1
|
Andrulli S, Rossini M, Gigliotti G, La Manna G, Feriozzi S, Aucella F, Granata A, Moggia E, Santoro D, Manenti L, Infante B, Ferrantelli A, Cianci R, Giordano M, Giannese D, Seminara G, Di Luca M, Bonomini M, Spatola L, Bruno F, Baraldi O, Micarelli D, Piemontese M, Distefano G, Mattozzi F, De Giovanni P, Penna D, Garozzo M, Vernaglione L, Abaterusso C, Zanchelli F, Brugnano R, Gintoli E, Sottini L, Quaglia M, Cavoli GL, De Fabritiis M, Conte MM, Manes M, Battaglia Y, Fontana F, Gesualdo L. The risks associated with percutaneous native kidney biopsies: a prospective study. Nephrol Dial Transplant 2022; 38:655-663. [PMID: 35587882 PMCID: PMC9976765 DOI: 10.1093/ndt/gfac177] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The known risks and benefits of native kidney biopsies are mainly based on the findings of retrospective studies. The aim of this multicentre prospective study was to evaluate the safety of percutaneous renal biopsies and quantify biopsy-related complication rates in Italy. METHODS The study examined the results of native kidney biopsies performed in 54 Italian nephrology centres between 2012 and 2020. The primary outcome was the rate of major complications 1 day after the procedure, or for longer if it was necessary to evaluate the evolution of a complication. Centre and patient risk predictors were analysed using multivariate logistic regression. RESULTS Analysis of 5304 biopsies of patients with a median age of 53.2 years revealed 400 major complication events in 273 patients (5.1%): the most frequent was a ≥2 g/dL decrease in haemoglobin levels (2.2%), followed by macrohaematuria (1.2%), blood transfusion (1.1%), gross haematoma (0.9%), artero-venous fistula (0.7%), invasive intervention (0.5%), pain (0.5%), symptomatic hypotension (0.3%), a rapid increase in serum creatinine levels (0.1%) and death (0.02%). The risk factors for major complications were higher plasma creatinine levels [odds ratio (OR) 1.12 for each mg/dL increase, 95% confidence interval (95% CI) 1.08-1.17], liver disease (OR 2.27, 95% CI 1.21-4.25) and a higher number of needle passes (OR for each pass 1.22, 95% CI 1.07-1.39), whereas higher proteinuria levels (OR for each g/day increase 0.95, 95% CI 0.92-0.99) were protective. CONCLUSIONS This is the first multicentre prospective study showing that percutaneous native kidney biopsies are associated with a 5% risk of a major post-biopsy complication. Predictors of increased risk include higher plasma creatinine levels, liver disease and a higher number of needle passes.
Collapse
Affiliation(s)
| | - Michele Rossini
- Nephrology, Dialysis and Transplantation, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Giuseppe Gigliotti
- Nephrology and Dialysis Unit, Maria Santissima Addolorata Hospital, Eboli, Italy
| | - Gaetano La Manna
- Nephrology Dialysis and Renal Transplantation Unit, University of Bologna, Bologna, Italy
| | - Sandro Feriozzi
- Nephrology and Dialysis Unit, Belcolle Hospital, Viterbo, Italy
| | - Filippo Aucella
- Nephrology and Dialysis Unit, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
| | - Antonio Granata
- Nephrology and Dialysis Unit, ‘San Giovanni di Dio’ Hospital, Agrigento, Italy
- Nephrology and Dialysis Unit, Cannizzaro Hospital, Catania, Italy
| | | | - Domenico Santoro
- Nephrology and Dialysis Unit, Università degli Studi di Messina Facoltà di Medicina e Chirurgia, Messina, Italy
| | - Lucio Manenti
- Dipartimento di Medicina e Chirurgia, UO di Nefrologia, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy
| | - Barbara Infante
- Nephrology, Dialysis and Transplantation Unit, Department of Biomedical Sciences, University of Foggia, Foggia, Italy
| | - Angelo Ferrantelli
- Nephrology and Dialysis Unit, Villa Sofia Cervello United Hospitals, Palermo, Italy
| | - Rosario Cianci
- Nephrology Unit, Umberto I Policlinico di Roma, Roma, Italy
| | - Mario Giordano
- Nephrology Division, Giovanni XXIII Children's Hospital, Bari, Italy
| | - Domenico Giannese
- Nephrology, Dialysis, Transplantation, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy
| | | | - Marina Di Luca
- Unit of Nephrology and Dialysis, San Salvatore Hospital, Pesaro, Italy
| | - Mario Bonomini
- Department of Medicine, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy
| | - Leonardo Spatola
- Renal and Hemodialysis Unit, Istituto Clinico Humanitas, Rozzano, Italy
| | - Francesca Bruno
- Nephrology and Dialysis Unit, Maria Santissima Addolorata Hospital, Eboli, Italy
| | - Olga Baraldi
- Nephrology Dialysis and Renal Transplantation Unit, University of Bologna, Bologna, Italy
| | - David Micarelli
- Nephrology and Dialysis Unit, Belcolle Hospital, Viterbo, Italy
| | - Matteo Piemontese
- Nephrology and Dialysis Unit, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy
| | - Giulio Distefano
- Nephrology and Dialysis Unit, ‘San Giovanni di Dio’ Hospital, Agrigento, Italy
| | - Francesca Mattozzi
- Paediatric Nephrology Unit, Regina Margherita Children's Hospital, Torino, Italy
| | - Paola De Giovanni
- Nephrology and Dialysis Unit, Ospedale degli Infermi di Rimini, Rimini, Italy
| | - Davide Penna
- Nephrology and Dialysis Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - Maurizio Garozzo
- Nephrology and Dialysis Unit, Santa Marta and Santa Venera Hospital District, Acireale, Italy
| | - Luigi Vernaglione
- Nephrology and Dialysis, ‘M. Giannuzzi’ Hospital of Manduria, Brindisi, Italy
| | - Cataldo Abaterusso
- Nephrology and Dialysis Unit, Civil Hospital of Castelfranco Veneto, Castelfranco Veneto, Italy
| | - Fulvia Zanchelli
- Nephrology and Dialysis Unit, Ospedale Santa Maria delle Croci, Ravenna, Italy
| | | | - Enrica Gintoli
- Nephrology and Dialysis Unit, Arcispedale Santa Maria Nuova di Reggio Emilia, Reggio Emilia, Italy
| | - Laura Sottini
- Nephrology and Dialysis Unit, Presidio Ospedaliero Santa Chiara, Trento, Italy
| | - Marco Quaglia
- AOU Maggiore Della Carità, Università del Piemonte Orientale Amedeo Avogadro, Novara, Italy
| | | | - Marco De Fabritiis
- Nephrology and Dialysis Unit, Morgagni-Pierantoni Hospital, Forlì, Italy
| | - Maria Maddalena Conte
- Nephrology and Dialysis Unit, University Hospital Maggiore della Carità, Novara, Italy
| | - Massimo Manes
- Nephrology and Dialysis Unit, Umberto Parini Hospital, Aosta, Italy
| | - Yuri Battaglia
- Nephrology and Dialysis Unit, Hospital-University St Anna, Ferrara, Italy
| | - Francesco Fontana
- Nephrology and Dialysis Unit, Azienda Ospedaliero Universitaria, Modena, Italy
| | - Loreto Gesualdo
- Nephrology, Dialysis and Transplantation, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | | |
Collapse
|
2
|
Tedesco M, Mescia F, Pisani I, Allinovi M, Casazza G, Del Vecchio L, Santostefano M, Cirillo L, Ferrario F, Esposito C, Esposito P, Santoro D, Lazzarin R, Rossi GM, Fiaccadori E, Ferrantelli A, Sinico RA, Cozzolino M, Gallieni M, Cirami L, Scolari F, Vaglio A, Alberici F. The Role of Rituximab in Primary Focal Segmental Glomerular Sclerosis of the Adult. Kidney Int Rep 2022; 7:1878-1886. [PMID: 35967114 PMCID: PMC9366368 DOI: 10.1016/j.ekir.2022.05.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 05/08/2022] [Accepted: 05/23/2022] [Indexed: 11/28/2022] Open
Abstract
Introduction Primary focal segmental glomerular sclerosis (FSGS) is a rare, likely immune-mediated disease. Rituximab (RTX) may play a role in management, although data in adults are scanty. Methods We collected cases of RTX-treated primary FSGS within the Italian Society of Nephrology Immunopathology Working Group and explored response rate (24-hour proteinuria <3.5 g and <50% compared with baseline, stable estimated glomerular filtration rate). Results A total of 31 patients were followed for at least 12 months; further follow-up (median 17 months, interquartile range [IQR] 15–33.5) was available for 11. At first RTX administration, median creatinine and 24-hour proteinuria were 1.17 mg/dl (IQR 0.83–1.62) and 5.2 g (IQR 3.3–8.81), respectively. Response rate at 3, 6, and 12 months was 39%, 52%, and 42%, respectively. In the first 12 months, creatinine level remained stable whereas proteinuria and serum albumin level improved, with an increase in the proportion of patients tapering other immunosuppressants. There were 6 patients who were retreated with RTX within 12 months, either for proteinuria increase or refractory disease; only the 2 responders to the first RTX course experienced a further response. At univariate analysis, 6-month response was more frequent in steroid-dependent patients (odds ratio [OR] 7.7 [95% CI 1.16–52.17]) and those with proteinuria <5 g/24 h (OR 8.25 [1.45–46.86]). During long-term follow-up, 4 of 5 responders at 12 months maintained a sustained response, either without further immunosuppression (2 of 4) or with pre-emptive RTX (2 of 4); 1 relapsed and responded to RTX retreatment. Conclusion RTX may be an option in primary FSGS, especially in steroid-dependent patients, with 24-hour proteinuria <5 g and previously responders to RTX. Optimal long-term management for responders is unclear, with some patients experiencing sustained remission and others requiring RTX retreatment, either preemptive or after rising proteinuria.
