Saturday, December 18, 2010
Health Care Law Blog: AMA Issues New Policy To Guide Physicians’ Use of ...
Health Care Law Blog: AMA Issues New Policy To Guide Physicians’ Use of ...: "Today the American Medical Association announced that it has adopted and issued a new policy offering guidance to physicians on the use of s..."
Genetic Nephropathies and Kidney Transplantation
A recent article in Nature Review Nephrology reviews the diseases we always get worried if a living donor can be used.
This review outlines the does and don't of hereditary nephropathies and donor evaluation of kidney transplantation. A table in the articles nicely summarizes the disease entity and if the living related donation would be appropriate.
In Finnish type Congenital Nephrotic syndrome, NPHS2 FSGS, NPHS3 FSGS, Pierson Syndrome, Schimke's immunoosseous dystrophy, nephronophthisis, cystinosis and ARPKD and alport syndrome:- it is ok to use living related donation in transplantation. In Primary Hyperoxaluria and Atypical HUS, one has to be careful in selecting the donor from a living relative.
In general AR type of diseases, the donor can be a relative and most of the time its not a problem. Autosomal Dominant diseases is always a concern. We come across this most in ADPKD and the donor evaluation in that case is so strict and needs careful screening if its a relative. Atypical HUS should not receive a kidney transplantation from a living donor because it is a high risk for disease recurrence and graft loss.
Ref:
http://www.ncbi.nlm.nih.gov/pubmed/20877305
This review outlines the does and don't of hereditary nephropathies and donor evaluation of kidney transplantation. A table in the articles nicely summarizes the disease entity and if the living related donation would be appropriate.
In Finnish type Congenital Nephrotic syndrome, NPHS2 FSGS, NPHS3 FSGS, Pierson Syndrome, Schimke's immunoosseous dystrophy, nephronophthisis, cystinosis and ARPKD and alport syndrome:- it is ok to use living related donation in transplantation. In Primary Hyperoxaluria and Atypical HUS, one has to be careful in selecting the donor from a living relative.
In general AR type of diseases, the donor can be a relative and most of the time its not a problem. Autosomal Dominant diseases is always a concern. We come across this most in ADPKD and the donor evaluation in that case is so strict and needs careful screening if its a relative. Atypical HUS should not receive a kidney transplantation from a living donor because it is a high risk for disease recurrence and graft loss.
Ref:
http://www.ncbi.nlm.nih.gov/pubmed/20877305
Friday, December 17, 2010
Medicine for residents: a little step towards cost effectiveness - renal ...
Medicine for residents: a little step towards cost effectiveness - renal ...: "A renal ultrasound is a very good study that gives a lot of useful information for a lot of kidney diseases. Especially...in Acute Kidney in..."
Thursday, December 16, 2010
IN THE NEWS- Article on Online Blogging of Conferences
Check out first of its kind article on "online blogging" of nephrology conferences powered by Nephrology on Demand, Pediatric Nephrology.com and Nephronpower.com.
A treat for all bloggers in Nephrology. Its published in the recent edition of Kidney International.
Ref: http://www.nature.com/ki/journal/v78/n12/abs/ki2010395a.html
A treat for all bloggers in Nephrology. Its published in the recent edition of Kidney International.
Ref: http://www.nature.com/ki/journal/v78/n12/abs/ki2010395a.html
Wednesday, December 15, 2010
IN THE NEWS: DETECTIVE NEPHRON's NEXT VENTURE
http://www.asn-online.org/publications/kidneynews/archives/2010/dec/KN_dec2010.pdf
Check out Detective's next fun packed and interesting case venture in the Dec 2010 issue of ASN Kidney News!
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