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Kurultak I, Gungor O, Ozturk S, Dirim AB, Eren N, Yenigün E, Dal EA, Dincer MT, Bora F, Akgur S, Sumnu A, Dursun B, Sipahi S, Cetinkaya H, Sahin I, Sahin G, Yilmaz M, Vatansever B, Aydın E, Ulu MS, Gundogdu A, Ustundag S, Sayarlioglu H, Kumru G, Elcioglu OC, Aydın Z, Selcuk NY, Onal Guclu C, Oruc M, Kucuk M, Aktas N, Derici U, Suleymanlar G. Clinical and histopathological characteristics of primary focal segmental glomerulosclerosis in Turkish adults. Sci Rep 2024; 14:6748. [PMID: 38514826 PMCID: PMC10957996 DOI: 10.1038/s41598-024-57305-6] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Accepted: 03/16/2024] [Indexed: 03/23/2024] Open
Abstract
The data regarding primary FSGS (pFSGS) from different parts of the world differ. While the prevalence of pFSGS has been increasing in Western countries like the USA, it follows an inconsistent trend in Europe and Asia and a decreasing trend in Far Eastern countries such as China in the last two decades. There are undetermined factors to explain those national and geographic discrepancies. Herein, we aimed to reveal the current prevalence with clinical and histopathological characteristics of pFSGS in Turkish adults. This study includes the biopsy-proven pFSGS patients data recorded between 2009 and 2019, obtained from the national multicenter primary glomerulonephritis registry system of the Turkish Society of Nephrology Glomerular Diseases (TSN-GOLD) database. 850 of the 3875 primer glomerulonephritis patients(21.9%) have pFSGS. The mean age is 40.5 ± 14.2 and 435 (51.2%) of patients are male. Nephrotic syndrome is the most common biopsy indication (59.2%). 32.6% of patients have hematuria, 15.2% have leukocyturia and 7.8% have both. Serum creatinine, albumin, and proteinuria are 1.0 mg/dL (IQR = 0.7-1.4) mg/dl, 3.4 ± 0.9 g/dl, 3400 mg/day(IQR, 1774-5740), respectively. Females have lower mean arterial pressure (- 2.2 mmHg), higher eGFR (+ 10.0 mL/min/1.73 m2), and BMI (+ 1.6 kg/m2) than males. Thickened basal membrane(76.6%) and mesangial proliferation (53.5%) on light microscopy are the major findings after segmental sclerosis. IgM (32.7%) and C3 (32.9%) depositions are the most common findings on immunofluorescence microscopy. IgM positivity is related to lower eGFR, serum albumin, and higher proteinuria. The prevalence of pFSGS is stable although slightly increasing in Turkish adults. The characteristics of the patients are similar to those seen in Western countries.
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Affiliation(s)
- Ilhan Kurultak
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Trakya University, 22030, Edirne, Turkey.
| | - Ozkan Gungor
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Sutcu Imam University, Kahramanmaras, Turkey
| | - Savas Ozturk
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Istanbul University, Istanbul, Turkey
| | - Ahmet Burak Dirim
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Istanbul University, Istanbul, Turkey
| | - Necmi Eren
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Kocaeli University, Kocaeli, Turkey
| | - Ezgi Yenigün
- Department of Internal Medicine, Division of Nephrology, Ankara Numune Training and Research Hospital, Ankara, Turkey
| | - Elbis Ahbab Dal
- Department of Internal Medicine, Division of Nephrology, Health Science University, Istanbul Hamidiye Sisli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Mevlut Tamer Dincer
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Feyza Bora
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Akdeniz University, Antalya, Turkey
| | - Suat Akgur
- Department of Internal Medicine, Division of Nephrology, Kutahya Health Science University, Evliya Celebi Yuksek Ihtisas Training and Research Hospital, Kutahya, Turkey
| | - Abdullah Sumnu
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Medipol University, Istanbul, Turkey
| | - Belda Dursun
- Faculty of Medicine, Department of InternalMedicine, Division of Nephrology, Pamukkale University, Denizli, Turkey
| | - Savas Sipahi
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Sakarya University, Sakarya, Turkey
| | - Hakki Cetinkaya
- Department of Internal Medicine, Division of Nephrology, Sultan Abdulhamid Training and Research Hospital, Istanbul, Turkey
| | - Idris Sahin
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Inonu University, Malatya, Turkey
| | - Garip Sahin
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Eskisehir Osmangazi University, Eskişehir, Turkey
| | - Murvet Yilmaz
- Department of Internal Medicine, Division of Nephrology, Health Science University, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Bulent Vatansever
- Department of Internal Medicine, Division of Nephrology, Izmir Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Emre Aydın
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Dicle University, Diyarbakir, Turkey
| | - Memnune Sena Ulu
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Afyon Kocatepe University, Afyon, Turkey
| | - Ali Gundogdu
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Erciyes University, Kayseri, Turkey
| | - Sedat Ustundag
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Trakya University, 22030, Edirne, Turkey
| | - Hayriye Sayarlioglu
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Samsun 19 Mayis University, Samsun, Turkey
| | - Gizem Kumru
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Ankara University, Ankara, Turkey
| | - Omer C Elcioglu
