201
|
Hernandez Poblete G, Morales JM, Prieto C, Andrés A, Ortuño T, Rodicio JL. Usefulness of norfloxacine prophylaxis in late recurrent urinary tract infection after renal transplantation. Nephron Clin Pract 1990; 54:193-4. [PMID: 2314533 DOI: 10.1159/000185850] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
|
202
|
Prieto C, Errasti P, Olaizola JI, Morales JM, Andreś A, Medina C, Ortuño B, Purroy A, Rodicio JL. Successful twin pregnancies in renal transplant recipients taking cyclosporine. Transplantation 1989; 48:1065-7. [PMID: 2595767 DOI: 10.1097/00007890-198912000-00035] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
|
203
|
Basile RM, Morales JM, Zupanec R. Splenosis. A cause of massive gastrointestinal hemorrhage. ARCHIVES OF SURGERY (CHICAGO, ILL. : 1960) 1989; 124:1087-9. [PMID: 2789029 DOI: 10.1001/archsurg.1989.01410090097022] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Splenosis is the autotransplantation of splenic tissue following surgery or trauma. While it has been reported to cause a number of complications, splenosis is most commonly an incidental finding at laparotomy or on imaging studies. In our study, a case of massive, acute gastrointestinal hemorrhage occurred secondary to splenosis involving the small bowel. While there are several reports of self-limited gastrointestinal hemorrhage secondary to splenosis involving the gastric fundus, we are aware of no reports of massive, acute intestinal bleeding caused by this condition. Splenosis should be considered in the differential diagnosis of gastrointestinal hemorrhage in patients who have experienced prior splenic trauma or splenectomy.
Collapse
|
204
|
Andres A, Praga M, Bello I, Diaz-Rolón JA, Gutierrez-Millet V, Morales JM, Rodicio JL. Hematuria due to hypercalciuria and hyperuricosuria in adult patients. Kidney Int 1989; 36:96-9. [PMID: 2811059 DOI: 10.1038/ki.1989.166] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We have prospectively studied 37 adult patients (15 males, 22 females; age 31 +/- 10.6 years) with previously undiagnosed isolated hematuria in which hypercalciuria or hyperuricosuria was found. Eighteen of them had had episodes of gross hematuria. Isolated hypercalciuria (4.4 to 10.4, X 5.6 +/- 1.9 mg/kg/24 hr) was found in nine patients (Group I), isolated hyperuricosuria (784 to 1500, X 1088 +/- 228 mg/24 hr) in 11 (Group II), and both hypercalciuria (4 to 8, X 4.9 +/- 1 mg/kg/24 hr) and hyperuricosuria (752 to 1476, X 1042 +/- 181 mg/24 hr) in 17 patients (Group III). Thiazide treatment for patients with hypercalciuria and allopurinol for those with hyperuricosuria were administered; calciuria and uricosuria became normal by the first month of therapy in every case. In 22 (59.4%) cases (Responder patients) hematuria resolved completely as soon as calciuria and uricosuria became normal. In the remaining 15 cases (Nonresponder patients) hematuria persisted despite the normal calcium and uric acid excretions. Several disorders that explained hematuria were diagnosed later in most of Nonresponder patients. Responder patients persisted without hematuria on the follow-up; only in three patients a transient relapse of hematuria was seen associated with a sudden increase of calciuria and uricosuria because of treatment withdrawal. There were no differences in age, male/female ratio nor in the basal values of calciuria and uricosuria between Responder and Nonresponder patients. A familial history of urolithiasis was found more frequently in Responder patients (64%) than in Nonresponders (20%) (P less than 0.05). We conclude that hypercalciuria and hyperuricosuria are definable and potentially reversible causes of hematuria in adult patients.
Collapse
|
205
|
Costas Rojo P, Abarca Costalago M, Morales JM, Díaz González R. [Emphysematous pyelonephritis. A rare onset of diabetes mellitus]. Rev Clin Esp 1989; 184:214-5. [PMID: 2740556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
|
206
|
Ruilope LM, Miranda B, Morales JM, Rodicio JL, Romero JC, Raij L. Converting enzyme inhibition in chronic renal failure. Am J Kidney Dis 1989; 13:120-6. [PMID: 2644824 DOI: 10.1016/s0272-6386(89)80129-5] [Citation(s) in RCA: 64] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Ten patients with chronic renal failure whose hypertension was controlled with triple drug therapy consisting of propranolol-hydralazine-furosemide were switched to the angiotensin-converting enzyme (ACE) inhibitor captopril for a period of 12 months. Control of hypertension was similar with both antihypertensive regimens. Clearance of inulin and of paraaminohippuric acid increased during the first 3 months of captopril therapy and remained stable thereafter. Moreover, the decline in the reciprocal of serum creatinine over time observed during triple drug therapy was arrested during therapy with the ACE inhibitor. If the salutary effects of captopril are sustained, the results obtained in the current studies would suggest that control of hypertension by ACE inhibition may be effective in slowing progression of renal failure. Future studies to answer this important question are necessary.