Collapse
Affiliation(s)
- Martina Tedesco
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
- Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Federica Mescia
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
- Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
- Correspondence: Federica Mescia, University of Brescia-ASST Spedali Civili, Piazzale Spedali Civili 1, 25125 Brescia, Italy.
| | - Isabella Pisani
- Nephrology Unit, Parma University Hospital, and Department of Medicine and Surgery, Parma University Medical School, Parma, Italy
| | - Marco Allinovi
- Nephrology, Dialysis and Transplantation Unit, Careggi University Hospital, Florence, Italy
| | - Giovanni Casazza
- Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan, Italy
| | - Lucia Del Vecchio
- Department of Nephrology and Dialysis, Sant'Anna Hospital, ASST Lariana, Como, Italy
| | - Marisa Santostefano
- Division of Nephrology, Dialysis and Hypertension, Policlinico S. Orsola-Malpighi Hospital, Bologna, Italy
| | - Luigi Cirillo
- Nephrology, Dialysis and Transplantation Unit, Careggi University Hospital, Florence, Italy
| | - Francesca Ferrario
- Division of Nephrology and Dialysis, Bassini Hospital, ASST Nord Milano, Cinisello Balsamo, Milan, Italy
| | - Ciro Esposito
- Nephrology and Dialysis Unit, ICS Maugeri SpA SB, Pavia, Italy
- Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy
| | - Pasquale Esposito
- Department of Internal Medicine, Nephrology, Dialysis and Transplantation Clinics, University of Genoa, Genoa, Italy
- Nephrology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - Domenico Santoro
- Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Roberta Lazzarin
- Nephrology and Dialysis, Ospedale San Giacomo Apostolo, Castelfranco Veneto, Italy
| | - Giovanni Maria Rossi
- Nephrology Unit, Parma University Hospital, and Department of Medicine and Surgery, Parma University Medical School, Parma, Italy
| | - Enrico Fiaccadori
- Nephrology Unit, Parma University Hospital, and Department of Medicine and Surgery, Parma University Medical School, Parma, Italy
| | | | - Renato Alberto Sinico
- Department of Medicine and Surgery, University of Milano—Bicocca and Nephrology Unit, ASST-Monza, Monza, Italy
| | - Mario Cozzolino
- Department of Health Sciences, University of Milano, Milan, Italy
- Nephrology Unit and Immunology Clinic, ASST Santi Paolo e Carlo, Milan, Italy
| | - Maurizio Gallieni
- Department of Clinical and Biomedical Sciences “L. Sacco,” University of Milano, Milan, Italy
- ASST Fatebenefratelli-Sacco, Milan, Italy
| | | | - Lino Cirami
- Nephrology, Dialysis and Transplantation Unit, Careggi University Hospital, Florence, Italy
| | - Francesco Scolari
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
- Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Augusto Vaglio
- Department of Biomedical, Experimental and Clinical Sciences “Mario Serio,” University of Firenze, Firenze, Florence, Italy
- Nephrology and Dialysis Unit, Meyer Children's Hospital, Firenze, Italy
| | - Federico Alberici
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
- Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| |
Collapse
|
3
|
Finazzo F, Cavoli GL, Mongiovì R, Bono L, Ferrantelli A, Tralongo A. The Relevance of the Imaging in Autosomal Dominant Polycystic Kidney Disease Management. Saudi J Kidney Dis Transpl 2022; 33:218-220. [PMID: 36648000 DOI: 10.4103/1319-2442.367820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Affiliation(s)
- Francesca Finazzo
- Department of Radiology and Department of Nephrology, Palermo, Italy
| | - Gioacchino Li Cavoli
- Department of Nephrology, Dialysis, and Renal Transplantation, ARNAS Civic Hospital, Palermo, Italy
| | - Rosalia Mongiovì
- Department of Nephrology, Dialysis, and Renal Transplantation, ARNAS Civic Hospital, Palermo, Italy
| | - Luisa Bono
- Department of Nephrology, Dialysis, and Renal Transplantation, ARNAS Civic Hospital, Palermo, Italy
| | - Angelo Ferrantelli
- Department of Nephrology, Dialysis, and Renal Transplantation, ARNAS Civic Hospital, Palermo, Italy
| | - Angelo Tralongo
- Department of Nephrology, Dialysis, and Renal Transplantation, ARNAS Civic Hospital, Palermo, Italy
| |
Collapse
|
4
|
Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Azzolina V, Li Cavoli TV, Tralongo A. Comment on "Which Patients with Obesity Are at Risk for Renal Disease?". Nephron Clin Pract 2021; 145:732-733. [PMID: 34547754 DOI: 10.1159/000519048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Accepted: 08/08/2021] [Indexed: 11/19/2022] Open
Affiliation(s)
- Gioacchino Li Cavoli
- Nephrology Dialysis Renal Transplant Department, ARNAS Civico Di Cristina, Palermo, Italy
| | - Calogera Tortorici
- Nephrology Dialysis Renal Transplant Department, ARNAS Civico Di Cristina, Palermo, Italy
| | - Luisa Bono
- Nephrology Dialysis Renal Transplant Department, ARNAS Civico Di Cristina, Palermo, Italy
| | - Angelo Ferrantelli
- Nephrology Dialysis Renal Transplant Department, ARNAS Civico Di Cristina, Palermo, Italy
| | - Vitalba Azzolina
- Nephrology Dialysis Renal Transplant Department, ARNAS Civico Di Cristina, Palermo, Italy
| | | | - Angelo Tralongo
- Nephrology Dialysis Renal Transplant Department, ARNAS Civico Di Cristina, Palermo, Italy
| |
Collapse
|
5
|
Li Cavoli G, Finazzo F, Tortorici C, Bono L, Li Cavoli TV, Finazzo M, Ferrantelli A. Comment on: Imaging is the major determinant in the assessment of disease activity in Takayasu's arteritis by Kenar et al. Clin Exp Rheumatol 2021; 39 Suppl 129:184. [DOI: 10.55563/clinexprheumatol/7op9ya] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Accepted: 06/23/2020] [Indexed: 11/13/2022]
Affiliation(s)
- Gioacchino Li Cavoli
- Nephrology Dialisys Renal Transplantation Department, Civic Hospital Palermo, Italy.
