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Biomedical subjects

N Gretz

Publications and source records attributed to N Gretz.

At least 127 records · Page 7Linked to original sources
PubMed1987

Alport's syndrome as a cause of renal failure in Europe.

We studied the geographical distribution, male to female ratio, and age at the start of renal replacement therapy (RRT) for end-stage renal failure (ESRF) in 600 patients with hereditary nephritis with nerve deafness (Alport's syndrome) reported to the European Dialysis and Transplant Association Registry since 1975. Annual age- and sex-specific acceptance rates for RRT showed a variable peak incidence according to country, ranging between, 0 and 2.4 patients per million population in males aged 15-24 years, but with only about half this incidence in females. In Scandinavian countries there were very few females who started RRT, and males were older than in the rest of Europe. The overall male to female ratio was 4:1. The median age at the start of RRT was: males (n = 479) 24.3 years (1st quartile 19.5 years; 3rd quartile 31.5 years); females (n = 121) 31.5 years (1st quartile 23.0 years; 3rd quartile 43.2 years). Our study provided confirmation that males reach ESRF earlier than females. In addition, we detected previously unrecognized geographical differences.

Adolescent↗
PubMed1987

Influence of diet and underlying renal disease on the rate of progression of chronic renal failure.

The data presented demonstrate that the underlying renal disease and the type of diet used are considerably influencing the rate of progression of chronic renal failure. In relative terms the course of the renal disease is mostly changed in patients suffering from glomerulonephritis, while in absolute terms patients suffering from polycystic kidney disease exhibit the slowest rate of progression. The comparison suggests that a low-protein diet purely based on vegetarian food might considerably slow down the overall rate of progression of chronic renal failure. This finding is supported by results obtained in animal experiments.

Amino Acids, Essential↗
PubMed1987

Hyperfiltration due to amino and keto acid supplements of low-protein diets: influence on proteinuria.

In 12 male 5/6 nephrectomized Sprague-Dawley rats we analyzed the influence of commercially available amino/keto acid supplements on proteinuria. The addition of different supplements to an 8% protein diet resulted in an increase of preexisting proteinuria. Keto acids per se do not seem to cause a remarkable degree of proteinuria/hyperfiltration. Our data underline the importance of the protein content of a low-protein diet and the composition of amino/keto acid supplements, as these factors per se can cause hyperfiltration and might accelerate progression of chronic renal failure.

Albuminuria↗
PubMed1987

Hyperfiltration due to amino and keto acid supplements of low-protein diets: influence on creatinine clearance.

In 12 male 5/6 nephrectomized Sprague-Dawley rats we analyzed the influence of commercially available amino/keto acid supplements on creatinine clearance. The addition of different supplements to an 8% protein diet resulted in an increase of creatinine clearance. Keto acids per se do not seem to cause a remarkable increase in creatinine clearance/hyperfiltration. Our data underline the importance of the protein content of a low-protein diet and the composition of amino/keto acid supplements, as these factors per se can cause hyperfiltration and might accelerate progression of chronic renal failure.

Amino Acids, Essential↗
PubMed1986

A new possibility to analyse urinary proteins: isoelectrofocusing with immobilized pH gradients.

As a new method for the analysis of proteinuria isoelectricfocusing with immobilized pH gradients is introduced. Ths new approach has several advantages over the conventional methods. The applicability is demonstrated by analysing the long-term changes in proteinuria of a 5/6 nephrectomized rat. Soon after 5/6 nephrectomy, a glomerular pattern of protein excretion predominates which later on is followed by a tubular pattern.

Aging↗
PubMed1985

Cystinosis in the Federal Republic of Germany. Coordination and analysis of the data.

In our survey, 101 infants and children with cystinosis were registered in the Federal Republic of Germany. Ninety-five patients showed the infantile type of cystinosis, five the adolescent type and one possibly the adult type. The minimum incidence rate of infantile and adolescent cystinosis in the FRG was 1 patient per 179 000 live-births. In contrast to other countries, cystinotic patients were evenly distributed in the FRG. Patients with cystinosis originated more frequently from rural communities than from large cities. Before 1968 most patients died before reaching terminal renal failure, usually due to uncontrolled disturbances of water and electrolyte metabolism. Since 1976 the causes of death other than uraemia have been rare and most patients with terminal renal failure have entered a renal replacement program.

Adolescent↗
PubMed1985

[Late prognosis of kidney transplantation in children].

During a 15-year period 67 renal transplantations were performed in 60 patients aged 3 to 19 years. Cadaver donors were preferred (90%). By giving conventional immunosuppressive drugs (corticosteroids, azathioprine), graft survival was increased dramatically, attaining 82% after 1/2-5 years. Growth retardation remained a critical complication. Full rehabilitation was noted in 88% of all patients followed up for more than one year.

Adolescent↗