Collapse
|
207
|
Morales JM, Andrés A, Prieto C, Ortuño B, Estenoz J, Dorado C, Arenas J, Ruilope LM, Fernández-Cruz L, Rodicio JL. Calcium antagonist treatment of recipients minimizes early cyclosporine nephrotoxicity in renal transplantation: a prospective randomized trial. Transplant Proc 1989; 21:1537-9. [PMID: 2652496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
|
208
|
Morales JM, Andres A, Prieto C, Praga M, Gutierrez Millet V, Rodicio JL. Ciclosporin-induced partial and transient improvement of nephrotic syndrome in recurrent focal segmental glomerulosclerosis. Nephron Clin Pract 1989; 53:283-4. [PMID: 2797352 DOI: 10.1159/000185762] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
|
209
|
Praga M, Martinez MA, Andres A, Alvarez de Buergo M, Bello I, Millet VG, Morales JM. Acute renal failure and tubular dysfunction associated with minimal change nephrotic syndrome. Nephrol Dial Transplant 1989; 4:914-6. [PMID: 2515498 DOI: 10.1093/ndt/4.10.914] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
|
210
|
Morales JM, Andrés A, Prieto C, Praga M, Alcazar JM, Diaz-Gonzalez R, Leiva O, Rodicio JL. Urinary morbidity of vesicoureteral reflux patients without surgical correction prior to renal transplantation. Nephron Clin Pract 1989; 51:571-2. [PMID: 2662040 DOI: 10.1159/000185405] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
|
211
|
Morales JM, Prieto C, Colina F, Andrés A, Moreno F, Rodicio JL. Does ciclosporin induce clinical remission of dialysis-acquired active chronic hepatitis? Nephron Clin Pract 1989; 51:146-7. [PMID: 2915753 DOI: 10.1159/000185280] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
|
212
|
Abarca M, Fernández R, Morales JM, Prieto C. [Clinical importance of non-typhoid Salmonella infections in patients with kidney transplantation]. Med Clin (Barc) 1988; 91:756. [PMID: 3070186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
213
|
Prieto C, Morales JM, Miranda B, Ruilope LM, Andrés A, Moreno F, Rodicio JL. Chronic therapy with cyclosporine A does not modify adrenal production of aldosterone in renal transplant patients. Transplant Proc 1988; 20:30-1. [PMID: 3051585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
214
|
Prieto C, Morales JM, Andrés A, Alcazar JM, Hernández E, Praga M, Rodicio JL. Three-year experience with cyclosporine and steroid double therapy in renal transplantation. Transplant Proc 1988; 20:21-2. [PMID: 3051580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
215
|
Andrés A, Morales JM, Prieto C, Clarici N, Arnaiz A, Vicario JL, Alcazar JM, Ruilope LM, Rodicio JL, Regueiro JR. Cadaver kidney transplantation in hyperimmunized patients. Transplant Proc 1988; 20:73-4. [PMID: 3051596] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
216
|
Morales JM, Andrés A, Prieto C, Alcazar JM, Praga M, Ortuño T, Rodriguez Paternina E, Rodicio JL. Fractional excretion of sodium during acute rejection superimposed on acute tubular necrosis in the immediate post-transplant period. Transplant Proc 1988; 20:63-5. [PMID: 3051592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
217
|
Morales JM, Andres A, Prieto C, Arenas J, Ortuño B, Praga M, Ruilope LM, Rodicio JL. Severe reversible cyclosporine-induced acute renal failure. A role for urinary PGE2 deficiency? Transplantation 1988; 46:163-5. [PMID: 3293280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
218
|
Morales JM, Andres A, Alcazar JM, Prieto C, Diaz de Tueste I, Ruilope LM, Rodicio JL. Usefulness of fractional excretion of sodium as index of cyclosporine nephrotoxicity in renal transplantation. Transplant Proc 1988; 20:691-9. [PMID: 3291305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
219
|
Morales JM, Andres A, Prieto C, Praga M, Rodicio JL, Rodríguez A, Diaz González R, Leiva O. [Should systematic correction of vesicoureteral reflux be performed before renal transplantation?]. Actas Urol Esp 1988; 12:259-62. [PMID: 3051910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
220
|