| | | | - Calogera Tortorici
- Nephrology Dialisys Renal Transplantation Department, Civic Hospital Palermo, Italy
| | - Luisa Bono
- Nephrology Dialisys Renal Transplantation Department, Civic Hospital Palermo, Italy
| | | | | | - Angelo Ferrantelli
- Nephrology Dialisys Renal Transplantation Department, Civic Hospital Palermo, Italy
| |
Collapse
|
6
|
Li Cavoli G, Tortorici C, Bono L, Giammarresi C, Ferrantelli G, Li Cavoli TV, Ferrantelli A. Comment on: New therapeutics for ANCA-associated vasculitis: 10 years devoted to lessen toxicity by Rossi et al. Clin Exp Rheumatol 2021; 39 Suppl 129:186. [DOI: 10.55563/clinexprheumatol/rym1op] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2020] [Accepted: 07/09/2020] [Indexed: 11/13/2022]
Affiliation(s)
| | | | - Luisa Bono
- Nephrology Dialisys Renal Transplantation, Civic Hospital Palermo Italy
| | - Carlo Giammarresi
- Nephrology Dialisys Renal Transplantation, Civic Hospital Palermo Italy
| | | | | | | |
Collapse
|
7
|
Scolari F, Delbarba E, Santoro D, Gesualdo L, Pani A, Dallera N, Mani LY, Santostefano M, Feriozzi S, Quaglia M, Boscutti G, Ferrantelli A, Marcantoni C, Passerini P, Magistroni R, Alberici F, Ghiggeri GM, Ponticelli C, Ravani P. Rituximab or Cyclophosphamide in the Treatment of Membranous Nephropathy: The RI-CYCLO Randomized Trial. J Am Soc Nephrol 2021; 32:972-982. [PMID: 33649098 PMCID: PMC8017548 DOI: 10.1681/asn.2020071091] [Citation(s) in RCA: 81] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 12/22/2020] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND A cyclic corticosteroid-cyclophosphamide regimen is the first-line therapy for membranous nephropathy. Compared with this regimen, rituximab therapy might have a more favorable safety profile, but a head-to-head comparison is lacking. METHODS We randomly assigned 74 adults with membranous nephropathy and proteinuria >3.5 g/d to rituximab (1 g) on days 1 and 15, or a 6-month cyclic regimen with corticosteroids alternated with cyclophosphamide every other month. The primary outcome was complete remission of proteinuria at 12 months. Other outcomes included determination of complete or partial remission at 24 months and occurrence of adverse events. RESULTS At 12 months, six of 37 patients (16%) randomized to rituximab and 12 of 37 patients (32%) randomized to the cyclic regimen experienced complete remission (odds ratio [OR], 0.4; 95% CI, 0.13 to 1.23); 23 of 37 (62%) receiving rituximab and 27 of 37 (73%) receiving the cyclic regimen had complete or partial remission (OR, 0.61; 95% CI, 0.23 to 1.63). At 24 months, the probabilities of complete and of complete or partial remission with rituximab were 0.42 (95% CI, 0.26 to 0.62) and 0.83 (95% CI, 0.65 to 0.95), respectively, and 0.43 (95% CI, 0.28 to 0.61) and 0.82 (95% CI, 0.68 to 0.93), respectively, with the cyclic regimen. Serious adverse events occurred in 19% of patients receiving rituximab and in 14% receiving the cyclic regimen. CONCLUSIONS This pilot trial found no signal of more benefit or less harm associated with rituximab versus a cyclic corticosteroid-cyclophosphamide regimen in the treatment of membranous nephropathy. A head-to-head, pragmatic comparison of the cyclic regimen versus rituximab may require a global noninferiority trial. CLINICAL TRIAL REGISTRY NAME AND REGISTRATION NUMBER Rituximab versus Steroids and Cyclophosphamide in the Treatment of Idiopathic Membranous Nephropathy (RI-CYCLO), NCT03018535.
Collapse
Affiliation(s)
- Francesco Scolari
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy,Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Elisa Delbarba
- Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Domenico Santoro
- Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Loreto Gesualdo
- Nephrology Unit, Department of Emergency and Transplant Organs, University Aldo Moro of Bari, Bari, Italy
| | - Antonello Pani
- Division of Nephrology and Dialysis, G. Brotzu Hospital, Cagliari, Italy
| | - Nadia Dallera
- Nephrology Unit, Montichiari Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Laila-Yasmin Mani
- Department of Nephrology and Hypertension, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Marisa Santostefano
- Division of Nephrology, Dialysis and Hypertension, Policlinico S.Orsola-Malpighi Hospital, Bologna, Italy
| | | | - Marco Quaglia
- Division of Nephrology, University of Piemonte Orientale, Novara, Italy
| | | | | | | | | | | | - Federico Alberici
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy,Nephrology Unit, Spedali Civili Hospital, ASST Spedali Civili of Brescia, Brescia, Italy
| | - Gian Marco Ghiggeri
- Division of Nephrology, Dialysis and Transplantation, Scientific Institute for Research and Health Care, IRCCS Istituto Giannina Gaslini, Genoa, Italy
| | - Claudio Ponticelli
- Independent Researcher, Past Director of the Division of Nephrology of the Policlinico Hospital, Milano, Italy
| | - Pietro Ravani
- Department of Medicine, University of Calgary, Calgary, Alberta, Canada
| | | |
Collapse
|
8
|
Cavoli GL, Finazzo F, Mongiovi R, Bono L, Ferrantelli A, Azzolina V, Tortorici C, Oliva B, Amato A, Giammarresi C, Zagarrigo C, Carollo C, Servillo F, Schillaci O, Tralongo A. The imaging of total kidney volume in ADPKD. J Bras Nefrol 2020; 42:384-385. [PMID: 32329506 PMCID: PMC7657046 DOI: 10.1590/2175-8239-jbn-2019-0218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 01/30/2020] [Indexed: 11/22/2022] Open
Affiliation(s)
- Gioacchino Li Cavoli
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Francesca Finazzo
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Rosalia Mongiovi
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Luisa Bono
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Angelo Ferrantelli
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Vitalba Azzolina
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Calogera Tortorici
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Barbara Oliva
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Antonio Amato
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Carlo Giammarresi
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Carmela Zagarrigo
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Camillo Carollo
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Franca Servillo
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Onofrio Schillaci
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| | - Angelo Tralongo
- Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Civico Di Cristina Benfratelli, Italy
| |
Collapse
|
9
|
Tedesco M, Pisani I, Allinovi M, Casazza G, Del Vecchio L, Santostefano M, Ferrario F, Esposito C, Esposito P, Santoro D, Lazzarin R, Delbarba E, Ferrantelli A, Sinico RA, Cozzolino MG, Gallieni M, Scolari F, Cirami C, Vaglio A, Alberici F. P0372RITUXIMAB IN IDIOPATHIC FOCAL SEGMENTAL GLOMERULOSCLEROSIS OF THE ADULT: A MULTICENTRE RETROSPECTIVE SURVEY OF 31 PATIENTS. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa142.p0372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background and Aims
Idiopathic Focal Segmental Glomerulosclerosis (FSGS) is a rare glomerulonephritis often complicated by a chronic relapsing course frequently characterized by dependency or resistance to immunosuppressive treatment. Moreover, about half of the patients with active disease would develop end-stage renal disease within 10 years from the diagnosis, highlighting the need of novel therapeutic approaches. Rituximab (RTX), a chimeric monoclonal antibody against CD20, showed promising results in pediatric steroid-dependent/frequently relapsing FSGS and in post-transplantation recurrence. However, evidence about its role in the FSGS of the adult is still lacking with small case series suggesting conflicting results. In this study we assess the efficacy of RTX in the largest cohort of adults with FSGS currently available in literature.