- Department of Internal Medicine, Division of Nephrology, Bezmialem Vakif University School of Medicine, Istanbul, Turkey
| | - Zeki Aydın
- Department of Internal Medicine, Division of Nephrology, Darıca Farabi Training and Research Hospital, Kocaeli, Turkey
| | - Nedim Yılmaz Selcuk
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Selcuk University, Konya, Turkey
| | - Ceren Onal Guclu
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Hacettepe University, Ankara, Turkey
| | - Meric Oruc
- Department of Internal Medicine, Division of Nephrology, Kartal Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Mehmet Kucuk
- Department of Internal Medicine, Division of Nephrology, Okmeydanı Training and Research Hospital, Istanbul, Turkey
| | - Nimet Aktas
- Department of Internal Medicine, Division of Nephrology, Health Science University, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
| | - Ulver Derici
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Gazi University, Ankara, Turkey
| | - Gultekin Suleymanlar
- Faculty of Medicine, Department of Internal Medicine, Division of Nephrology, Akdeniz University, Antalya, Turkey
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Oruc M, Mercan S, Bakan S, Kose S, Ikitimur B, Trabulus S, Altiparmak MR. Do trace elements play a role in coronary artery calcification in hemodialysis patients? Int Urol Nephrol 2023; 55:173-182. [PMID: 35854190 DOI: 10.1007/s11255-022-03303-4] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 07/07/2022] [Indexed: 01/05/2023]
Abstract
PURPOSE Abnormalities of trace elements have previously been linked to inflammatory processes in hemodialysis (HD) patients. We aimed to establish the trace element status of maintenance HD patients, to investigate the relationship between coronary artery calcification scores (CACs) and whole blood levels of trace elements. METHODS Patients undergoing HD in three times a week for > 6 months and age-and sex-matched controls were included from October 2015 to June 2016. Data were collected from patient files. All subjects' whole blood levels of trace elements were measured by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). CACs for patients were assessed by multi-detector computed tomography. RESULTS The 35 patients (male, 60%) with a mean age of 45.7 ± 10.4 years and 35 controls were included. HD patients showed significantly lower levels of selenium and uranium and higher cadmium (Cd), cobalt, lithium, manganese, nickel, lead, platinum, tin, strontium, and thallium levels compared to controls. Coronary artery calcification (CAC) was present in 21 patients (60%), and median CACs were 14.2 (IQR 0-149). Patients with CACs > median were significantly older, had a higher prevalence of hypertension and lower ALP levels than patients with CACs ≤ median. No significant differences in whole blood levels of trace elements were found between patients with CACs > median and patients with CACs ≤ median. A near significance was noted in median whole blood levels of Cd between these groups (P = 0.096). According to multivariate analysis, age was the only independent determinant for CAC development. CONCLUSION Age is independently associated with coronary vascular calcification. High Cd levels might play a role in CAC development in HD patients.
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Affiliation(s)
- Meric Oruc
- Department of Nephrology, Kartal Dr Lutfi Kirdar City Hospital, 34865, Istanbul, Turkey.
| | - Selda Mercan
- Department of Science, Institute of Forensic Sciences and Legal Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Selim Bakan
- Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sennur Kose
- Department of Nephrology, Istanbul Education and Research Hospital, Istanbul, Turkey
| | - Baris Ikitimur
- Department of Cardiology, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sinan Trabulus
- Department of Nephrology, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Mehmet Riza Altiparmak
- Department of Nephrology, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey
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Sahin A, Oruc M, Meteroğlu F, Erbey A, Alabalık U, Kaplan I. Study of Aqueous Ecballium Elaterium as Fibrinolytic in The Rabbit Model of Intrapleural Empyema. Niger J Clin Pract 2021; 24:1326-1331. [PMID: 34531345 DOI: 10.4103/njcp.njcp_360_20] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Aims We aimed to investigate of intrapleural use of ecballium elaterium (EE) in a rabbit model empyema. Methods An empyema was induced in 21 rabbits after inoculation of Staphylococcus aureus. Glucose levels, pH, lactate dehydrogenase levels, and amounts of pleural drainage were evaluated in addition to pleural and empyema scores. The rabbits were divided into three groups, each 7, the isotonic solution, the streptokinase, and the ecballium group. Results At autopsy, there was no difference in pH, glucose, and LDH levels in three groups. The mean pleural drainage was greater in the ecballium group. A significant difference was detected between groups in terms of drainage amounts and pleural and empyema scores (P < 0.05). A significant difference in pleural and empyema scores was detected in the ecballium and streptokinase groups (P < 0.05). EE group had significant differences in drainage amounts and plural and empyema scores regard to the control group (P < 0.05). No significance was found between streptokinase and EE groups. Conclusion We conclude that intrapleural use of EE is at least as effective as streptokinase for the treatment of empyema.