Morales JM, Andres A, Prieto C, Diaz Rolòn JA, Rodicio JL. Reversible acute renal toxicity by toxic sinergic effect between gentamicin and cyclosporine. Clin Nephrol 1988; 29:272. [PMID: 3293857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
|
221
|
Morales JM, Andrés A, Prieto C, Martínez MA, Praga M, Ruilope LM, Gutiérrez Millet V, Rodicio JL. Clinical and histological sequence of recurrent focal segmental glomerulosclerosis. Nephron Clin Pract 1988; 48:241-2. [PMID: 3281050 DOI: 10.1159/000184924] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
|
222
|
Morales JM, Ruilope LM, Praga M, Coto A, Alcazar JM, Prieto C, Nieto J, Rodicio JL. Long-term enalapril therapy in Bartter's syndrome. Nephron Clin Pract 1988; 48:327. [PMID: 2834656 DOI: 10.1159/000184954] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
|
223
|
Javier de la Serna F, Martinez MA, Valdes MD, Hornedo J, Mestre MJ, Morales JM. Rhabdomyosarcoma presenting with diffuse bone marrow involvement, hypercalcemia and renal failure. MEDICAL AND PEDIATRIC ONCOLOGY 1988; 16:123-7. [PMID: 3352535 DOI: 10.1002/mpo.2950160212] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Rhabdomyosarcoma and other small round-cell neoplasms of infancy and childhood frequently involve the bone marrow. An unusual clinical presentation of diffuse bone marrow involvement as the sole manifestation of the disease represents a difficult diagnostic challenge. We report the case of an 18-year-old boy presenting with lower back pain, sternum tenderness, anemia, thrombocytopenia, leukoerythroblastic blood film, hypercalcemia, and renal failure. No solid tumor was found. A diagnosis of rhabdomyoblastic bone marrow metastatic involvement was initially suggested by the morphological picture, and later confirmed by the ultrastructural findings. Hypercalcemia and renal failure were controlled, initially, with furosemide and calcitonin. The patient was treated with intensive chemotherapy, including vincristine, actinomycin D, cyclophosphamide, and doxorubicin. A remission was achieved, lasting 5 months until relapse.
Collapse
|
224
|
Praga M, Martinez R, Lizasoain M, Arenas J, Morales JM, Ortuño B, Prieto C. Cyclosporine-induced acute renal failure in the nephrotic syndrome. Ann Intern Med 1987; 107:786. [PMID: 3662304 DOI: 10.7326/0003-4819-107-5-786_2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
|
225
|
Morales JM, Prieto C, Colina F, Mestre MJ, Lopez I, Perez-Sola A, Solis Herruzo JA, Ruilope LM, Rodicio JL. Nodular regenerative hyperplasia of the liver in renal transplantation. Transplant Proc 1987; 19:3694-6. [PMID: 3313894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
In our series of RT three cases of diffuse NRH of the liver were found. This rare entity is characterized by nodules of regenerative hepatocytes distributed throughout the liver without fibrosis. The incidence was 12.5% and probably is underestimated. Clinically, hepatomegaly, moderate thrombopenia and an elevation of GGT were present, but no case was previously suspected. NRH can lead to PH, and we should think of this entity in the differential diagnosis of PH following RT.
Collapse
|
226
|
Morales JM, Andres A, Prieto C, Ruilope LM, Alcazar JM, Oliet A, Praga M, Rodicio JL. Fractional excretion of sodium represents an index of cyclosporine nephrotoxicity in the early post-transplant period. Transplant Proc 1987; 19:4005-7. [PMID: 3313985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
We reviewed the evolution of FENa in the EPP (first 4 weeks) in a group of CyA-treated patients as well as Aza-treated patients who did not present with acute rejection during this period of time. The CyA-treated patients showed lower values of FENa than did Aza-treated patients. Values of FENa below 1% were found in 51% of CyA- and 0% Aza-treated patients (P less than .01) before RFR. The finding of low FENa values was accompanied by more prolonged oliguric and RFR phases. Furthermore, the lower the level of FENa, the higher the prolongation of renal failure. We concluded that FENa values could probably be an index of CyA nephrotoxicity in the EPP.