Methods
Adults with biopsy proven idiopathic FSGS treated with RTX were retrospectively identified among several Italian nephrology units. Response to RTX was evaluated at 3, 6, 12 months and, when available, during the long-term follow-up. A positive response (POR) was defined as: (1) proteinuria <3.5 g/die with a decrease >50% compared to baseline, (2) stable renal function (3) decreased or stable dose of glucocorticoids and other immunosuppressants. Severe Adverse Events (SAEs) have been recorded.
Results
31 patients have been identified: 18 steroid-dependent, 11 steroid-resistant, and 2 patients with major contraindication to steroid therapy. RTX has been administered at a median of 87 months (IQR 54–96) from the diagnoses using heterogeneous schedules of administration. Overall, the POR rate at 6 months was 52% (steroid-dependent=69%; steroid-resistant=22%). At univariate analyses, POR to RTX at 6 months was associated to the steroid-dependent status (p=0.0347) and a proteinuria at RTX <5 g/die (p=0.0173); a trend towards better response was observed in patients with IgG at RTX <500 mg/dl (p=0.0774). Over the first year of follow-up, the proteinuria and serum albumin significantly improved (respectively, p=0.0021 and p=0.0277 at 12 months), while serum creatinine remained stable (figure). Among treated patients, the median dose of prednisone decreased from 15 mg/die (IQR 12.5–25) at baseline to 10 mg/die (IQR 5–15) at 12 months, while the proportion of patients free from glucocorticoids respectively increased from 42% to 54%. Six patients have been retreated within a year since the first RTX: of these only the 2 patients who have experienced a POR to the first administration obtained a further POR after retreatment. After the 12th month, 11 patients have been followed for a median time of 17 months (IQR 15–33.5): of the 5/11 with a POR at the 12th month, 2/5 maintained a POR without needing further immunosuppression, 2/5 maintained a POR with a pre-emptive RTX based maintenance treatment, 1/5 experienced a relapse successfully managed with RTX needing then a pre-emptive RTX based maintenance therapy able to allow a persistent POR. Overall, 9 SAEs have been recorded with requirement of hospital admission for clinical deterioration being the most frequent.
Conclusion
RTX may be an option in the FSGS of the adult, especially in the steroid-dependent patients and the ones with less severe nephrotic syndrome. In the responders, a RTX based maintenance therapy may be required.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | - Ciro Esposito
- ICS Maugeri SpA SB, University of Pavia, Pavia, Italy
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Li Cavoli TV, Servillo F, Schillaci O. Comment on “Leptospirosis Renal Disease: Emerging Culprit of Chronic Kidney Disease Unknown Etiology”. Nephron Clin Pract 2020; 144:386-387. [DOI: 10.1159/000509003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
|
11
|
Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Carollo C, Azzolina V, Amato A, Mongiovì R, Oliva B, Giammarresi C, Zagarrigo C, Li Cavoli T, Servillo F, Schillaci O, Tralongo A. Comment on “Biopsy-proven renal pathologies: Experience from multan institute of kidney diseases”. Saudi J Kidney Dis Transpl 2020; 31:1441-1442. [DOI: 10.4103/1319-2442.308367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
12
|
Maringhini S, Cusumano R, Miceli P, Castellino S, Chimenz R, Dardanoni G, Ferrantelli A, Granata A, Santoro D, Scondotto S. [Survey on the Prevalence of Rare Kidney Diseases in Sicily]. G Ital Nefrol 2019; 36:36-1-2019-9. [PMID: 30758154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Renal Diseases represent almost 6% of all Rare Diseases but are often misdiagnosed. In a survey made in Sicily in 2016, based on cases reported from all public hospitals according to a list of rare kidney diseases, we were able to collect 337 cases (199 males and 138 females). The highest prevalence was detected in children: 13.9 cases in 100.000 children; the mean age was 10, and the median 5 years, at the time of the diagnosis. Comparing our data with those available in the Sicilian Register of Rare Diseases we found that only 141 cases (54%) were present in the register. Promoting regional registries of rare kidney diseases in Italy may be useful for epidemiologic studies.
Collapse
Affiliation(s)
- Silvio Maringhini
- Dipartimento Pediatria, Istituto Mediterraneo dei Trapianti e Tecniche specialistiche (ISMETT), Palermo, Italia
| | - Rosa Cusumano
- UOC Nefrologia Pediatrica, PO "G. Di Cristina", ARNAS Civico, Palermo, Italia
| | - Patrizia Miceli
- Dipartimento Attività Sanitarie Osservatorio Epidemiologico, Assessorato alla Salute, Regione Sicilia, Palermo, Italia
| | | | - Roberto Chimenz
- UO Nefrologia e Reumatologia Pediatrica con Dialisi - AOU "G. Martino", Messina, Italia
| | - Gabriella Dardanoni
- Dipartimento Attività Sanitarie Osservatorio Epidemiologico, Assessorato alla Salute, Regione Sicilia, Palermo, Italia
| | | | - Antonio Granata
- UOC di Nefrologia e Dialisi, PO "San Giovanni di Dio", Agrigento, Italia
| | - Domenico Santoro
- UOC Nefrologia e Dialisi, Dip.to di Medicina Clinica e Sperimentale, Università degli studi di Messina, Italia
| | - Salvatore Scondotto
- Dipartimento Attività Sanitarie Osservatorio Epidemiologico, Assessorato alla Salute, Regione Sicilia, Palermo, Italia
| |
Collapse
|
13
|
Santoro D, Marcantoni C, Visconti L, Pellicano' V, Seminara G, Ferrantelli G, Cernaro V, Buemi M, Ferrantelli A. MP185CLINICAL-PATHOLOGICAL CORRELATIONS AND PROGNOSTIC FACTORS IN A SICILIAN COHORT OF IGAN PATIENTS: A MULTICENTER RETROSPECTIVE ANALYSIS. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx165.mp185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
14
|
Li Cavoli G, Bono L, Tortorici C, Li Cavoli TV, Giammarresi C, Ferrantelli A, Rotolo U. The complications of ultrasound-guided percutaneous renal biopsy. Saudi J Kidney Dis Transpl 2017; 28:430-431. [PMID: 28352034 DOI: 10.4103/1319-2442.202784] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Gioacchino Li Cavoli
- Department of Nephrology-Dialysis, Civico-Benfratelli-Di Cristina Hospital, Palermo, Italy
| | - Luisa Bono
- Department of Nephrology-Dialysis, Civico-Benfratelli-Di Cristina Hospital, Palermo, Italy
| | - Calogera Tortorici
- Department of Nephrology-Dialysis, Civico-Benfratelli-Di Cristina Hospital, Palermo, Italy
| | | | - Carlo Giammarresi
- Department of Nephrology-Dialysis, Civico-Benfratelli-Di Cristina Hospital, Palermo, Italy
| | - Angelo Ferrantelli
- Department of Nephrology-Dialysis, Civico-Benfratelli-Di Cristina Hospital, Palermo, Italy
| | - Ugo Rotolo
- Department of Nephrology-Dialysis, Civico-Benfratelli-Di Cristina Hospital, Palermo, Italy
| |
Collapse
|
15
|
Li Cavoli G, Passantino R, Ferrantelli A, Bono L, Tortorici C, Giammarresi C, Li Cavoli TV, Ferrantelli G, Rotolo U. [Membranous glomerulonephritis with crescent overlapping]. G Ital Nefrol 2015; 32:gin/00225.9. [PMID: 26845212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Acute crescentic transformation is a rare but well described event in patients with membranous glomerulonephritis. We report our experience with a 66-year-old Caucasian man presented for rapid decline in renal function. For nearly 10 years, he was suffering from hypertension and mixed sensori-motor polyneuropathy. He performed therapy with prednisone and azathioprine, suspended 1 year before presentation. Moreover, six months before presentation, laboratory tests showed a serum creatinine concentration 220 mol/L and a 24-h protein excretion 0,75 g/d. The physical examination showed oedema and severe hypertension; the 24-h protein excretion was 1,1 gr/d and creatinine concentration was 550.8 mol/L; ANCA and other immunological tests were negative. There was no evidence of SLE, infection or malignancy. The kidney biopsy highlighted a membranous GN with crescentic overlap. The patient was treated with steroid and cyclophosphamide. Because there was no sign of improvement after 2 months, we stopped the cyclophosphamide therapy and the patient started chronic haemodialysis treatment. Unlike membranous nephropathy, patients with superimposed crescentic glomerulonephritis appear to have a more aggressive clinical course. The importance of recognizing this group of patients with membranous nephropathy and crescentic glomerulonephritis is that immunosuppressive therapy may ameliorate the progression of renal damage and in some cases early treatment was associated with useful recovery of renal function.
