goel, Prit P Singh, Jagdeep Balyan, Amit S Malhotra, Bhaskar Borah
      Indian Journal of Nephrology 2021 31(2):169-172
      Kidney paired donation is the most cost-effective approach in incompatible donor-recipient pairs. Incompatibility may be due to blood group, human leucocyte antigen crossmatch or both. In many cases of a living donor kidney transplant, there is only one potential donor who becomes unsuitable due to any of the above mentioned factors. In kidney paired donation, donor-recipient pairs are exchanged to sort out the incompatibility. We report our first successful three-way kidney exchange transplantation from North India. As deceased donor program is still in evolving stage in most parts of our country and transplant with desensitization protocol is associated with financial constraints, infections, and lack of availability in many centers, kidney paired donation is a valuable approach to expand the donor pool.
      Citation: Indian Journal of Nephrology 2021 31(2):169-172
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_116_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • First reported case of rhabdomyolysis associated with concomitant use of
           cyclosporin, diltiazem, and simvastatin

    • Authors: Kar Wah Fuah, Christopher Lim
      Pages: 173 - 175
      Abstract: Kar Wah Fuah, Christopher Lim
      Indian Journal of Nephrology 2021 31(2):173-175
      Rhabdomyolysis is a syndrome with a wide range of symptoms ranging from asymptomatic raised serum creatinine kinase to life-threatening metabolic disturbances and acute kidney injury. A careful history taking and high clinical suspicion on drug-drug interaction are crucial to identify the etiology of rhabdomyolysis. Here, we present a case of rhabdomyolysis due to a rare drug-to-drug interaction of simvastatin, diltiazem, and cyclosporin in a patient with IgA nephropathy. Early renal replacement therapy was initiated, and the insulting agents were withheld. Despite the metabolic disturbances were corrected, the patient succumbed to possible venous thromboembolism event during the prolonged hospital stay. Therefore, heightened awareness is required in dealing with patients with glomerulonephritis who are frequently prescribed on polypharmacy, in order to reduce unwarranted adverse events.
      Citation: Indian Journal of Nephrology 2021 31(2):173-175
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_5_20
      Issue No: Vol. 31, No. 2 (2021)
       
  • Plasmablastic Lymphoma Involving Kidney in an HIV Positive Patient: A Case
           Report with Review of the Literature

    • Authors: Sulav Sapkota, Mona Priyadarshini, Diganta Hazarika, Shivakumar Swamy, Radheshyam Naik
      Pages: 176 - 178
      Abstract: Sulav Sapkota, Mona Priyadarshini, Diganta Hazarika, Shivakumar Swamy, Radheshyam Naik
      Indian Journal of Nephrology 2021 31(2):176-178
      Plasmablastic lymphoma (PBL) is an aggressive lymphoma commonly associated with HIV infection. It most commonly presents in the oral cavity and rarely involves the kidney. Herein, we report a case of HIV positive male with renal involvement of PBL. The patient presented with unilateral severe hydronephrosis with unaltered renal functions. Despite aggressive management, there was an early relapse and the patient died within 2 years of the diagnosis. Despite the recent advances in the therapy of HIV-associated aggressive lymphomas, patients with PBL have a poor prognosis. Multimodal treatment with chemotherapy, newer targeted and biological agents, along with hematopoietic stem cell transplantation is essential for the treatment of PBL.
      Citation: Indian Journal of Nephrology 2021 31(2):176-178
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_277_18
      Issue No: Vol. 31, No. 2 (2021)
       
  • Nephrotic Syndrome with Central Retinal Artery Occlusion: A Unique
           Presentation

    • Authors: Anika Agrawal, Shipra Agrwal, Mukta Mantan, Vineeta Vijay Batra
      Pages: 179 - 181
      Abstract: Anika Agrawal, Shipra Agrwal, Mukta Mantan, Vineeta Vijay Batra
      Indian Journal of Nephrology 2021 31(2):179-181
      Childhood nephrotic syndrome is associated with significant morbidity because of recurrent relapses, infections, and episodes of thromboembolism. Thromboembolism in nephrotic syndrome may involve any major blood vessel. Timely recognition of symptoms and early initiation of anticoagulation therapy are important to avoid end-organ damage. We present here a case of a child with steroid-resistant nephrotic syndrome (SRNS) with bilateral central retinal artery occlusion (CRAO), whose vision improved with anticoagulation therapy.
      Citation: Indian Journal of Nephrology 2021 31(2):179-181
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_367_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Novel mutations in the DGKE gene in two indian patients with early-onset
           atypical haemolytic uraemic syndrome