Collapse
|
227
|
Morales JM, Prieto C, Oliet A, Praga M. [Hepatorenal polycystic disease in the adult (Potter type III)]. Med Clin (Barc) 1987; 89:174-5. [PMID: 3626673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
228
|
Praga M, Enriquez de Salamanca R, Andres A, Nieto J, Oliet A, Perpiña J, Morales JM. Treatment of hemodialysis-related porphyria cutanea tarda with deferoxamine. N Engl J Med 1987; 316:547-8. [PMID: 3808000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
229
|
Praga M, Diaz Rubio P, Morales JM, Cañizares F, Ruilope LM, Gutierrez-Millet V, Nieto J, Rodicio JL. Implications of hypervitaminosis A on the calcium-phosphate metabolism and on blood lipids in hemodialysis. Am J Nephrol 1987; 7:281-6. [PMID: 3688040 DOI: 10.1159/000167486] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Serum levels of vitamin A (VA) were measured in 71 hemodialysis (HD) patients and in 30 normal controls. 65 of the 71 patients were taking multivitamin preparations (MP) containing VA. The HD patients had significantly greater values: 7.81 +/- 2.86 mumol/l (224 +/- 82 micrograms/dl) versus 3.97 +/- 0.97 mumol/l (114 +/- 28 micrograms/dl; p less than 0.0005); those taking MP with large doses of VA showed the highest levels. Patients were divided as having normal (group I, n = 21) or elevated (group II, n = 50) serum levels of VA. Patients of group II had higher levels of serum calcium (Ca) and lower of serum phosphate (P) and PTH than those of group I. Four months after the withdrawal of oral VA, the serum levels of VA and Ca fell significantly in group II, while the serum P increased. On the contrary, in group I serum levels of VA, Ca and P remained unchanged. Serum triglycerides (TG) were significantly higher in group II but did not change after the withdrawal of VA. No differences between both groups of patients were observed for age, time on HD, residual diuresis, residual renal function, serum levels of cholesterol (CL) or anemia. A retrospective study of 18 hepatic biopsies of HD patients disclosed hyperplasia of Ito cells (VA-storaging cells) in 7 of them. These 7 biopsies belonged to patients who had taken large amounts of oral VA. Our data indicate that prolonged VA intake in HD patients is followed by an increase of serum CA, a decrease of serum P and PTH and a hepatic accumulation of VA.(ABSTRACT TRUNCATED AT 250 WORDS)
Collapse
|
230
|
Bermejo F, del Ser T, Morales JM, Varela M. [Epilepsy and psychopathology. Does a causal relation exist?]. Med Clin (Barc) 1986; 86:739-40. [PMID: 3736167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
231
|
Martín Ridaura C, Lázaro E, Jaunsolo MA, Morales JM, Hawkins F. [Pheochromocytoma associated with polyuria and hypercalcemia. Effect of adrenalectomy]. Med Clin (Barc) 1986; 86:510-2. [PMID: 3713320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
232
|
Gutiérrez Millet V, Nieto Iglesias J, Ruilope LM, Gutiérrez Rodero F, Usera G, Martínez MA, Praga M, Morales JM, Leyva O. [Focal glomerulosclerosis and proteinuria in patients with a functioning single kidney]. Med Clin (Barc) 1985; 85:737-42. [PMID: 4094485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
|
233
|
Praga M, Gutierrez-Millet V, Navas JJ, Ruilope LM, Morales JM, Alcazar JM, Bello I, Rodicio JL. Acute worsening of renal function during episodes of macroscopic hematuria in IgA nephropathy. Kidney Int 1985; 28:69-74. [PMID: 4046327 DOI: 10.1038/ki.1985.120] [Citation(s) in RCA: 74] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The appearance of renal failure during episodes of macroscopic hematuria (EMH) in IgA nephropathy (IgAN) has been described as very unusual. The results of a prospective investigation on the effect of EMH on renal function in IgAN are presented. During a 3-year period, 29 episodes of EMH occurring in 21 patients with IgAN have been studied. A derangement of renal function (increase of serum creatinine by more than 0.5 mg/dl) was observed in 11 episodes (37.9%) with peak creatinine values ranging from 1.2 to 6.7 mg/dl. The worsening of renal function was accompanied by a longer duration of EMH (4.8 +/- 1.3 vs. 3.5 +/- 1.5 days; P less than 0.05) but not by arterial hypertension or edema. A complete recovery of renal function was observed in every patient 1 to 2 months after the start of EMH. The histological survey disclosed that the decrease of renal function correlated closely with the presence of red blood cell casts in as much as 50% of the tubular lumen and with findings of tubular necrosis. We conclude that a worsening of renal function can be observed frequently during the EMH. Tubular damage and obstruction by red blood cell casts may play a significant role in the pathogenesis of this complication.