Collapse
|
16
|
Li Cavoli G, Passantino D, Tortorici C, Bono L, Ferrantelli A, Rotolo U. Acute interstitial nephritis overlapping chronic renal damage. Saudi J Kidney Dis Transpl 2015; 26:1020-2. [PMID: 26354584 DOI: 10.4103/1319-2442.164597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Gioacchino Li Cavoli
- Department of Nephrology-Dialysis, Civico and Di Cristina Hospital, Palermo, Italy
| | | | | | | | | | | |
Collapse
|
17
|
Li Cavoli G, Passantino R, Ferrantelli A, Tralongo A, Servillo F, Li Cavoli TV, Tralongo P, Palmeri M, Ferrantelli G, Ugo R. Acute kidney injury in a patient with metabolic syndrome. ACTA ACUST UNITED AC 2015; 5:155-7. [PMID: 26457254 PMCID: PMC4597164 DOI: 10.15171/bi.2015.13] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2015] [Revised: 03/26/2015] [Accepted: 03/26/2015] [Indexed: 01/24/2023]
Abstract
![]()
Introduction: The metabolic syndrome (MS) encompasses many metabolic abnormalities and the insulin resistance is considered as one of the most significant denominators. The chronic kidney disease (CKD) is an emerging health problem but only few patients would reach the end stage renal disease. There exists an increasing strong association between MS and CKD, but up until now the link between MS and CKD is unclear and there are few studies regarding the renal histology in MS.
Methods: We describe an acute tubulointerstitial nephritis case, due to both infective and pharmacological aetiology, overlapping relevant histological changes (focal segmental glomerulosclerosis [FSG], hyaline arteriosclerosis) in a patient with MS and previously normal renal function. Despite the severe vascular finding (elevated renal arterial resistive index), the patient recovered a normal renal function.
Results: We reviewed the kidney pathological studies in MS and analyzed the principal renal histological images of glomerulomegaly, segmental glomerulosclerosis, and obesity-related glomerulopathy.
Conclusion: Despite the strong association, the renal involvement in MS has not been proven. A greater knowledge of the combination of histological renal changes in MS can help to understand the pathophysiological mechanism(s) of MS.
Collapse
Affiliation(s)
| | - Rita Passantino
- Pathologic Anatomy, Civico and Di Cristina Hospital, Palermo, Italy
| | | | - Angelo Tralongo
- Nephrology-Dialysis, Civico and Di Cristina Hospital, Palermo, Italy
| | - Franca Servillo
- Nephrology-Dialysis, Civico and Di Cristina Hospital, Palermo, Italy
| | | | - Pietro Tralongo
- Nephrology-Dialysis, Civico and Di Cristina Hospital, Palermo, Italy
| | - Mattia Palmeri
- Nephrology-Dialysis, Civico and Di Cristina Hospital, Palermo, Italy
| | | | - Rotolo Ugo
- Nephrology-Dialysis, Civico and Di Cristina Hospital, Palermo, Italy
| |
Collapse
|
18
|
Cavoli GL, Bono L, Tortorici C, Ferrantelli A, Giammarresi C, Rotolo U. Plasmapheresis in renal diseases: personal experience. Saudi J Kidney Dis Transpl 2015; 26:137-8. [PMID: 25579735 DOI: 10.4103/1319-2442.148763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
19
|
Li Cavoli G, Bono L, Tortorici C, Ferrantelli A, Zagarrigo C, Servillo F, Giammarresi C, Tralongo A, Schillaci O, Coglitore M, Rotolo U. [Renal involvement in Erdheim-Chester disease]. G Ital Nefrol 2013; 30:gin/00101.10. [PMID: 24402664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The Erdheim-Chester disease is a rare form of Langherans cells. Since 1987 it is distinguished from other istiocytosis previously identified. The diagnosis of the disease relies on defined radiological (bone imaging) and pathological (histiocytic infiltration) criteria. Bone disease is crucial but systemic manifestations are reported more frequently at onset. Renal involvement is always asymptomatic at onset of disease or in the follow-up. In this review we analyze the reports of the literature; we highlight 3 pathological mechanisms of renal involvement: renal and retroperitoneal infiltration, urinary tract obstruction, renal arteries stenosis. No treatment to date has demonstrated an improvement in survival of patients with EC. Renal involvement is therefore symptomatic (ureteral stenting, percutaneous nephrostomy) or is adopted a wait-and-see attitude.
Collapse
|
20
|
Cavoli GL, Ferrantelli A, Bono L, Tortorici C, Passantino R, Rotolo U. Kidney involvement in a Wegener granulomatosis case. ACTA ACUST UNITED AC 2013. [PMID: 23897571 DOI: 10.4103/0019-5359.115219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Wegener Granulomatosis is a systemic Anti-Neutrophil Cytoplasmic Autoantibody-associated Vasculitis, affecting small-to-medium vessels. Clinical presentation with simultaneous involvement of kidney and upper and lower respiratory tract is unusual. We report an instructive case of WG, analyzing clinical course, laboratory, and radiological features, kidney, lung, and larynx histological pictures. Besides renal biopsy, nephrology team performed larynx and lung biopsies because of unusual clinical presentation, computed tomography chest examination, and relevant malignancy risk regarding following immunosuppressant therapy.
Collapse
Affiliation(s)
- Gioacchino Li Cavoli
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Sicily, Italy.