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Affiliation(s)
- A Sahin
- Harran University, Medical School, Thoracic Surgery, Sanliurfa, Dicle University, Medical School, Diyarbakir, Turkey
| | - M Oruc
- Thoracic Surgery, Harran University, Medical School, Thoracic Surgery, Sanliurfa, Dicle University, Medical School, Diyarbakir, Turkey
| | - F Meteroğlu
- Thoracic Surgery, Harran University, Medical School, Thoracic Surgery, Sanliurfa, Dicle University, Medical School, Diyarbakir, Turkey
| | - A Erbey
- Thoracic Surgery, Harran University, Medical School, Thoracic Surgery, Sanliurfa, Dicle University, Medical School, Diyarbakir, Turkey
| | - U Alabalık
- Pathology, Harran University, Medical School, Thoracic Surgery, Sanliurfa, Dicle University, Medical School, Diyarbakir, Turkey
| | - I Kaplan
- Biochemistry, Harran University, Medical School, Thoracic Surgery, Sanliurfa, Dicle University, Medical School, Diyarbakir, Turkey
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Dirim AB, Demir E, Yadigar S, Garayeva N, Parmaksiz E, Safak S, Bahat KA, Ucar AR, Oruc M, Oto OA, Medetalibeyoglu A, Basaran S, Orhun G, Yazici H, Turkmen A. COVID-19 in chronic kidney disease: a retrospective, propensity score-matched cohort study. Int Urol Nephrol 2021; 53:2117-2125. [PMID: 33548044 PMCID: PMC7864795 DOI: 10.1007/s11255-021-02783-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [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: 07/07/2020] [Accepted: 01/19/2021] [Indexed: 01/27/2023]
Abstract
BACKGROUND The prognostic factors for COVID-19 in patients with chronic kidney disease (CKD) are uncertain. We conducted a study to compare clinical and prognostic features between hospitalized COVID-19 patients with and without CKD. METHODS Fifty-six patients with stage 3-5 CKD and propensity score-matched fifty-six patients without CKD were included in the study. Patients were followed-up at least fifteen days or until death after COVID-19 diagnosis. The endpoints were death from all causes, development of acute kidney injury (AKI) or cytokine release syndrome or respiratory failure, or admission to the intensive care unit (ICU). RESULTS All patients were reviewed retrospectively over a median follow-up of 44 days (IQR, 36-52) after diagnosis of COVID-19. Patients with CKD had higher intensive care unit admission and mortality rates than the patients without CKD, but these results did not reach statistical significance (16 vs. 19; p = 0.54 and 11 vs. 16, p = 0.269, respectively). The frequency of AKI development was significantly higher in predialysis patients with CKD compared to the other group (8 vs. 5; p < 0.001), but there was no significant difference between the groups in terms of cytokine release syndrome (13 vs. 8; p = 0.226), follow-up in the ICU (19 vs. 16; p = 0.541), and respiratory failure (25 vs. 22, p = 0.566). Multivariate logistic regression analysis revealed that respiratory failure and AKI were independent risk factors for mortality. CONCLUSION The mortality rates of COVID-19 patients with CKD had higher than COVID-19 patients without CKD. Also, AKI and respiratory failure were independently related to mortality.
