By Agnes B. Fogo, Arthur H. Cohen, Robert B. Colvin, J. Charles Jennette, Charles E. Alpers
Fundamentals of Renal Pathology is a compact and updated source at the fundamentals of renal pathology that would be of specific price for citizens and fellows in education in renal pathology, common pathology, and nephrology, yet also will function a convenient reference for the more matured. This moment, revised and up to date variation of the e-book bargains an built-in procedure according to contributions from validated specialists within the box. Key illnesses are mentioned in the context of scientific shows, with the emphasis on clinicopathological correlation and differential analysis. themes mentioned comprise glomerular illnesses with nephrotic or nephritic syndrome displays; systemic and vascular ailments affecting the kidney, together with ailments affecting the renal transplant; tubulointerstitial ailments; and plasma cellphone dyscrasias and linked ailments. Well-chosen colour illustrations and electron micrographs increase and supplement the text.
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Patients typically present with nephrotic syndrome. In one recent series, patients with the tip lesion variant of FSGS were compared to FSGS NOS and MCD patients. After treatment with steroids alone in most of the tip lesion patients, with added cytotoxic therapy in about a third, over half had achieved remission, whereas only one of 29 in whom follow-up was available progressed to ESRD (15). Thus, the tip variant appears to have a better prognosis than FSGS NOS and to be more similar to MCD. Predominantly hilar lesions, with glomerulosclerosis located at the vascular pole with associated hyaline, have been proposed to represent a response to reduced renal mass, and may also be associated with secondary FSGS seen with arterionephrosclerosis.
Proc Natl Acad Sci USA 96:7962–7967, 1999. 25. Shih NY, Li J, Karpitskii V, et al. Congenital nephrotic syndrome in mice lacking CD2-associated protein. Science 286(5438):312–315, 1999. 26. Kim JM, Wu H, Green G, et al. CD2-associated protein haploinsufﬁciency is linked to glomerular disease susceptibility. Science 300(5623):1298–1300, 2003. 27. Gubler MC. Podocyte differentiation and hereditary proteinuria/nephrotic syndromes. J Am Soc Nephrol 14(suppl 1):S22–26, 2003. 28. Pollak MR. The genetic basis of FSGS and steroid-resistant nephrosis.
Evidence of resolving or largely healed postinfectious glomerulonephritis may be overlooked (9). This substantiates the contention that postinfectious glomerulonephritis occurs more frequently than is clinically appreciated (10). Tubular changes are less prominent than glomerular alterations. When proteinuria occurs, reabsorption droplets can be seen in the proximal tubular epithelial cells. In the lumen of tubules protein cylinders, erythrocytes and sometimes granulocytes may be present. Tubular atrophy seldom occurs.