| | | | | | | | | | | |
Collapse
|
21
|
Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Giammarresi C, Rotolo U. Takayasu's arteritis presenting as renovascular hypertension. Saudi J Kidney Dis Transpl 2013; 24:384-6. [PMID: 23538372 DOI: 10.4103/1319-2442.109615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
22
|
Li Cavoli G, Ferrantelli A, Boned Juliani L, Tortorici C, Giammarresi C, Passantino R, Rotolo U. Comment on "membranous glomerulonephritis associated with mieloperoxidase antineutrophil cytoplasmic antibody-associated glomerulonephritis". Nefrologia 2013; 33:135-136. [PMID: 23364639 DOI: 10.3265/nefrologia.pre2012.sep.11692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2012] [Indexed: 06/01/2023] Open
|
23
|
Cavoli GL, Schillaci O, Tralongo A, Tortorici C, Bono L, Ferrantelli A, Rotolo U. Extended spectrum beta lactamase peritonitis: Our experience. Indian J Nephrol 2013; 23:392. [PMID: 24049286 PMCID: PMC3764724 DOI: 10.4103/0971-4065.116334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- G. L. Cavoli
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy,Address for correspondence: Dr. Gioacchino Li Cavoli, 43 Via Francesco Cilea, 90144 Palermo, Italy. E-mail:
| | - O. Schillaci
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | - A. Tralongo
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | - C. Tortorici
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | - L. Bono
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | - A. Ferrantelli
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | - U. Rotolo
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| |
Collapse
|
24
|
Cavoli GL, Bono L, Tortorici C, Ferrantelli A, Giammarresi C, Lorenzo ID, Rotolo U. Spontaneous kidney rupture in a patient on chronic hemodialysis. Indian J Nephrol 2012; 22:145-6. [PMID: 22787321 PMCID: PMC3391816 DOI: 10.4103/0971-4065.97141] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- G Li Cavoli
- Nephrology-Dialysis Division, Civic and Di Cristina Hospital, Palermo, Italy
| | | | | | | | | | | | | |
Collapse
|
25
|
Miyazaki N, Matsumoto J, Alberici F, Palmisano A, Maritati F, Oliva E, Buzio C, Vaglio A, Mjoen G, Norby GE, Vikse BE, Svarstad E, Rune B, Knut A, Szymczak M, Kuzniar J, Kopec W, Marchewka Z, Klinger M, Arrizabalaga P, Silvarino R, Sant F, Espinosa G, Sole M, Cervera R, Gude D, Chennamsetty S, Demin A, Kozlov V, Lisukov I, Kotova O, Sizikov A, Sergeevicheva V, Demina L, Borjesson O, Wendt M, Avik A, Qureshi AR, Bratt J, Miller EJ, Gunnarsson I, Bruchfeld A, Sugiyama K, Hasegawa M, Yamamoto K, Hayashi H, Koide S, Murakami K, Tomita M, Yoshida S, Yuzawa Y, Yew S, Jayne D, Westman K, Hoglund P, Flossman O, Mahr A, Luqmani R, Robson J, Thervet E, Levi C, Guiard E, Roland M, Nochy D, Daniliuc C, Guillevin L, Mouthon L, Jacquot C, Karras A, Kimura Y, Morita H, Debiec H, Yamada H, Miura N, Banno S, Ronco P, Imai H, Shin DH, Famee D, Koo HM, Han SH, Choi KH, Yoo TH, Kang SW, Fofi C, Fofi C, Scabbia L, Festuccia F, Stoppacciaro A, Mene' P, Shimizu A, Fukui M, MII A, Kaneko T, Masuda Y, Iino Y, Katayama Y, Fukuda Y, Kuroki A, Matsumoto K, Akizawa T, Jurubita R, Ismail G, Bobeica R, Rusu E, Zilisteanu D, Andronesi A, Motoi O, Ditoiu V, Copaci I, Voiculescu M, Irazabal MV, Eirin A, Lieske JC, Beck LH, Dillon JJ, Nachman PH, Sethi S, Erickson SB, Cattran DC, Fervenza FC, Svobodova B, Hruskova Z, Janatkova I, Jancova E, Tesar V, Seo MS, Kwon SH, Lee EB, You JY, Hyun YK, Woo SA, Park MY, Choi SJ, Jeon JS, Noh H, Kim JG, Han DC, Hwang SD, Choi TY, Jin SY, Kwon SH, Loiacono E, Loiacono E, Defedele D, Puccinelli MP, Camilla R, Gallo R, Peruzzi L, Rollino C, Beltrame G, Ferro M, Vergano L, Campolo F, Amore A, Coppo R, Knoop T, Vikse BE, Svarstad E, Bostad L, Leivestad T, Bjorneklett R, Teranishi J, Yamamoto R, Nagasawa Y, Shoji T, Iwatani H, Okada N, Moriyama T, Yamauchi A, Tsubakihara Y, Imai E, Rakugi H, Isaka Y, Koo HM, Doh FM, Kim SJ, Kang SW, Choi KH, Han DS, Han SH, Suzuki Y, Matsuzaki K, Suzuki H, Okazaki K, Yanagawa H, Maiguma M, Muto M, Sato T, Horikoshi S, Novak J, Hotta O, Tomino Y, Gutierrez* E, Zamora I, Ballarin J, Arce Y, Jimenez S, Quereda C, Olea T, Martinez-Ara J, Segarra A, Bernis C, Garcia A, Goicoechea M, Garcia de Vinuesa S, Rojas J, Praga M, Ristovska V, Petrushevska G, Grcevska L, Knoop T, Vikse BE, Svarstad E, Bostad L, Leivestad T, Bjorneklett R, Satake K, Shimizu Y, Mugitani N, Suzuki H, Suzuki Y, Horikoshi S, Honda S, Shibuya K, Shibuya A, Tomino Y, Papale M, Rocchetti MT, DI Paolo S, Suriano IV, D'apollo A, Vocino G, Montemurno E, Varraso L, Grandaliano G, Gesualdo L, Huerta A, Bomback AS, Canetta PA, Radhakrishnan J, Herlitz L, Stokes B, D'agati V, Markowitz G, Appel GB, Ristovska V, Grcevska L, Mouna H, Nasr BD, Mrabet I, Ahmed L, Sabra A, Mohamed Ammeur F, Mezri E, Habib S, Innocenti M, Pasquariello A, Pasquariello G, Mattei P, Bottai A, Fumagalli G, Bozzoli L, Samoni S, Cupisti A, Caldin B, Hung J, Repizo L, Malheiros DM, Barros R, Woronik V, Giammarresi C, Bono L, Ferrantelli A, Tortorici C, Licavoli G, Rotolo U, Huang X, Wang Q, Shi M, Chen W, Liu Z, Scarpioni R, Cantarini L, Lazzaro A, Ricardi M, Albertazzi V, Melfa L, Concesi C, Vallisa D, Cavanna L, Gungor G, Ataseven H, Demir A, Solak Y, Biyik M, Ozturk B, Polat I, Kiyici A, Ozer Cakir O, Polat H, Martinez-Ara J, Castillo I, Carreno V, Aguilar A, Madero R, Hernandez E, Bernis C, Bartolome J, Gea F, Selgas R, El Aggan HAM, El Banawy HS, Wagdy E, Tchebotareva N, LI O, Bobkova I, Kozlovskaya L, Varshavskiy V, Golicina E, Chen Y, Gong Z, Chen X, Tang L, Zhou J, Cao X, Wei R, Koo EH, Koo EH, Park JH, Kim HK, Kim MS, Jang HR, Lee JE, Huh W, Kim DJ, Oh HY, Kim YG, Tchebotareva N, Bobkova I, Kozlovskaya L, LI O, Eskova O, Shvetsov M, Golytsina E, Varshavskiy V, Popova O, Quaglia M, Monti S, Fenoglio R, Menegotto A, Airoldi A, Izzo C, Rizzo MA, Dianzani U, Stratta P, Vaglio A, Vaglio A, Alberici F, Gianfreda D, Buzio C. Primary and secondary glomerulonephritis I. Nephrol Dial Transplant 2012. [DOI: 10.1093/ndt/gfs223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
26
|
Neild GH, Li Cavoli G, Passantino R, Ferrantelli A, Rotolo U. Kidney infiltration due to malignant lymphoma. Clin Kidney J 2012; 5:369-71. [PMID: 25874104 PMCID: PMC4393460 DOI: 10.1093/ndtplus/sfr181] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2011] [Accepted: 12/23/2011] [Indexed: 11/14/2022] Open
Affiliation(s)
- G H Neild
- Nephrology-Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | | | - Rita Passantino
- Anatomic Pathology, Civic and Di Cristina Hospital, Palermo, Italy
| | | | - Ugo Rotolo
- Nephrology-Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| |
Collapse
|
27
|
Affiliation(s)
- G Li Cavoli
- Department of Nephrology and Dialysis, Civic and Di Cristina Hospital, Palermo, Italy
| | | | | | | | | | | | | |
Collapse
|
28
|
Granata A, Floccari F, Ferrantelli A, Rotolo U, Di Lullo L, Fiorini F, Logias F, Gallieni M, Fiore CE. Does systematic preliminar colour Doppler study reduce kidney biopsy complication incidence? Int J Nephrol 2011; 2011:419093. [PMID: 21804941 PMCID: PMC3143450 DOI: 10.4061/2011/419093] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2011] [Accepted: 06/06/2011] [Indexed: 01/20/2023] Open
Abstract
While ultrasonography is widely performed prior to biopsy, colour Doppler examination is often used only to discover post-biopsy complications. Aim of this paper was to evaluate the usefulness of colour Doppler examination in planning the optimal site of puncture for renal biopsy. Present analysis includes 561 consecutive percutaneous renal biopsies performed from the same operator. Until August 2000 332 biopsies were performed after a preliminary ultrasonography (Group A). From September 2000, 229 patients underwent even a preliminary colour Doppler study (Group B). Postbioptic bleeding were categorized as minor (gross hematuria or subcapsular perinephric hematoma < 4 cmq of greater diameter) or major (hematoma >4 cmq of greater diameter; requiring blood transfusion or invasive procedures; leading to acute renal failure, urine tract obstruction, septicaemia, or death). Major complications were seen in 2.1% in Group A while in Group B only one case was reported (0.43%). Minor clinically significant complications occur in 7.8% in Group A and in 3.4% of cases of Group B. Colour Doppler reduced drastically the incidence of complications observed before the introduction of routine colour Doppler examination prior to biopsy. In our opinion, these data support the use of preliminary colour Doppler study when a biopsy is planned.
