rHuEpo-resistant anaemia in haemodialysis patients.
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Anemia↗
Biomedical subjects
Y Ozono
Publications and source records attributed to Y Ozono.
Nephrotic syndrome in the elderly--clinicopathological study.
Clinical and pathological findings and the effects of therapy were investigated in 90 cases of nephrotic syndrome (NS) in elderly patients aged over 60 years. Membranous nephropathy was the most frequent type of primary NS. Amyloidosis and malignancy were common causes of secondary NS. Damage to the interstitium in the kidney, such as focal mononuclear cell infiltration, fibrosis and thickening of the small arterial wall in membranous cases, was often observed. Stage I and II based on electron-microscopy, were mainly observed in the patients, with membranous nephropathy. Prednisolone and immunosuppressive agent were most effective in these patients with membranous nephropathy. Prednisolone alone was the most effective on minimal change NS in the elderly. In the course of therapy, side effects such as pneumonia, sepsis due to fungus infections, such as aspergillus and candida, and infection, such as cytomegalovirus and herpes zoster, were more frequently observed, especially in the cases of MPGN, DPGN with moderate to severe mesangial proliferation, with a decline in renal function (Ccr < 50 L/day) and secondary NS. In secondary NS, the prognosis of amyloidosis was very poor and the findings pointed to a relationship between malignancy and nephrotic syndrome.
Aged↗
Association of IgA nephropathy and beta-thalassemia.
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Adult↗
[Rapidly progressive glomerulonephritis].
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Acute Disease↗
[The management in initiation of blood purification].
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Adolescent↗
[Tuberculosis in patients undergoing hemodialysis].
The incidence of tuberculosis is very high in patients treated by hemodialysis particularly in the early stage of hemodialysis. The diagnosis of tuberculosis in dialysis patients was obscured as symptoms were nonspecific and extrapulmonary involvement was seen frequently. We investigated cell mediated immunity in dialysis patients in relation to the period of dialysis. The data indicate that dialysis patients show the following immunological impairments; 1) lymphopenia, 2) decreased B cell, 3) alteration of T cell subset, 4) decreased reaction of PPD skin test, 5) decreased T cell activity, 6) decreased IL-2 production, 7) decreased PHA induced lymphocyte blastogenesis, 8) decreased NK cell. Decreased immunologic host defence mentioned above may contribute to the high incidence of tuberculosis in the early stage as well as in the maintenance phase of dialysis.
Female↗
Actions of porcine pancreatic and Bacillus subtilis alpha-amylases and Aspergillus niger glucoamylase on phosphorylated (1--4)-alpha-D-glucan.
Porcine pancreatic alpha-amylase (1,4-alpha-D-glucan glucanohydrolase, EC 3.2.1.1) produced O-6-phosphoryl-alpha-D-glucopyranosyl-(1--4)-O-alpha-D-glucopyranosyl -(1--4)-D-glucopyranose (6(3)-phosphoryl maltotriose) and O-alpha-D-glucopyranosyl-(1--4)-O-alpha-D-glucopyranosyl- O-3-phosphoryl-alpha-D-glucopyranosyl-(1--4)-D-glucopyranose (3(2)-phosphoryl maltotetraose) from potato starch upon exhaustive hydrolysis, while Bacillus subtilis alpha-amylase (liquefying type) yielded O-alpha-D-glucopyranosyl-(1--4)-O-6-phosphoryl-alpha-D- -glucopyranosyl-(1--4)-D-glucopyranose (6(2)-phosphoryl maltotriose) and 3(2)-phosphoryl maltotetraose. Thus, the two alpha-amylases cleave different sites in the vicinity of the phosphate group at C-6 of the glucosyl residue but the same site in the vicinity of that at C-3. Aspergillus niger glucoamylase (1,4-alpha-D-glucan glucohydrolase, EC 3.2.1.3) hydrolyzed the (1--4)-alpha-linkage of the 6-phosphoryl residue at the non-reducing site (Abe, J., Takeda, Y. and Hizukuri, S. (1982) Biochim. Biophys. Acta 703, 26-33) but not that of the 3-phosphoryl residue, leaving a glucosyl residue attached to the 3-phosphoryl residue. These results indicate that the phosphate group at C-3 is more obstructive than that at C-6 for the actions of these three amylases.
Animals↗
Evaluation of anti-HTLV-1 antibody in primary glomerulonephritis.
Human T-cell leukaemia virus type-1 (HTLV-1) is known to cause adult T-cell leukaemia. The prevalence of anti-HTLV-1 antibody in haemodialysis patients has been reported to be higher than that in the general population. The anti-HTLV-1 antibody-positive rate in patients with primary glomerulonephritis in the Nagasaki district, an endemic area of HTLV-1, was evaluated. The antibody-positive rates in patients with primary glomerulonephritis (9.9%) and in haemodialysis patients (18.4%) were significantly higher than the rate in general blood donors (6.6%). Of 142 patients with primary glomerulonephritis, 14 (9.9%) were positive for the antibody; histological evaluation of these patients showed minor glomerular abnormality in one, mesangial proliferative glomerulonephritis in eight (IgA nephropathy in six and non-IgA nephropathy in two), membranous nephropathy in three, and crescentic glomerulonephritis in two. Evaluation of 10 antibody-positive patients by immunofluorescent microscopy showed immunocomplex-type nephritis in nine, suggesting the involvement of HTLV-1-associated antigen in the development and progression of glomerulonephritis.
Adolescent↗
The "nutcracker" phenomenon in combination with IgA nephropathy.
The "nutcracker" phenomenon results from compression of the left renal vein between the superior mesenteric artery and the aorta. The main features of this phenomenon are non-glomerular haematuria on urinalysis and stenosis of the left renal vein with dilatation of the vein distal to the stenosis. The characteristics of two patients with the "nutcracker" phenomenon complicated by immunoglobulin A nephropathy were compared with those of 10 patients showing only the "nutcracker" phenomenon. Patients with the "nutcracker" phenomenon complicated by immunoglobulin A nephropathy showed aggravation of haematuria after upper respiratory infections, urinary red cell morphology indicating haematuria of glomerular origin, elevation of serum IgA, persistence of proteinuria, and granular casts in the urine. The coexistence of immunoglobulin A nephropathy was suspected when these characteristics were observed in patients with the "nutcracker" phenomenon. In such cases, a renal biopsy is needed for a final diagnosis.
Adult↗
Prostaglandin E1 for renal papillary necrosis in a patient with diabetes mellitus.
We report a case of renal papillary necrosis with diabetes mellitus which was treated with prostaglandin E1. An intravenous infusion of 40 mg/day prostaglandin E1 was given for 14 days in an attempt to improve renal circulation. Treatment resulted in an improved creatinine clearance, renal plasma flow and renogram, and proteinuria was decreased. The administration of prostaglandin E1 produced an improvement in renal haemodynamics and can be considered as a possible therapy for renal papillary necrosis in diabetic patients.
Aged↗