Focal Glomerulosclerosis: Histological and clinical study in 13 Cases

Out of 1500 cases examined by biopsy in our clinic, 13 cases were diagnosed as focal glomerulo-sclerosis (FGS) because of more than three (>10%) sclerotic glomeruli with hyaline deposits in their biopsy specimens. Clinically, 11 patients had nephrotic syndrome and the other 2 patients had hyperte...

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Veröffentlicht in:Nihon Jinzo Gakkai shi 1979, Vol.21(11), pp.1207-1218
Hauptverfasser: Saito, Takao, Furuyama, Takashi, Sasaki, Yasuhiko, Kyogoku, Yoshio, Taguma, Yoshio, Arakawa, Masahiro, Yoshinaga, Kaoru, Saito, Hiroshi
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container_end_page 1218
container_issue 11
container_start_page 1207
container_title Nihon Jinzo Gakkai shi
container_volume 21
creator Saito, Takao
Furuyama, Takashi
Sasaki, Yasuhiko
Kyogoku, Yoshio
Taguma, Yoshio
Arakawa, Masahiro
Yoshinaga, Kaoru
Saito, Hiroshi
description Out of 1500 cases examined by biopsy in our clinic, 13 cases were diagnosed as focal glomerulo-sclerosis (FGS) because of more than three (>10%) sclerotic glomeruli with hyaline deposits in their biopsy specimens. Clinically, 11 patients had nephrotic syndrome and the other 2 patients had hypertension. All patients were resistant to the therapy, and 4 patients took downhill courses to renal insufficiency. The glomerular sclerosis index (G. S. I.) and the tubular atrophy index (T/S) respectively devised by us were mesured in every biopsy specimen. There was a statistically significant cor-relation between them (r=-0.78, p
doi_str_mv 10.14842/jpnjnephrol1959.21.11_1207
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Clinically, 11 patients had nephrotic syndrome and the other 2 patients had hypertension. All patients were resistant to the therapy, and 4 patients took downhill courses to renal insufficiency. The glomerular sclerosis index (G. S. I.) and the tubular atrophy index (T/S) respectively devised by us were mesured in every biopsy specimen. There was a statistically significant cor-relation between them (r=-0.78, p&lt;0.001).T/S indicated lower values in most of the FGS cases than in the control cases (chronic glomerulonephritis and idiopathic nephrotic syndrome except FGS) whereas the creatinine clearance were nearly equal in the two groups. 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Clinically, 11 patients had nephrotic syndrome and the other 2 patients had hypertension. All patients were resistant to the therapy, and 4 patients took downhill courses to renal insufficiency. The glomerular sclerosis index (G. S. I.) and the tubular atrophy index (T/S) respectively devised by us were mesured in every biopsy specimen. There was a statistically significant cor-relation between them (r=-0.78, p&lt;0.001).T/S indicated lower values in most of the FGS cases than in the control cases (chronic glomerulonephritis and idiopathic nephrotic syndrome except FGS) whereas the creatinine clearance were nearly equal in the two groups. 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source J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adolescent
Adult
Atrophy
Child
Female
Glomerulonephritis - pathology
Glomerulosclerosis, Focal Segmental - pathology
Humans
Hypertension, Renal - pathology
Kidney Glomerulus - ultrastructure
Kidney Tubules - pathology
Male
Nephrotic Syndrome - pathology
title Focal Glomerulosclerosis: Histological and clinical study in 13 Cases
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