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Affiliation(s)
- Ahmet Burak Dirim
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
| | - Erol Demir
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Serap Yadigar
- Division of Nephrology, Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Teaching and Research Hospital, Istanbul, Turkey
| | - Nurana Garayeva
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ergun Parmaksiz
- Division of Nephrology, Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Teaching and Research Hospital, Istanbul, Turkey
| | - Seda Safak
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Kubra Aydin Bahat
- Division of Nephrology, Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Teaching and Research Hospital, Istanbul, Turkey
| | - Ali Riza Ucar
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Meric Oruc
- Division of Nephrology, Department of Internal Medicine, Dr. Lutfi Kirdar Kartal Teaching and Research Hospital, Istanbul, Turkey
| | - Ozgur Akin Oto
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Alpay Medetalibeyoglu
- Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Seniha Basaran
- Department of Infectious Diseases and Clinical Microbiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Gunseli Orhun
- Department of Anesthesiology and Intensive Care, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Halil Yazici
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Aydin Turkmen
- Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
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Arslan E, Oruc M, Yalin SF, Alagoz S, Demir H, Hatemi G, Trabulus S, Altiparmak MR. Clinical Features and Outcomes of Patients with Granulomatosis with Polyangiitis and Review of Literature. Turk J Nephrol 2020. [DOI: 10.5152/turkjnephrol.2020.4048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Kurultak I, Gungor O, Ozturk S, Dirim AB, Eren N, Yenigun E, Ahbap Dal E, Dincer MT, Bora F, Akgur S, Sumnu A, Dursun B, Sipahi S, Çetinkaya H, Sahin İ, SAHIN G, Yılmaz M, Vatansever B, Aydin E, Ulu MS, Gundogan A, Üstündağ S, Sayarlioglu H, Kumru Şahin G, Elcioglu OC, Aydin Z, Selcuk NY, Onal C, Oruc M, Kucuk M, Aktas N, Derici Ü, Suleymanlar G. P0389THE PREVALENCE, CLINICAL AND PATHOLOGICAL CHARACTERISTICS OF PRIMARY FOCAL SEGMENTAL GLOMERULOSCLEROSIS IN TURKISH ADULTS: THE DATA FROM TSN-GOLD ( TURKISH SOCIETY OF NEPHROLOGY GLOMERULAR DISEASES) WORKING GROUP. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa142.p0389] [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: 11/14/2022] Open
Abstract
Abstract
Background and Aims
Focal segmental glomerulosclerosis (FSGS) is one of the primary glomerulopathies which is the most common cause of end-stage renal disease among all primary glomerular diseases. In adults, nephrotic syndrome develops 10-35% due to FSGS. However, its frequency has been increasing in recent years. This study was aimed to present the data and the prevalence of primary FSGS patients in Turkey.
Method
These data were obtained from the National Multicenter (47 centers) Primary Glomerular Diseases registry system, which was entered into the Turkish Society of Nephrology Glomerular Diseases (TSN-GOLD) database between May 2009 and June 2019. The presented data in this study is cross-sectional and includes the recorded data of the patients in the hospitalization period for the kidney biopsy. These demographic, clinic and pathological data of patients were evaluated with using statistically.
Results
Of the 3875 patients enrolled in the Primary Glomerular Diseases database, 850 (21.9%) had FSGS. The mean age of the patients was 47.1 ± 13.7 and 435 (52%) of patients were male. Two hundred and eighty one (33.1%) had hypertension and 93 (11%) had diabetes. Five hundred and four patients (59.3%) were diagnosed as nephrotic syndrome. At the time of diagnosis, the mean systolic blood pressure was 13.8 ± 18.6 mm Hg and the mean diastolic blood pressure was 81.4± 11.4 mm Hg. The laboratory findings at the time of diagnosis on following; serum creatinine 1.2 ± 0.04 mg / dl, albumin 3.3 ± 0.03 g / dl, and 24 hours urinary proteinuria amounts to 4743 ± 181 mg / day. Demographical and clinical data of the patients at the time of diagnosis were presented on Table 1. In pathological examination; the mean number of glomeruli was 16.8 ± 0.3, global sclerotic glomeruli were 3.1 ± 0.1, and segmental sclerotic glomeruli were 2.4 ± 0.1. Summary of Pathological Findings were presented on Table 2
Conclusion
It is very difficult to determine the absolute incidence and prevalence of primary FSGS. Incidence rates have been reported to range from 0.2 to 1.8 / 100,000 per year in the literature. In a United States study, the most common diagnosis in 2501 kidney biopsies was FSGS (35.9%). According to this database, the prevalence of FSGS in primary glomerular diseases in our country is 21.9%.
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Affiliation(s)
- Ilhan Kurultak
- Trakya University, Faculty of Medicine, Nephrology, Edirne, Turkey
| | - Ozkan Gungor
- Sutcu Imam University, Faculty of Medicine, Nephrology, Turkey
| | - Savas Ozturk
- Haseki Education and Research Hospital, Nephrology, Istanbul, Turkey
| | - Ahmet Burak Dirim
- Istanbul University, Faculty of Medicine, Nephrology, Istanbul, Turkey