Collapse
|
234
|
Ruilope L, Garcia-Robles R, Paya C, de Villa LF, Miranda B, Morales JM, Parada J, Sancho J, Rodicio JL. Influence of lisuride, a dopaminergic agonist, on the sexual function of male patients with chronic renal failure. Am J Kidney Dis 1985; 5:182-5. [PMID: 3919573 DOI: 10.1016/s0272-6386(85)80048-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The effects of Lisuride, a dopaminergic agonist, on the levels of plasma prolactin (PRL), testosterone, luteinizing hormone (LH), follicle-stimulating hormone (FSH), and on the variations of libido and coital frequency of patients with chronic renal failure (CRF) have been investigated in a group of 20 male patients (ten normoprolactinemic and ten hyperprolactinemic). Ten patients were included in a hemodialysis program and another ten received conservation therapy (all had creatinine clearance rates below 15 mL/min). The response of PRL to TRH administration and that of LH and FSH to LH-RH administration have also been studied. Low levels of plasma testosterone found initially in all the patients, increased in both normoprolactinemic (P less than 0.05) and hyperprolactinemic patients (P less than 0.01) during Lisuride administration. PRL decreased (P less than 0.01) in both groups during therapy. The increase of plasma testosterone was greater in hyperprolactinemic patients (86% v 15% in normoprolactinemic) and was accompanied by a clear improvement in the studied parameters of sexual behaviors. The response of PRL to TRH was modified in hyperprolactinemic patients while that of LH and FSH to LH-RH was not modified, although Lisuride induced an increase of the basal value of LH (P less than 0.01) in the hyperprolactinemic group. The drug was fairly well tolerated, did not induce hypotension, and the overall incidence of side effects decreased along the study. These results stress the need for further studies with this agent in patients with chronic renal failure and sexual dysfunction.
Collapse
|
235
|
Bello I, Ruilope LM, Pérez Pérez AJ, Morales JM, Millet VG, Alcázar JM, Ortega R, Rodicio JL. [Phosphorus and arterial hypertension in idiopathic hypercalciuria]. Med Clin (Barc) 1983; 81:712-3. [PMID: 6656425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|
236
|
Bello I, Navas J, Morales JM, Alcázar JM, Barrientos A, Rodicio JL. [Nephrotic syndrome and renal artery stenosis]. Med Clin (Barc) 1983; 80:762-4. [PMID: 6621126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|
237
|
Morales JM, Colina F, Arteaga J, Barrientos A, Millet VG, Ruilope LM, Alcazar JM, Rodicio JL. Clinical implications of the presence of refractile particles in the liver of haemodialysis patients. PROCEEDINGS OF THE EUROPEAN DIALYSIS AND TRANSPLANT ASSOCIATION. EUROPEAN DIALYSIS AND TRANSPLANT ASSOCIATION 1983; 19:265-269. [PMID: 6192428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
In a retrospective study we have examined 20 liver specimens from haemodialysis patients with a mean time on treatment of 27 months. Thirteen specimens were biopsies, the remaining came from autopsies. The presence of refractile particles was found in 55 per cent of biopsies and 100 per cent of autopsies. Its presence was not constantly associated with morphological lesions of the liver. We believe that the deposition of this material could be a fortuitous finding with uncertain clinical implications.