Collapse
Affiliation(s)
- Antonio Granata
- Departments of Nephrology and Dialysis and Internal Medicine, V. Emanuele Hospital, Via F. Paradiso 78/a, 95024 Acireale, Italy
| | | | | | | | | | | | | | | | | |
Collapse
|
29
|
Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Rotolo U. Acute kidney injury in a patient with psychological eating disorder. Clin Exp Nephrol 2011; 15:793-794. [PMID: 21706140 DOI: 10.1007/s10157-011-0480-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2011] [Accepted: 06/07/2011] [Indexed: 11/25/2022]
Affiliation(s)
- Gioacchino Li Cavoli
- Division of Nephrology and Dialysis, Civic and Di Cristina Hospital, via Francesco Cilea 43, Palermo, 90144, Italy.
| | - Calogera Tortorici
- Division of Nephrology and Dialysis, Civic and Di Cristina Hospital, via Francesco Cilea 43, Palermo, 90144, Italy
| | - Luisa Bono
- Division of Nephrology and Dialysis, Civic and Di Cristina Hospital, via Francesco Cilea 43, Palermo, 90144, Italy
| | - Angelo Ferrantelli
- Division of Nephrology and Dialysis, Civic and Di Cristina Hospital, via Francesco Cilea 43, Palermo, 90144, Italy
| | - Ugo Rotolo
- Division of Nephrology and Dialysis, Civic and Di Cristina Hospital, via Francesco Cilea 43, Palermo, 90144, Italy
| |
Collapse
|
30
|
Li Cavoli G, Ferrantelli A, Bono L, Tortorici C, Giammarresi C, Zagarrigo C, Schillaci O, Tralongo A, Soresi M, Rotolo U. Incidence of hepatitis C virus infection in patients with chronic kidney disease on conservative therapy. Int J Infect Dis 2011; 15:e514-6. [PMID: 21680217 DOI: 10.1016/j.ijid.2011.04.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2010] [Revised: 03/31/2011] [Accepted: 04/05/2011] [Indexed: 12/23/2022] Open
Abstract
Hepatitis C virus (HCV) infection is a never-ending public health problem. Many studies have investigated the incidence of HCV infection among dialysis patients, but there have only been a few epidemiological studies in renal conservative therapy. We studied 320 subjects with pre-dialysis chronic kidney disease living in Sicily, Italy. The incidence of HCV infection was 6.25%. In Europe, incidence ranges from 0.2% to 3.5%. It appears that the incidence of HCV infection is higher in the studied patient population than in the population as a whole.
Collapse
Affiliation(s)
- Gioacchino Li Cavoli
- Nephrology and Dialysis Department, Civic and Di Cristina Hospital, Piazza Nicola Liotta, Palermo 90100, Italy.
| | | | | | | | | | | | | | | | | | | |
Collapse
|
31
|
Locsey L, Seres I, Sztanek F, Harangi M, Padra J, Asztalos L, Paragh G, Hutchison CA, Bevins A, Langham R, Mancini E, Wirta O, Cockwell P, Hutchison CA, Keir R, Vigano M, Stella A, Evans N, Chappell M, Cockwell P, Fabbrini P, Onuigbo M, Onuigbo N, Onuigbo M, Kim S, Chang JH, Jung JY, Lee HH, Chung W, Zanoli L, Rastelli S, Marcantoni C, Tamburino C, Castellino P, Cho A, Choi H, Lee JE, Jang HR, Huh W, Kim YG, Kim DJ, Oh HY, Zanoli L, Rastelli S, Marcantoni C, Tamburino C, Castellino P, Garcia-Fernandez N, Martin-Moreno PL, Varo N, Nunez-Cordoba JM, Schlieper G, Kruger T, Kelm M, Floege J, Westenfeld R, Choi H, Cho AJ, Jang HR, Lee JE, Huh W, Kim YG, Oh HY, Kim DJ, Doganay S, Oguz AK, Ergun I, Bardachenko N, Kuryata O, Bardachenko L, Garcia-Fernandez N, Martin-Moreno PL, Varo N, Nunez-Cordoba JM, Choi H, Cho AJ, Jang HR, Lee JE, Huh W, Kim YG, Oh HY, Kim DJ, Ravani P, Malberti F, Pirelli S, Scolari F, Barrett B, Presta P, Lucisano G, Rubino A, Serraino F, Amoruso T, Renzulli A, Fuiano G, Kielstein JT, Tolk S, Heiden A, Kuhn C, Hoeper MM, Lorenzen J, Broll M, Kaever V, Burhenne H, Hafer C, Haller H, Burkhardt O, Kielstein J, Zahalkova J, Petejova N, Strojil J, Urbanek K, Bertoli S, Musetti C, Cabiati A, Assanelli E, Lauri G, Marana I, De Metrio M, Rubino M, Campodonico J, Grazi M, Moltrasio M, Marenzi G, Unarokov Z, Mukhoedova T, Fidalgo P, Coelho S, Rodrigues B, Fernandes AP, Papoila AL, Liano F, Soto K, Vanmassenhove J, Vanholder R, Glorieux G, Van Biesen W, Challiner R, Ritchie J, Hutchison A, Challiner R, Ritchie J, Hutchison A, Challiner R, Ritchie J, Hutchison A, Zaharie SI, Maria DT, Zaharie M, Vaduva C, Grauntanu C, Cana-Ruiu D, Mota E, Hayer M, Baharani J, Thomas M, Eldehni T, Selby N, McIntyre C, Fluck R, Kolhe N, Fagugli RM, Patera F, Shah PR, Kaswan KK, Kute VB, Vanikar AV, Gumber MR, Patel HV, Munjappa BC, Enginner DP, Sainaresh VV, Trivedi HL, Teixeira C, Nogueira E, Lopes JA, Almeida E, Pais de Lacerda A, Gomes da Costa A, Franca C, Mariano F, Morselli M, Bergamo D, Hollo' Z, Scella S, Maio M, Tetta C, Dellavalle A, Stella M, Triolo G, Cantaluppi V, Quercia AD, Bertinetto P, Giacalone S, Tamagnone M, Basso E, Karvela E, Gai M, Leonardi G, Anania P, Guarena C, Fenocchio CM, Pacitti A, Segoloni GP, Kim YO, Kim HG, Kim BS, Song HCS, Min JK, Kim SY, Park WD, Dalboni M, Narciso R, Quinto M, Grabulosa C, Cruz E, Monte J, Durao M, Cendoroglo M, Santos O, Batista M, Cho A, Choi H, Lee JE, Jang HR, Huh W, Kim YG, Kim DJ, Oh HY, Mancini E, Bellasi A, Giannone S, Mordenti A, Zanoni A, Santoro A, Presta P, Lucisano G, Rubino A, Serraino F, Renzulli A, Fuiano G, Lee JH, Ha SH, Kim JH, Lee GJ, Jung YC, Malindretos P, Koutroumbas G, Patrinou A, Zagkotsis G, Makri P, Togousidis I, Syrganis C, Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Giammarresi C, Zagarrigo C, Rotolo U, Kim H, Jun K, Choi W, Kim H, Jun K, Choi W, Krzesinski JM, Parotte MC, Vandevelde C, Keenan J, Dieterle F, Sultana S, Pinches M, Ciorciaro C, Schindler R, Schmitz V, Gautier JC, Benain X, Matchem J, Murray P, Adler S, Haase M, Haase-Fielitz A, Devarajan P, Bellomo R, Cruz DN, Wagener G, Krawczeski CD, Koyner JL, Murray PT, Zappitelli M, Goldstein S, Makris K, Ronco C, Martensson J, Martling CR, Venge P, Siew E, Ware LB, Ikizler A, Mertens PR, Lacquaniti A, Buemi A, Donato