| | - Necmi Eren
- Kocaeli University, Faculty of Medicine, Nephrology, Kocaeli, Turkey
| | - Ezgi Yenigun
- Ankara Numune Education and Research Hospital, Nephrology, Ankara, Turkey
| | - Elbis Ahbap Dal
- Hamidiye Sisli Etfal Education and Research Hospital, Nephrology, Istanbul, Turkey
| | | | - Feyza Bora
- Akdeniz University, Faculty of Medicine, Nephrology, Antalya, Turkey
| | - Suat Akgur
- Uludag University, Faculty of Medicine, Nephrology, Bursa, Turkey
| | - Abdullah Sumnu
- Medipol University, Faculty of Medicine, Nephrology, İstanbul
| | - Belda Dursun
- Pamukkale University, Faculty of Medicine, Nephrology, Denizli, Turkey
| | - Savaş Sipahi
- Sakarya University, Faculty of Medicine, Nephrology, Sakarya, Turkey
| | - Hakkı Çetinkaya
- Sultan Abdulhamid Han Education and Research Hospital, Nephrology, Istanbul, Turkey
| | - İdris Sahin
- Inonu University, Faculty of Medicine, Nephrology, Malatya, Turkey
| | - Garip SAHIN
- Eskisehir Osmangazi Universitesi, Faculty of Medicine, Nephrology, Eskişehir, Turkey
| | - Mürvet Yılmaz
- University of Halth Sciences, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Nephrology, Istanbul, Turkey
| | - Bulent Vatansever
- Izmir Bozkaya Education and Research Hospital, Nephrology, Izmir, Turkey
| | - Emre Aydin
- Dicle University, Faculty of Medicine, Nephrology, Urfa, Turkey
| | - Memnune Sena Ulu
- Afyon University, Faculty of Medicine, Nephrology, Afyon, Turkey
| | - Ali Gundogan
- Erciyes University, Faculty of Medicine, Nephrology, Kayseri, Turkey
| | - Sedat Üstündağ
- Trakya University, Faculty of Medicine, Nephrology, Edirne, Turkey
| | | | - Gizem Kumru Şahin
- Ankara University, Faculty of Medicine, Ibni-Sina Hospital, Nephrology, Ankara, Turkey
| | - Omer Celal Elcioglu
- Bezmialem Vakıf University, Faculty of Medicine, Nephrology, Istanbul, Turkey
| | - Zeki Aydin
- Darıca Farabi Education and Research Hospital, Nephrology, Kocaeli, Turkey
| | | | - Ceren Onal
- Hacettepe University, Faculty of Medicine, Nephrology, Ankara, Turkey
| | - Meric Oruc
- Kartal Dr. Lutfi Kırdar Education and Research Hospital, Nephrology, Istanbul, Turkey
| | - Mehmet Kucuk
- Okmeydanı Education and Research Hospital, Nephrology, Istanbul, Turkey
| | - Nimet Aktas
- Bursa Yuksek Ihtisas Education and Research Hospital, Nephrology, Bursa, Turkey
| | - Ülver Derici
- Gazi University, Faculty of Medicine, Nephrology, Ankara, Turkey
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Hudakova A, Majernikova L, Obrocnikova A, Magurova D, Andrascikova S, Oruc M, Zelenikova R. Analysis of Self-Sufficiency for Seniors. cswhi 2019. [DOI: 10.22359/cswhi_10_4_04] [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: 11/23/2022]
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Yalin SF, Trabulus S, Alagoz S, Gulcicek S, Oruc M, Seyahi N, Altinparmak MR. Clinical Features and Outcomes in Acute Kidney Injury Patients Who Underwent Urgent Dialysis in a Regular Hemodialysis Unit. Turk J Nephrol 2019. [DOI: 10.5152/turkjnephrol.2019.3196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Yalın SF, Eren N, Sinangil A, Yilmaz VT, Tatar E, Ucar AR, Sevinc M, Can Ö, Gurkan A, Arik N, Alisir Ecder S, Uyar M, Yasar M, Gulcicek S, Mese M, Dheir H, Cakir U, Köksal Cevher Ş, Turkmen K, Guven B, Guven Taymez D, Erkalma Senates B, Ecder T, Kocak H, Uslu A, Demir E, Basturk T, Ogutmen MB, Kinalp C, Dursun B, Bicik Bahcebasi Z, Sipahi S, Dede F, Oruc M, Caliskan Y, Genc A, Yelken B, Altıparmak MR, Turkmen A, Seyahi N. Fabry Disease Prevalence in Renal Replacement Therapy in Turkey. Nephron Clin Pract 2019; 142:26-33. [PMID: 30739116 DOI: 10.1159/000496620] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [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: 09/30/2018] [Accepted: 12/22/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Fabry disease (FD) is an X-linked lysosomal storage disorder resulting from lack of alpha-galactosidase A (AGALA) activity in lysosomes. OBJECTIVE In this multicenter study, we aimed to evaluate the prevalence of FD in renal transplant (Tx) recipients in Turkey. We also screened dialysis patients as a control group. METHODS All Tx and dialysis patients were screened regardless of the presence of a primary disease. We measured the AGALA activity in all male patients as initial analysis. Mutation analysis was performed in male patients with decreased AGALA activity and in female patients as the initial diagnostic assay. RESULTS We screened 5,657 patients. A total of 17 mutations were identified. No significant difference was observed between the groups regarding the prevalence of patients with mutation. We found FD even in patients with presumed primary kidney diseases. Seventy-one relatives were analyzed and mutation was detected in 43 of them. We detected a patient with a new, unknown mutation (p.Cys223) in the GLA gene. CONCLUSIONS There are important implications of the screening. First, detection of the undiagnosed patients leads to starting appropriate therapies for these patients. Second, the transmission of the disease to future generations may be prevented by prenatal screening after appropriate genetic counseling. In conclusion, we suggest screening of kidney Tx candidates for FD, regardless of etiologies of chronic kidney disease.