Collapse
|
238
|
Carapeto FJ, Martín J, Grasa MP, Morales JM, Agurruza JM, Carapeto R. [Mixed tumor of the skin. Apropos of 5 cases]. ACTAS DERMO-SIFILIOGRAFICAS 1981; 72:571-6. [PMID: 6283805] [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
|
239
|
Jarillo MD, Alcázar JM, Pérez Díaz V, Gutiérrez Millet V, Morales JM, Barrientos A, Rodicio JL, Ruilope LM. [Hypertensive crisis. Clinical and therapeutic study of 130 cases (author's transl)]. Med Clin (Barc) 1981; 76:427-32. [PMID: 7242162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The clinical aspects and response to therapy of 130 hypertensive emergencies are reviewed in this report. According to the main features of the clinical picture, the patients were divided into neurologic, cardiac or mixed emergencies. The patients were evaluated with clinical examination, fundoscopy, routine biochemistry, ECG, and chest radiograms. According to the response of the blood pressure to the administration of hypotensive drugs, the patients were divided into two groups: group I, with good response to a single drug associated to frusemide, and group II, with good response to two or more drugs associated to frusemide. Neurologic emergencies appeared in 55 patients (42% of total), and cardiac emergencies in 45 (34%), the initial blood pressure beeing higher in the first group (p less than 0.005). The fundus showed hypertensive retinopathy degrees III-IV in 55% of the patients. Patients in group I had less elevation of the initial blood pressure, showed a better response to therapy, and had only mild side effects from the administered drugs. Group II had a mortality of 11% and, as expected, showed more complications due to side effects. The frequency of appearance of toxic side effects from the drugs given is reviewed, and a therapeutic schedule is proposed.
Collapse
|
240
|
Liaño F, Alonso M, Ruiz A, Ortega F, Marín R, Morales JM, Alvarez J. [Passive euthanasia in periodic hemodialysis: opinions of a patient care team]. Rev Clin Esp 1981; 161:91-4. [PMID: 7280326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
|
241
|
Gómez E, Ortega F, Morales JM, Gago E, Comas A, Alvarez J. Serum ferritin and HLA antigens in patients on maintenance haemodialysis. Lancet 1981; 1:836-7. [PMID: 6111697 DOI: 10.1016/s0140-6736(81)92708-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
|
242
|
Ruilope L, Alcazar JM, Morales JM, Barrientos A, Alvarez-Ude F, Bello I, Rodicio JL. [Evaluation of a therapeutic scheme in essential arterial hypertension. I. Initial control and conditioning factors]. Rev Clin Esp 1978; 151:367-70. [PMID: 741020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
|
243
|
Pérez Díaz V, Alcazar De La Ossa JM, Jarillo MD, Gutíerrez Millet V, Morales JM, Ródicio JL, Ruilope LM. [Prognostic and therapeutic implications of plasma renin activity in essential arterial hypertension]. Rev Clin Esp 1978; 151:283-87. [PMID: 741007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
|
244
|
Ruilope L, Alcazar JM, García Robles R, Gutiérrez Millet V, Jarillo MD, Torres J, Morales JM, Rodicio JL. [The renin-angiotensin-aldosterone system in essential arterial hypertension]. Rev Clin Esp 1977; 146:233-7. [PMID: 928859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
|
245
|
Barrientos A, Ortuño MT, Morales JM, Tello FM, Rodicio JL. Acute renal failure after use of diesel fuel as shampoo. ARCHIVES OF INTERNAL MEDICINE 1977; 137:1217. [PMID: 901091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
After washing his hair with diesel fuel a 28-year-old patient developed acute renal failure (ARF) and oliguria requiring hemodialysis. The patient recuperated completely. In the absence of other causal factors, we believe that the absorption of the diesel fuel components, either through the respiratory tract or through the skin can be considered to be the cause of the ARF. In spite of the extended everyday use of petroleum distillation products, cases of acute intoxication are infrequent. Even rarer are cases in which these products occasion ARF.
Collapse
|
246
|
Barcia D, Morales JM. [Current status of the psychological studies of alcoholism]. ACTAS LUSO-ESPANOLAS DE NEUROLOGIA, PSIQUIATRIA Y CIENCIAS AFINES 1977; 5:49-60. [PMID: 329641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
|
247
|
Rodríguez Vallejo J, Portera A, Morales JM, Mata P, Merchán J. [Huntington's chorea: rigid-hypokinetic form (description of a case diagnosed by a biopsy of the caudate nucleus]. Rev Clin Esp 1973; 129:589-92. [PMID: 4269538] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
|
248
|
Acquatella H, Pérez-González M, Morales JM, Whittembury G. Ionic and histological changes in the kidney after perfusion and storage for transplantation: use of high Na- versus high K-containing solutions. Transplantation 1972; 14:480-9. [PMID: 4566163 DOI: 10.1097/00007890-197210000-00013] [Citation(s) in RCA: 49] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
|
249
|
Barcia D, Martínez Carrillo JA, Morales JM, Agüero A. [Psychopharmacologic therapy of neuroses. The problem of personality and its influence on the therapeutic results]. ACTAS LUSO-ESPANOLAS DE NEUROLOGIA Y PSIQUIATRIA 1970; 29:17-38. [PMID: 5482847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|