V, Lucisano S, Buemi M, Vanmassenhove J, Vanholder R, Glorieux G, Van Biesen W, Panagoutsos S, Kriki P, Mourvati E, Tziakas D, Chalikias G, Stakos D, Apostolakis S, Tsigalou C, Gioka T, Konstantinides S, Vargemezis V, Torregrosa I, Montoliu C, Urios A, Aguado C, Puchades MJ, Solis MA, Juan I, Sanjuan R, Blasco M, Pineda J, Carratala A, Ramos C, Miguel A, Niculae A, Checherita IA, Sandulovici R, David C, Ciocalteu A, Espinoza M, Hidalgo J, Lorca E, Santibanez A, Arancibia F, Gonzalez F, Park MY, Kim EJ, Choi SJ, Kim JK, Hwang SD, Lee KH, Seok SJ, Yang JO, Lee EY, Hong SY, Gil HW, Astapenko E, Shutov A, Savinova G, Rechnik V, Melo MJ, Lopes JA, Raimundo M, Viegas A, Camara I, Antunes F, Kim MJ, Kwon SH, Lee SW, Song JH, Lee JW. Acute kidney injury - Human studies. Clin Kidney J 2011. [DOI: 10.1093/ndtplus/4.s2.29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
32
|
Li Cavoli G, Tortorici C, Bono L, Ferrantelli A, Giammarresi C, Rotolo U. Comment about nephrotic syndrome in association with strongyloidiasis. Clin Exp Nephrol 2011; 15:448. [PMID: 21468622 DOI: 10.1007/s10157-011-0442-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Accepted: 03/21/2011] [Indexed: 11/29/2022]
Affiliation(s)
- Gioacchino Li Cavoli
- Nephrology and Dialysis Division, Civic and Di Cristina Hospital, via Francesco Cilea 43, 90144, Palermo, Italy.
| | - Calogera Tortorici
- Nephrology and Dialysis Division, Civic and Di Cristina Hospital, via Francesco Cilea 43, 90144, Palermo, Italy
| | - Luisa Bono
- Nephrology and Dialysis Division, Civic and Di Cristina Hospital, via Francesco Cilea 43, 90144, Palermo, Italy
| | - Angelo Ferrantelli
- Nephrology and Dialysis Division, Civic and Di Cristina Hospital, via Francesco Cilea 43, 90144, Palermo, Italy
| | - Carlo Giammarresi
- Nephrology and Dialysis Division, Civic and Di Cristina Hospital, via Francesco Cilea 43, 90144, Palermo, Italy
| | - Ugo Rotolo
- Nephrology and Dialysis Division, Civic and Di Cristina Hospital, via Francesco Cilea 43, 90144, Palermo, Italy
| |
Collapse
|
33
|
Li Cavoli G, Ferrantelli A, Tralongo A, Schillaci O, Rotolo U. Occult hepatitis B virus infection in a Sicilian chronic dialysis population. NDT Plus 2009; 2:506-7. [PMID: 25949393 PMCID: PMC4421324 DOI: 10.1093/ndtplus/sfp122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Gioacchino Li Cavoli
- Department of Nephrology and Dialysis, ARNAS Civico and Benfratelli , Palermo , Italy E-mail:
| | - Angelo Ferrantelli
- Department of Nephrology and Dialysis, ARNAS Civico and Benfratelli , Palermo , Italy E-mail:
| | - Angelo Tralongo
- Department of Nephrology and Dialysis, ARNAS Civico and Benfratelli , Palermo , Italy E-mail:
| | - Onofrio Schillaci
- Department of Nephrology and Dialysis, ARNAS Civico and Benfratelli , Palermo , Italy E-mail:
| | - Ugo Rotolo
- Department of Nephrology and Dialysis, ARNAS Civico and Benfratelli , Palermo , Italy E-mail:
| |
Collapse
|
34
|
Ferrantelli A, Bono L, Tortorici C, Termini R, Giammarresi C, Rotolo U. [Treatment of lupus nephritis]. G Ital Nefrol 2005; 22 Suppl 33:S27-33. [PMID: 16419002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
SLE begins with renal symptoms in about 30-50% of the patients and after 10 years over 70% of them has complications. In the last years the medical therapy improved the outcome of SLE and its complications. Presently, the survival for lupus nephritis is 80% after five years. The nephritis treatment is divided into remission-inducing treatment that is followed by remission-maintaining treatment. Moreover, it is considered the therapy for preventing or reducing toxic and side-effects from drugs and the therapy for flare-ups. To initiate the specific therapy is important to consider the histological class (WHO). In the remission-inducing treatment steroids are used alone for 3-6 months in class IIB or in association with cyclophosphamide in classes III-IV and V and for flare-ups. For remission-maintaining treatment steroids are used in association with azathioprine. The drugs improved the outcome of nephritis but produced side-effects that determined the suspension of the drug and/or reduction of dosage and/or the use of other drugs like mycophenolate mofetil or rituximab.
Collapse
Affiliation(s)
- A Ferrantelli
- U.O. Nefrologia, Dialisi e Trapianti ARNAS Civico, Palermo.
| | | | | | | | | | | |
Collapse
|
35
|
Mercadante S, Ferrantelli A, Tortorici C, Lo Cascio A, Lo Cicero M, Cutaia I, Parrino I, Casuccio A. Incidence of chronic pain in patients with end-stage renal disease on dialysis. J Pain Symptom Manage 2005; 30:302-4. [PMID: 16256892 DOI: 10.1016/j.jpainsymman.2005.08.010] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
36
|
Li Vecchi M, Andronico G, Ferrara L, Renda F, Parrino IA, Pavone G, Mulé G, Ferrantelli A, Di Natale E, Cerasola G. Sodium-lithium countertransport in autosomal polycystic kidney disease. Contrib Nephrol 1997; 122:31-4. [PMID: 9399034 DOI: 10.1159/000059887] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- M Li Vecchi
- Cattedra di Medicina Interna e Centro Ipertensione, Università di Palermo, Italia
| | | | | | | | | | | | | | | | | | | |
Collapse
|
37
|
Turco AE, Bresin E, Rossetti S, Englisch S, Pignatti PF, Gammaro L, Maschio G, Bendetti M, Li Vecchi M, Ferrantelli A, Cerasola G, Stiasny B, Schulze B. Molecular genetic investigations in autosomal dominant polycystic kidney disease. Gene Mutation detection, linkage analysis, and preliminary ACE gene I/D polymorphism association studies: an update. Contrib Nephrol 1997; 122:53-7. [PMID: 9399039 DOI: 10.1159/000059868] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- A E Turco
- Institute of Genetics, University of Verona School of Medicine.
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|