1/4. Effect of ramipril in a patient with glycogen storage disease type i and nephrotic-range proteinuria.We studied the effect of ramipril on urinary protein excretion and arterial pressure in a 27-year-old patient with GSD Ia and heavy proteinuria (2-3 g /24 h). ramipril therapy resulted in an important reduction of proteinuria (0.3-0.5 g/24 h): no changes were observed in arterial pressure and renal function during the 12-month follow-up. We conclude that treatment with ramipril can be employed effectively and safely in GSD Ia patients with nephrotic-range proteinuria.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
2/4. Nephrotic-range proteinuria associated with right atrial myxoma.A case of right atrial myxoma presenting with right heart failure and proteinuria is described. proteinuria was variable and this corresponded with the degree of systemic venous congestion. On one occasion the proteinuria was within the nephrotic range. There was no evidence of intrinsic renal pathology. The right heart failure and proteinuria resolved after tumour removal, suggesting that the etiology of urinary protein loss was a reversible increase in glomerular permeability.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
3/4. Percutaneous ureterostomy as an effective diversion in a newborn.Ectopic ureter in a duplicated system in men is rare and rarely causes bilateral obstructive symptoms. The tendency of the ureter to dilate more than the caliceal system is unique to neonates and makes upper urinary diversions more challenging. However, alternative percutaneous diversions other than nephrostomy might be beared in mind in such cases with huge dilatation in ureters in suffering neonates. As discussed in this case percutaneous ureterostomy may be very effective and have a role in diagnosis and management of neonatal hydroureteronephrosis.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
4/4. Corticosteroid- and furosemide-induced increase in proteinuria in nephrosis.A corticosteroid- and furosemide-induced excessive increase in proteinuria developed in a 34-year-old nephrotic patient with focal glomerulosclerosis. The concentration of urinary protein increased almost in parallel with that of urinary glucose. This finding indicates that corticosteroids and/or furosemide can promote the disturbance of the tubular reabsorption mechanism together with increases in glomerular permeability and glomerular filtration rate.- - - - - - - - - - ranking = 2keywords = urinary (Clic here for more details about this article) |