Nephrologie & Therapeutique最新文献

{"title":"Insuffisance rénale, greffe, et DROM-COM","authors":"Henri Vacher-Coponat","doi":"10.1016/j.nephro.2022.01.003","DOIUrl":"https://doi.org/10.1016/j.nephro.2022.01.003","url":null,"abstract":"","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 487-488"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92219590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accès à la liste d’attente de greffe rénale des patients en dialyse péritonéale de Nouvelle-Calédonie et Wallis et Futuna","authors":"Noémie Baroux ,&nbsp;Marin Le Mee ,&nbsp;Fadi Haidar","doi":"10.1016/j.nephro.2022.01.005","DOIUrl":"https://doi.org/10.1016/j.nephro.2022.01.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Since 2012, a deceased donor kidney transplant program exists for dialysis patients living in New-Caledonia in collaboration with Royal Prince Alfred Hospital in Sydney, Australia. This program has reduced the time spent out-of-territory for a renal transplantation and has reduced the economic burden of end stage renal disease in New-Caledonia. We have realised a photography of kidney transplants evaluation for patients in peritoneal dialysis in New-Caledonia and Wallis and Futuna. The first aim was to describe access to kidney transplants evaluation for dialysis patients. A second aim was to compare patients with a conformed kidney transplant evaluation and patients without transplant evaluation with no obvious reasons identified.</p></div><div><h3>Method</h3><p>All patients in peritoneal dialysis in New-Caledonia and Wallis and Futuna at the 2018, 31^st july were included. A standardised form was filled by two nephrologists. The computerised shared medical record was used to collect information. A kidney transplant evaluation was adequate for patients registered on transplant waiting list, patients with medical contraindications identified or patients with evaluation exams begun less than 6 months.</p></div><div><h3>Results</h3><p>In total, 61 patients were included. The average age was 62 years old. The chronic kidney disease care average time was 6.7 years and the dialysis average time was 2.0 years. Among them, 11 (18 %) were registered on the waiting list, 26 (43 %) had at least one kidney transplant medical contraindication, 3 (5 %) had begun transplant exam since less than 6 months and 21 (34 %) had no transplant exam begun or transplant exam begun since more than 6 months without medical contraindication identified. Among those 21 patients, the three most common reasons were a faulty programming transplant exam (67 %; <em>n</em> = 14), a remote living place (48 %; <em>n</em> = 10) and an intercurrent health event (29 %; <em>n</em> = 6). Among patients living in Noumea and suburbs, 74 % had a conformed transplant evaluation against 44 % in patients living outside Noumea and suburbs (<em>P</em> = 0.058). Nearly one in two patients not on the waiting list had have no information about kidney graft or the information was not recorded in the medical record.</p></div><div><h3>Conclusion</h3><p>This study showed two main factors of a non-conformed transplantation evaluation: living outside Noumea and suburbs and a non-efficient planning of pre-transplant assessment exams. There is also a lack of information to the patient. These risk factors for late registration and non-registration must be considered by the healthcare teams. This study will provide a point of reference to assess the impact of actions to improve access to renal transplantation deployed in New-Caledonia.</p></div>","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 491-497"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1769725522005545/pdfft?md5=c6426e974852ed515a8e7c2968a10bde&pid=1-s2.0-S1769725522005545-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92219591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Annonce de la création de l’Association francophone de diététique et nutrition dans les maladies rénales","authors":"Stanislas Bataille ,&nbsp;Ioanna Meintani ,&nbsp;Céline Pasian ,&nbsp;Sandra Gressard ,&nbsp;Stanislas Trolonge","doi":"10.1016/j.nephro.2022.07.396","DOIUrl":"https://doi.org/10.1016/j.nephro.2022.07.396","url":null,"abstract":"","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 489-490"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92234360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuropathies périphériques et facteurs associés chez les hémodialysés chroniques du Bénin","authors":"Séraphin Ahoui ,&nbsp;Jacques Vigan ,&nbsp;Mendinatou Agbetou ,&nbsp;Léopold Bruno Agboton ,&nbsp;Bignon Mardayack Ahonon ,&nbsp;Evariste Eteka ,&nbsp;Thierry Armel Adoukonou","doi":"10.1016/j.nephro.2022.03.005","DOIUrl":"https://doi.org/10.1016/j.nephro.2022.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Peripheral neuropathies, in hemodialysis patients, are frequent.</p></div><div><h3>Objective</h3><p>To study peripheral neuropathies in the population of chronic hemodialysis patients in Benin.</p></div><div><h3>Methods</h3><p>This was a descriptive and analytical cross-sectional study conducted from April 1^st to July 31^st, 2017 in the hemodialysis units of the two public dialysis centers in Benin. Recruitment was exhaustive with inclusion of all patients with hemodialysis for more than 3<!--> <!-->months, aged at least 18<!--> <!-->years and consenting. The diagnosis of peripheral neuropathy was based on the presence of sensory-motor and/or vegetative disorders associated with amyotrophy, abolition or reduction of osteotendinous reflexes and absence of central signs.