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Bhuyan UN, Tiwari SC, Malaviya AN, Kumar A, Dash SC, Malhotra KK, Guleria JS. Clinical and morphological severity of renal involvement in systemic necrotising vasculitides. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1987; 35:213-7. [PMID: 2886489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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27
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Kothari SS, Tiwari SC, Aggarwal SK, Kumar A, Bhuyan UN, Kumar R. Immunohistology and clinical presentation of mesangioproliferative glomerulonephritis. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1987; 35:191-4. [PMID: 2956249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Bhuyan UN, Dash SC, Srivastava RN, Tiwari SC, Malhotra KK. Clinical & morphologic indicators of prognosis in primary IgA nephropathy of children & adults. Indian J Med Res 1986; 84:178-86. [PMID: 3759171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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Malaviya AN, Misra R, Banerjee S, Kumar A, Tiwari SC, Bhuyan UN, Malhotra KK, Guleria JS. Systemic lupus erythematosus in North Indian Asians. A prospective analysis of clinical and immunological features. Rheumatol Int 1986; 6:97-101. [PMID: 3489275 DOI: 10.1007/bf00270344] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
One hundred and one patients with systemic lupus erythematosus (SLE) from North Indian stock are presented. The clinical manifestations, laboratory parameters, causes of death, and survival are compared and contrasted with the other major reported series. SLE of North Indian Asians has several features comparable to those reported from the West, but other features are more similar to the SLE seen in Mongoloid races.
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Jain RK, Malaviya AN, Bansal R, Kumar A, Tiwari SC, Bhuyan UN. Cryoglobulins in infective endocarditis: correlation with organ involvement. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1986; 34:491-3. [PMID: 3759873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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31
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Singh K, Seerharam KA, Pasricha JS, Bhuyan UN. Eosinophilic spongiosis preced by a phase of classical pepmphigus vulgaris. Indian J Dermatol Venereol Leprol 1986; 52:236-238. [PMID: 28150653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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32
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Malhotra KK, Dash SC, Dhawan IK, Bhuyan UN, Gupta A. Tuberculosis and renal transplantation--observations from an endemic area of tuberculosis. Postgrad Med J 1986; 62:359-62. [PMID: 3532083 PMCID: PMC2418707 DOI: 10.1136/pgmj.62.727.359] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Ninety-five renal transplant recipients from an endemic area of tuberculosis were investigated to find out the prevalence and course of tuberculosis in pre- and post-transplant periods. Eleven patients had tuberculosis in the pre-transplant period - pulmonary (2), pleural (2), miliary (1), abdominal (2), lymph node (5) and pericardial (1). They were transplanted after antituberculous therapy of 3 to 6 months with satisfactory results. The anti-tuberculous treatment was usually continued for 2 years. Only one of the above 11 patients had evidence of tuberculosis in the post-transplant period. Nine patients developed tuberculosis for the first time in the post-transplant period - pulmonary (4), pleural (1), miliary (1), lymph node (4) and pericardial (1). There was no mortality due to tuberculosis. Thorough search for tuberculosis is mandatory both during pre-transplant assessment and post-transplant follow-up in areas of endemic tuberculosis.
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Abstract
Corticosteroid resistance appeared late in the course of relapsing nephrotic syndrome in 12 patients who previously had steroid-sensitive relapses for 0.8 to 13 years. In 11 patients, renal histology performed earlier in the course of the disease showed minimal change in eight, mesangial proliferative glomerulonephritis (MesPGN) in two, and focal segmental glomerulosclerosis (FSGS) in one. Renal biopsy in another patient and a repeat procedure in four of eight patients who initially showed minimal change was done after they had developed steroid resistance, and showed FSGS. Cyclophosphamide was given to 11 patients after they became steroid resistant, and induced remission in eight that continued for 1 to 2 years in two patients. The other six had relapses that were steroid sensitive, but three of them (two with FSGS and one with MesPGN) later became resistant to steroids as well as to cyclophosphamide. Of six patients with FSGS, four with initial or subsequent resistance to cyclophosphamide eventually developed renal insufficiency. The other two have remained in remission for 12 to 16 years; one of these did not receive cyclophosphamide. Our observations suggest that patients with late steroid resistance comprise a heterogeneous group; those with FSGS and resistance to cyclophosphamide therapy may have a poor outcome.
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Bhuyan UN, Tiwari SC, Malaviya AN, Srivastava RN, Dash SC, Malhotra KK. Immunopathology & prognosis in Henoch-Schonlein glomerulonephritis. Indian J Med Res 1986; 83:33-40. [PMID: 3699866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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Sundar AS, Malhotra KK, Bhuyan UN, Tiwari SC, Malaviya AN. Kidney in progressive systemic sclerosis. Indian J Med Res 1985; 82:534-9. [PMID: 3833705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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Sharma RK, Malhotra KK, Bhuyan UN, Dash SC, Kumar R, Dhawan IK. Infections in renal transplant recipients. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1985; 33:757, 759, 761. [PMID: 3915498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Kumar A, Malaviya AN, Bhat A, Misra R, Banerjee S, Sindhwani R, Tiwari SC, Bhuyan UN, Guleria JS. Clinicopathological profile of vasculitides in India. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1985; 33:694-8. [PMID: 4093380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Srivastava RN, Agarwal RK, Choudhry VP, Moudgil A, Bhuyan UN, Sunderam KR. Cyclophosphamide therapy in frequently relapsing nephrotic syndrome with and without steroid dependence. THE INTERNATIONAL JOURNAL OF PEDIATRIC NEPHROLOGY 1985; 6:245-50. [PMID: 4093243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
An 8-week therapy with cyclophosphamide (CP) and alternate-day prednisone was given to 65 patients having steroid-sensitive, frequently relapsing nephrotic syndrome, including 17 with steroid dependence. It induced remissions of less than 6 months in 18 patients, 6 to 36 months in 21 and over 3 years in 26. Considering a remission of 6 months as significant, certain clinical variables were compared in patients without such a response with those getting longer remissions. In the group with frequent relapses a higher proportion of patients aged above 8 years had remissions of over 6 months as well as over 3 years, than those who were younger at CP therapy. Among patients with frequent relapses as well as those with steroid dependence, a post-CP remission of more than 6 months was associated with a better long-term course. The response to CP in both groups was similar regarding the duration of remissions, but a greater proportion of steroid-dependent patients subsequently again showed steroid dependence or frequent relapses. Our findings suggest that a higher age at CP therapy and an ensuing remission of over 6 months are predictors of a better response, and steroid dependence of a less favorable outcome.