    • Authors: Jyoti Sharma, Valentine Lobo, Jyoti Singhal, Siddharth Anand, Sandeep Kadam, Shatakshi Ranade, Priyanka Gangodkar, Karthik Ganesan, Nikhil Phadke, Meenal Agarwal
      Pages: 182 - 186
      Abstract: Jyoti Sharma, Valentine Lobo, Jyoti Singhal, Siddharth Anand, Sandeep Kadam, Shatakshi Ranade, Priyanka Gangodkar, Karthik Ganesan, Nikhil Phadke, Meenal Agarwal
      Indian Journal of Nephrology 2021 31(2):182-186
      Atypical haemolytic uremic syndrome (aHUS) is a clinically and genetically heterogeneous condition caused by a complex interplay between genomic susceptibility factors and environmental influences. Pathogenic variants in the DGKE gene are recently identified in cases with infantile-onset autosomal recessive aHUS. The presence of low serum C3 levels, however, has rarely been described in cases of DGKE-associated aHUS. Molecular genetic testing was performed by a commercial next-generation sequencing (NGS) panel as well and by an in-house developed targeted NGS for DGKE gene. Copy number variations (CNVs) were computed from NGS data by calculating a normalised copy number ratio of aligned number of reads at targeted genomic regions against multiple reference regions of the same sample and multiple controls. We report here two such novel clinically relevant variants (c.727_730delTTGT and c.251_259delGCGCCTTC) in the DGKE gene, in two families of infantile aHUS with low serum C3 levels.
      Citation: Indian Journal of Nephrology 2021 31(2):182-186
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_336_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Arterial thrombosis associated with factor V leiden mutation in a child
           with nephrotic syndrome

    • Pages: 187 - 189
      Abstract:
      Indian Journal of Nephrology 2021 31(2):187-189
      Thromboembolism remains a common complication of nephrotic syndrome (NS) in adults and a less common complication in children. Venous thrombosis is well recognized, but arterial thrombosis occurs less frequently and is seen primarily in children. We report a case of arterial thrombosis associated with factor V Leiden (FVL) mutation in a young girl with NS. Screening for inherited thrombophilias such as FVL mutation may be beneficial for NS patients with thromboembolic vascular events not explained by conventional risk factors.
      Citation: Indian Journal of Nephrology 2021 31(2):187-189
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_32_18
      Issue No: Vol. 31, No. 2 (2021)
       
  • Rosuvastatin-induced rhabdomyolysis: A case report

    • Authors: Ravindra Nikalji, Suvadeep Sen
      Pages: 190 - 193
      Abstract: Ravindra Nikalji, Suvadeep Sen
      Indian Journal of Nephrology 2021 31(2):190-193
      Rosuvastatin is a recently approved statin and used widely across the globe for primary and secondary prevention of atherosclerotic cardiovascular heart disease. It has the highest lipid-lowering property among all statins and relatively well tolerated. Rhabdomyolysis is a rare but potentially serious adverse effect. The present report highlights the case of a patient admitted with proximal myopathy with severe rhabdomyolysis and acute kidney injury associated with life-threatening hyperkalemia. The symptoms appeared within 1 month of starting rosuvastatin. He required temporary dialysis to overcome the crisis. His myopathy and kidney injury were completely reversible after a few months of stopping the drug. In this report, we have also discussed the various risk factors for developing myopathy with statins and the importance of strict pharmacovigilance, and a greater caution among physicians while using this drug.
      Citation: Indian Journal of Nephrology 2021 31(2):190-193
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_388_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Encapsulating peritoneal sclerosis after kidney transplantation: Success
           of medical treatment

    • Authors: Hanene Gaied, Mohamed Mongi Bacha, Fatima Jaziri, Mondher Ounissi, Raja Aoudia, Mouna Jerbi, Hafedh Hedri, Rim Goucha, Taieb Benabdallah
      Pages: 194 - 196
      Abstract: Hanene Gaied, Mohamed Mongi Bacha, Fatima Jaziri, Mondher Ounissi, Raja Aoudia, Mouna Jerbi, Hafedh Hedri, Rim Goucha, Taieb Benabdallah
      Indian Journal of Nephrology 2021 31(2):194-196
      Encapsulating peritoneal sclerosis (EPS) is an infrequent but serious complication of long-term peritoneal dialysis (PD). EPS may become clinically apparent when patients are on PD (classical EPS) or after undergoing kidney transplantation (post-transplantation EPS). This presentation of EPS seems to occur shortly after kidney transplantation in former PD patients. In this report, we present our experience in our first case of patient diagnosed with EPS after kidney transplantation.
      Citation: Indian Journal of Nephrology 2021 31(2):194-196
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_329_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • A rare genetic mutation in a stone former