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Affiliation(s)
- Serkan Feyyaz Yalın
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Necmi Eren
- Department of Nephrology, Kocaeli University Medical Faculty, Kocaeli, Turkey
| | - Ayse Sinangil
- Department of Nephrology, Bilim University Medical Faculty Medical, Istanbul, Turkey
| | - Vural Taner Yilmaz
- Division of Nephrology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Erhan Tatar
- Department of Nephrology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Ali Riza Ucar
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Mustafa Sevinc
- Department of Nephrology, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Özgür Can
- Department of Nephrology, Haydarpasa Training and Research Hospital, Istanbul, Turkey
| | - Alp Gurkan
- Department of Nephrology, Medicana, Istanbul, Turkey
| | - Nurol Arik
- Department of Nephrology, Ondokuz Mayis University Medical Faculty, Samsun, Turkey
| | - Sabahat Alisir Ecder
- Division of Nephrology, Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Murathan Uyar
- Department of Nephrology, Gaziosmanpasa Hospital, Istanbul, Turkey
| | - Murat Yasar
- Department of Nephrology, Pamukkale University Medical Faculty, Denizli, Turkey
| | - Sibel Gulcicek
- Department of Nephrology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Meral Mese
- Department of Nephrology, Dr. Lufti Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Hamad Dheir
- Department of Nephrology, Sakarya University Tip Medical Faculty, Sakarya, Turkey
| | - Ulkem Cakir
- Department of Nephrology, Acibadem University Medical Faculty, Istanbul, Turkey
| | - Şimal Köksal Cevher
- Department of Nephrology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Kultigin Turkmen
- Division of Nephrology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey
| | - Bahtisen Guven
- Department of Nephrology, Bahcesehir University Medical Faculty, Istanbul, Turkey
| | | | - Banu Erkalma Senates
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Tevfik Ecder
- Department of Nephrology, Bilim University Medical Faculty Medical, Istanbul, Turkey
| | - Huseyin Kocak
- Division of Nephrology, Akdeniz University Medical Faculty, Antalya, Turkey
| | - Adam Uslu
- Department of Nephrology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Erol Demir
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Taner Basturk
- Department of Nephrology, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Melike Betul Ogutmen
- Department of Nephrology, Haydarpasa Training and Research Hospital, Istanbul, Turkey
| | - Can Kinalp
- Department of Nephrology, Medicana, Istanbul, Turkey
| | - Belda Dursun
- Department of Nephrology, Pamukkale University Medical Faculty, Denizli, Turkey
| | - Zerrin Bicik Bahcebasi
- Department of Nephrology, Dr. Lufti Kirdar Kartal Training and Research Hospital, Istanbul, Turkey
| | - Savas Sipahi
- Department of Nephrology, Sakarya University Tip Medical Faculty, Sakarya, Turkey
| | - Fatih Dede
- Department of Nephrology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Meric Oruc
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Yasar Caliskan
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Ahmed Genc
- Department of Nephrology, Sakarya University Tip Medical Faculty, Sakarya, Turkey
| | - Berna Yelken
- Department of Nephrology, Memorial Hospital, Istanbul, Turkey
| | - Mehmet Rıza Altıparmak
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - Aydin Turkmen
- Division of Nephrology, Istanbul University, Faculty of Medicine, Istanbul, Turkey
| | - Nurhan Seyahi
- Department of Nephrology, Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey,
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10
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Trabulus S, Oruc M, Ozgun E, Altiparmak M, Seyahi N. The Use of Low-Calcium Hemodialysis in the Treatment of Hypercalcemic Crisis. Nephron Clin Pract 2018; 139:319-331. [DOI: 10.1159/000488502] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 03/15/2018] [Indexed: 11/19/2022] Open
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Oruc M, Durak H, Yalin SF, Seyahi N, Altıparmak MR, Trabulus S. A Rare Presentation of Immunoglobulin A Nephropathy: Acute Kidney Injury. Nephron Clin Pract 2017; 137:8-14. [PMID: 28743127 DOI: 10.1159/000470852] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [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: 07/18/2016] [Accepted: 03/05/2017] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Acute kidney injury (AKI) is known as an uncommon presentation in immunoglobulin A nephropathy (IgAN). The aim of our study was to analyze the clinical data and biopsy findings in IgAN patients presenting with AKI. METHODS We performed a retrospective analysis of all subjects who had biopsy-proven IgAN and presented with AKI during June 2002 September 2015. The following data were obtained from medical records. RESULTS A total of 15 patients of 123 patients (12.2%) with primary IgAN admitted with AKI. Patients were generally male (73.3%), with a median age of 38 (interquartile range; IQR, 2,944) years. The serum creatinine at admission was above the normal range (median 2.3 [IQR, 2.14.7] mg/dL]). On histology, cellular/fibrocellular crescents were present in 6 patients. In most cases (53.3%), pathologic abnormalities associated with acute tubular injury/necrosis were defined. Red blood cell casts in tubules were present in 6 cases (40%). In all cases, interstitial mixed inflammatory cell infiltration was observed. In 4 cases, admixed eosinophils were also found. In 3 patients, biopsy specimens showed acute thrombotic microangiopathy lesions (20%). Median follow-up time was 13 (IQR, 346) months. Six patients (40%) progressed to end-stage renal disease (ESRD). Among patients diagnosed with primary IgAN and presenting without AKI, only 4 patients progressed to ESRD. The proportion of patients who progressed to ESRD presenting with AKI was significantly higher than the patients presenting without AKI (p = 0.000). CONCLUSIONS In conclusion, AKI complicates IgAN more often.