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Seth V, Rohatagi M, Bhuyan UN, Sundaram KR, Nath N. Tuberculous cervical lymphadenitis in children as a relatively immune competent state. Indian J Med Res 1985; 81:364-71. [PMID: 3874827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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40
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Bhuyan UN, Srivastava RN, Choudhry VP. Pathology of acute renal failure & haemolytic uraemic syndrome in acute dysentery in children. Indian J Med Res 1985; 81:402-8. [PMID: 4018868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
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41
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Malaviya AN, Banerjee S, Misra RN, Kaul R, Bhuyan UN. Antinuclear antibody and rheumatoid factor estimations in the diagnosis of rheumatic diseases in northern India. Asian Pac J Allergy Immunol 1984; 2:232-6. [PMID: 6335834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Malhotra KK, Saraswat VA, Basu AK, Bhuyan UN, Bhargava S. Renal osteodystrophy in renal transplant recipients. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1984; 32:867-71. [PMID: 6394582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Dash SC, Sharma RK, Malhotra KK, Bhuyan UN. Renal amyloidosis and non-specific aorto-arteritis--a hitherto undescribed association. Postgrad Med J 1984; 60:626-8. [PMID: 6148748 PMCID: PMC2417990 DOI: 10.1136/pgmj.60.707.626] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Two patients presented with the nephrotic syndrome complicating non-specific aorto-arteritis (Takayasu's arteritis). Histologically both had renal amyloidosis. On investigation there was no evidence of chronic infection or any immuno-inflammatory disease known to be associated with amyloidosis. These cases raise the possibility of a significant association between aorto-arteritis of the Takayasu type and systemic amyloidosis.
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Bhuyan UN, Srivastava RN, Dash SC, Malhotra KK. Severity of nephropathy & steroid resistance in focal segmental glomerulosclerosis. Indian J Med Res 1984; 79:657-65. [PMID: 6511002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
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45
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Malaviya AN, Khan KM, Tiwari SC, Bhuyan UN. Systemic connective disease in India. VII. Deaths in systemic lupus erythematosus. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1984; 32:313-6. [PMID: 6746537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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46
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Bhuyan UN, Dash SC, Srikanta S, Malaviya AN, Malhotra KK. Occurrence of glomerulonephritis and autoantibodies in diabetes mellitus. THE JOURNAL OF THE ASSOCIATION OF PHYSICIANS OF INDIA 1984; 32:171-5. [PMID: 6235208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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47
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Mittal VK, Malhotra KK, Bhuyan UN, Malaviya AN. Kidney involvement in seronegative spondarthritides. Indian J Med Res 1983; 78:670-5. [PMID: 6231247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
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48
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Bhuyan UN, Malaviya AN, Dash SC, Malhotra KK. Prognostic significance of renal angiitis in systemic lupus erythematosus (SLE). Clin Nephrol 1983; 20:109-13. [PMID: 6354537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Analysis of 80 cases of SLE with renal involvement revealed the following. Angiitis involving arterioles and interlobular arteries was observed in 17 out of 42 cases with diffuse proliferative lupus GN. This was not observed in other types of lupus GN. Out of 17 cases of angiitis, 7 were complicated by thrombosis. Irregular deposits of immunoglobulins and complement were demonstrated in the vessel walls and in luminal thrombi and suggested an immune-complex origin. Fibrinogen was also demonstrable frequently. The vascular lesions were associated with severe glomerular and tubulointerstitial injury and a poor prognosis. A relatively favorable outcome was observed in SLE without renal angiitis.
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Malhotra KK, Sharma RK, Prabhakar S, Bhargava S, Bhuyan UN, Dhawan IK, Kumar R, Dash SC. Aortoarteritis as a major cause of renovascular hypertension in the young. Indian J Med Res 1983; 77:487-94. [PMID: 6874039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
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50
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Srikanta S, Malaviya AN, Rajagopalan P, Bhuyan UN, Ahuja MM. Association of type I (insulin-dependent) diabetes mellitus, autoimmunity, antinuclear antibody, and membranoproliferative glomerulonephritis. Diabetes Care 1983; 6:71-4. [PMID: 6220878 DOI: 10.2337/diacare.6.1.71] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
In a large series of patients with insulin-dependent diabetes mellitus who were screened for autoantibodies, two patients were positive for antinuclear antibodies. Both of these patients developed severe renal disease with the renal biopsy findings of membranoproliferative glomerulonephritis. Multiple autoantibodies and circulating immune complexes were demonstrated in their sera. There was evidence suggesting complement consumption. This article illustrates that immune complex glomerulonephritis can occur in some patients with IDDM, particularly in those with antinuclear antibody and polyendocrine involvement, and that renal biopsy in such cases may have prognostic and therapeutic importance.
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