    • Authors: T Yashwanth Raj, Periandavan Kalaiselvi, Pugazhendhi Kannan, Sujit Suren, M Edwin Fernando
      Pages: 197 - 200
      Abstract: T Yashwanth Raj, Periandavan Kalaiselvi, Pugazhendhi Kannan, Sujit Suren, M Edwin Fernando
      Indian Journal of Nephrology 2021 31(2):197-200
      A 30-year-old woman with history of passage of stones since childhood presented with oliguria and pedal edema for 10 days. She had hypertension with a creatinine of 4.1 mg/dL. Evaluation showed presence of bilateral multiple renal calculi with features of chronicity of kidney disease. Metabolic work-up for nephrolithiasis turned out to be negative and eventually renal biopsy revealed features of chronic interstitial nephritis with greenish brown refractile crystals in the tubular lumen and interstitium. The possibility of dihydroxy adenine crystalline nephropathy was considered. Spectrophotometry of RBC lysates revealed decreased activity of Adenine phosphoribosyl-transferase enzyme. Gene amplification by PCR and sequential analysis identified a missense mutation in exon 3 region of APRT gene in the patient and her family members. This case report highlights the need to contemplate the diagnosis of DHA crystalline nephropathy in young patients with nephrolithiasis and the identification of a rare genetic mutation, which is being reported for the first time in India.
      Citation: Indian Journal of Nephrology 2021 31(2):197-200
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_366_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Treatment of post-biopsy arteriovenous fistula of a renal graft by
           selective embolization

    • Authors: Lina M Serna-Higuita, Monica Zuluaga-Quintero, Jose M Hidalgo-Oviedo, Sergio Alvarez Vallejo, Arbey Aristizabal-Alzate, Gustavo A Zuluaga-Valencia, John F Nieto-R&#237;os
      Pages: 201 - 204
      Abstract: Lina M Serna-Higuita, Monica Zuluaga-Quintero, Jose M Hidalgo-Oviedo, Sergio Alvarez Vallejo, Arbey Aristizabal-Alzate, Gustavo A Zuluaga-Valencia, John F Nieto-Ríos
      Indian Journal of Nephrology 2021 31(2):201-204
      The development of an arteriovenous fistula (AVF) after renal graft biopsy is a rare complication, it is associated in most cases with spontaneous resolution. However, interventional therapies are required in some cases, to prevent graft loss. Selective embolization has been described as an alternative treatment. In the present study, we describes our experience on AVF after biopsy in kidney transplant patients, which was managed with selective embolization. From 2005 to 2015, a total of 452 kidney transplant biopsies were performed, 12 had an AVF requiring embolization. In 92% of cases, this was successful. Beforehand, mean serum creatinine levels were 2.45 mg/dL, after the procedure, that increased to 3.05, however, 3 months later, mean creatinine levels dropped to 1.85 mg/dL. Graft survival after 2 follow-up years was 72%. Our experience demonstrates that selective embolization of the AVF after kidney transplant biopsy is a safe procedure, and that transplant function can be maintained in patients with this complication.
      Citation: Indian Journal of Nephrology 2021 31(2):201-204
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_351_19
      Issue No: Vol. 31, No. 2 (2021)
       
  • Jugular Venous Catheter related Stenotrophomonas maltophilia Bacteremia

    • Authors: Jude James, Joel J Joseph, Stelvin Sebastian, Edwin Antony, Jobin K Vilapurathu
      Pages: 205 - 206
      Abstract: Jude James, Joel J Joseph, Stelvin Sebastian, Edwin Antony, Jobin K Vilapurathu
      Indian Journal of Nephrology 2021 31(2):205-206

      Citation: Indian Journal of Nephrology 2021 31(2):205-206
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_193_20
      Issue No: Vol. 31, No. 2 (2021)
       
  • Discolouration of plasma in therapeutic plasma exchange

    • Authors: S S Deepak Bala Kumar, Edwin M Fernando, ND Srinivasaprasad, K Thirumal Valavan, S Sujit
      Pages: 207 - 208
      Abstract: S S Deepak Bala Kumar, Edwin M Fernando, ND Srinivasaprasad, K Thirumal Valavan, S Sujit
      Indian Journal of Nephrology 2021 31(2):207-208

      Citation: Indian Journal of Nephrology 2021 31(2):207-208
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_223_20
      Issue No: Vol. 31, No. 2 (2021)
       
  • COVID-19 pandemic: A perspective from nephrology resident

    • Authors: Priti Meena, Abhishek Singh
      Pages: 209 - 210
      Abstract: Priti Meena, Abhishek Singh
      Indian Journal of Nephrology 2021 31(2):209-210

      Citation: Indian Journal of Nephrology 2021 31(2):209-210
      PubDate: Tue,20 Apr 2021
      DOI: 10.4103/ijn.IJN_276_20
      Issue No: Vol. 31, No. 2 (2021)
       
 
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