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Affiliation(s)
- Meric Oruc
- Department of Nephrology, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey
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12
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Yalin S, Gulcicek S, Avci S, Erkalma Senates B, Altiparmak M, Trabulus S, Alagoz S, Oruc M, Seyahi N. SP635SINGLE-FREQUENCY AND MULTI-FREQUENCY BIOIMPEDANCE ANALYSIS: WHAT IS THE DIFFERENCE? Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx154.sp635] [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
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13
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Oruc M, Mercan S, Kose Ş, Bakan S, Ikitimur B, Yalin S, Gulcicek S, Alagoz S, Seyahi N, Altiparmak M, Trabulus S. SP549ASSOCIATION BETWEEN TRACE ELEMENTS AND CORONARY ARTERY CALCIFICATION IN CHRONIC HEMODIALYSIS PATIENTS. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx152.sp549] [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
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14
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Alagoz S, Yalin S, Gulcicek S, Oruc M, Trabulus S, Pekpak M, Ataman R, Altiparmak M, Seyahi N. SP762LONG TERM EVOLUTION OF THE MINERAL METABOLISM AFTER RENAL TRANSPLANTATION. Nephrol Dial Transplant 2017. [DOI: 10.1093/ndt/gfx157.sp762] [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: 11/14/2022] Open
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15
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Alagoz S, Kuskucu M, Gulcicek S, Yalin SF, Oruc M, Midilli K, Yılmaz E, Altiparmak MR, Seyahi N. The Frequency and Associated Factors for BK Virus Infection in a Center Performing Mainly Living Kidney Transplantations. Prog Transplant 2017; 27:152-159. [PMID: 28617169 DOI: 10.1177/1526924817699969] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE BK virus (BKV) nephropathy has increasingly become an important cause of morbidity in renal transplant recipients. We evaluated the frequency and associated factors for BKV infection in a center performing mainly living donor transplantations over a long time period. METHODS One hundred consecutive renal transplant patients were included. Quarterly visits were planned to examine urine for decoy cells and to measure the BKV DNA in the blood and urine. Renal biopsy was performed in case of deteriorated allograft function. Serological examinations for BKV immunoglobulin G (IgG) were performed in donors. RESULTS Throughout the entire follow-up period, the rates of viruria, viremia, and the positivity of decoy cells were 12%, 6%, and 13%, respectively. The negative and positive predictive values of decoy cells were 93.1% and 69.2%, respectively, for viruria, and 99.2% and 45.5%, respectively, for viremia. Biopsy-proven BKV nephropathy was observed in 1 patient. The BKV IgG was positive in all living donors. Viruria and viremia were associated with deceased donor transplantation, acute rejection, and pulse steroid therapy. In addition, viremia was associated with antithymocyte globulin therapy and a short duration of the posttransplant period. CONCLUSIONS The frequency of BKV infection was lower in our transplant unit compared to previous reports. Reduced doses of immunosuppression seem to be the main factor that may explain the reduced frequency. However, an active screening strategy is still of importance for this patient group.
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Affiliation(s)
- Selma Alagoz
- 1 Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Mert Kuskucu
- 2 Department of Clinical Microbiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Sibel Gulcicek
- 1 Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Serkan Feyyaz Yalin
- 1 Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Meric Oruc
- 1 Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Kenan Midilli
- 2 Department of Clinical Microbiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Erkan Yılmaz
- 3 Tissue Typing Laboratory, Department of Organ Transplantation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Mehmet Riza Altiparmak
- 1 Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Nurhan Seyahi
- 1 Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
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Oruc M, Trabulus S, Durak H, Yalin SF, Gulcicek S, Alagoz S, Erkalma S¸enates¸ B, Seyahi N, Altiparmak MR. MP132IGA NEPHROPATHY PRESENTING WİTH ACUTE KIDNEY INJURY: A SERIES OF 12 CASES. Nephrol Dial Transplant 2016. [DOI: 10.1093/ndt/gfw185.23] [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
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17
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Kendirlinan Demirkol O, Oruc M, Ikitimur B, Ozcan S, Gulcicek S, Soylu H, Trabulus S, Altiparmak MR, Seyahi N. Ambulatory Blood Pressure Monitoring and Echocardiographic Findings in Renal Transplant Recipients. J Clin Hypertens (Greenwich) 2015; 18:766-71. [PMID: 26689296 DOI: 10.1111/jch.12755] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Revised: 10/22/2015] [Accepted: 10/25/2015] [Indexed: 12/15/2022]
Abstract
Hypertension is common in renal transplant recipients (RTRs). Ambulatory blood pressure (BP) monitoring (ABPM) is important in diagnosing hypertension and diurnal BP variation. The authors set out to compare office BP and ABPM measurements to determine diurnal pattern and to evaluate echocardiographic findings in RTRs. ABPM and office BP measurements were compared in 87 RTRs. Echocardiographic evaluation was performed for each patient. The correlations between office and 24-hour ABPM were 0.275 for mean systolic BP (P=.011) and 0.260 for mean diastolic BP (P=.017). Only 36.8% had concordant hypertension between office BP and ABPM, with a masked hypertension rate of 16.1% and white-coat effect rate of 24.1%. Circadian BP patterns showed a higher proportion of nondippers (67.8%). Left ventricular mass index was increased in 21.8% of all recipients. There was a significant but weak correlation between office BP and ABPM.
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Affiliation(s)
| | - Meric Oruc
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Baris Ikitimur
- Department of Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Sevgi Ozcan
- Department of Cardiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Sibel Gulcicek
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Hikmet Soylu
- Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Sinan Trabulus
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Mehmet Riza Altiparmak
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Nurhan Seyahi
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
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Arslan E, Yalin SF, Trabulus S, Hatemi G, Gulcicek S, Alagoz S, Oruc M, Seyahi N, Altiparmak MR. SP168FACTORS ASSOCIATED WITH RENAL AND PATIENT SURVIVAL IN WEGENER GRANULOMATOSIS. Nephrol Dial Transplant 2015. [DOI: 10.1093/ndt/gfv189.41] [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
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19
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Imre E, Oruc M, Trabulus S, Gulcicek S, Yalin SF, Altiparmak MR, Seyahi N. SP204CAN SERUM NEUTROPHIL GELATINASE ASSOCIATED LIPOCALIN PREDICT CONTRAST INDUCED ACUTE KIDNEY INJURY IN PATIENTS UNDERGOING COMPUTED TOMOGRAPHY? Nephrol Dial Transplant 2015. [DOI: 10.1093/ndt/gfv190.16] [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
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20
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Selcan Pala A, Yalin SF, Seyahi N, Alagoz S, Gulcicek Hamarat S, Oruc M, Trabulus S, Altiparmak MR. FP434HYPERPARATHYROIDISM AND VITAMIN D LEVELS IN PATIENTS WITH STAGE III- IV CHRONIC KIDNEY DISEASE. Nephrol Dial Transplant 2015. [DOI: 10.1093/ndt/gfv177.33] [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
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Soylu H, Oruc M, Demirkol O, Saygili E, Ataman R, Altiparmak M, Pekmezci S, Seyahi N. Survival of Renal Transplant Patients: Data From a Tertiary Care Center in Turkey. Transplant Proc 2015; 47:348-53. [DOI: 10.1016/j.transproceed.2014.10.054] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2014] [Revised: 10/09/2014] [Accepted: 10/28/2014] [Indexed: 01/30/2023]
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Atay AE, Oruc M, Sayin T, Gullu MN. Urticaria and hydropneumothorax as an exceptional cause of ruptured hydatid cyst of lung. J Postgrad Med 2013; 59:328-30. [DOI: 10.4103/0022-3859.123174] [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
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23
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Ozgur N, Seyahi N, Sili U, Oruc M, Mete B, Ataman R, Pekmezci S. Candidal psoas abscess following persistent pyuria in a renal transplant recipient. Int Urol Nephrol 2012; 46:269-73. [PMID: 23136029 DOI: 10.1007/s11255-012-0316-8] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2012] [Accepted: 10/04/2012] [Indexed: 11/26/2022]
Abstract
Candidal infections occur commonly in renal transplant recipients especially in genitourinary system. Although the epidemiology of candiduria has not been well characterized in renal transplant population, it is the most common cause of fungal infections. However, candidal psoas abscess is very rare in the literature. We report a 42-year-old male renal transplant recipient with prolonged pyuria and candiduria followed by candidal psoas abscess formation. The treatment consisted of prolonged antifungal therapy along with percutaneous drainage. However, eventually, a surgical drainage had to be performed for the successful eradication.
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Affiliation(s)
- Nurgul Ozgur
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
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