</p></div><div><h3>Results</h3><p>A total of 189 hemodialysis patients were included in the two public hemodialysis centers of Benin, 180 at the CNHU-HKM and 9 at the CHUD/BA. The mean age was 50.23<!--> <!-->±<!--> <!-->13.31<!--> <!-->years with extremes from 20 to 85 years and a sex ratio of 1.59. The overall frequency of peripheral neuropathy was 59.26%, including polyneuropathies (72.32%), unifocal mononeuropathies (10.71%), polyradiculoneuropathies (9.82%), and multiple mononeuropathies (7.14%). The associated factor in multivariate analysis was socioeconomic level (<em>P</em> <!-->=<!--> <!-->0.001; OR 39.41; 95% CI 4.81–322.64).</p></div><div><h3>Conclusion</h3><p>Peripheral neuropathy is frequent in chronic hemodialysis patients in Benin, requiring early detection and management.</p></div>","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 512-517"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92234361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Une cause originale d’insuffisance rénale aiguë au cours du myélome multiple : néphrite interstitielle aiguë induite par le lénalidomide","authors":"Aboubacar Sidiki Fofana ,&nbsp;Christophe Bouaka ,&nbsp;Ghassan Alchahin ,&nbsp;Simona Dorina Boncila ,&nbsp;Magara Samaké ,&nbsp;Seydou Sy ,&nbsp;Hamadoun Yattara ,&nbsp;Saharé Fongoro ,&nbsp;Julia Torrents ,&nbsp;Rolande Cohen Valensi ,&nbsp;Delphine Haussaire","doi":"10.1016/j.nephro.2022.03.004","DOIUrl":"10.1016/j.nephro.2022.03.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Lenalidomide is an immunomodulatory drug widely used in the treatment of multiple myeloma. Several cases of nephrotoxicity have been reported, but few have been documented histologically.</p></div><div><h3>Case presentation</h3><p>We report a case of acute interstitial nephritis to lenalidomide in a 62-year-old patient with multiple myeloma after administration of the second course of chemotherapy according to the protocol combining bortezomib, lenalidomide and dexamethasone. The outcome was quickly favorable after stopping lenalidomide, with corticosteroid therapy.</p></div><div><h3>Conclusion</h3><p>Lenalidomide may be responsible for acute interstitial nephritis. When acute kidney injury occurs in myeloma, the nephrotoxicity of therapeutic agents should be considered in addition to the common causes of kidney failure. The chronology of events and the histological data are essential and guide the specific management.</p></div>","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 565-569"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40663679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Note de l’éditeur","authors":"","doi":"10.1016/j.nephro.2022.10.005","DOIUrl":"https://doi.org/10.1016/j.nephro.2022.10.005","url":null,"abstract":"","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Page 575"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1769725522006198/pdfft?md5=17048e5e1c05dc6b66d9e3a0822b4046&pid=1-s2.0-S1769725522006198-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92219593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilan tomodensitométrique thoracique et abdomino-pelvien chez les patients insuffisants rénaux candidats à une transplantation rénale : intérêts et indications","authors":"Charlotte Carraut ,&nbsp;Quentin Ea ,&nbsp;Mathieu Lederlin ,&nbsp;Cécile Vigneau","doi":"10.1016/j.nephro.2022.05.001","DOIUrl":"https://doi.org/10.1016/j.nephro.2022.05.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Screening for neoplasms and vascular calcifications is a key step before kidney transplantation. American, European and French recommendations diverge on the imaging assessment to be carried out in this context.</p></div><div><h3>Method</h3><p>We carried out a retrospective single-center study including patients who underwent imaging for kidney transplantation between the 01/01/2011 and the 12/31/2018. The neoplastic pathologies and vascular calcifications discovered on this assessment were noted.</p></div><div><h3>Results</h3><p>We included 579 patients: 293 performed a thoracic CT scan, 579 an abdominopelvic CT scan. The imaging work-up revealed 5 malignant thoracic tumors, 14 malignant abdominal tumors and 140 significant calcifications of the external iliac axes. All malignant chest tumors were found in patients with estimated smoking greater than or equal to 30 PY.</p></div><div><h3>Discussion</h3><p>Like the American recommendations, our results are in favor of performing a chest computed tomography in patients with smoking greater than or equal to 30 PY. Contrary to American and European recommendations, our results are in favor of performing an abdominopelvic tomodensitometry in all patients.</p></div><div><h3>Conclusion</h3><p>Screening for vascular calcifications and neoplasms in kidney transplant candidates should include routine abdominopelvic CT and chest CT for smoking greater than or equal to 30 PY.</p></div>","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 518-525"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92234362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leishmaniose cutanée après transplantation rénale : à propos de 7 cas et revue de la littérature","authors":"Soumaya Yaich ,&nbsp;Hanen Abid ,&nbsp;Salma Toumi ,&nbsp;Beya Fendri ,&nbsp;Hanen Chaker ,&nbsp;Ikram Agrebi ,&nbsp;Najla Dammak ,&nbsp;Mondher Masmoudi ,&nbsp;Abderrahmen Masmoudi ,&nbsp;Hamida Turki ,&nbsp;Khawla Kammoun ,&nbsp;Mohamed Ben Hmida","doi":"10.1016/j.nephro.2021.12.004","DOIUrl":"10.1016/j.nephro.2021.12.004","url":null,"abstract":"<div><p>Leishmaniasis is a zoonosis acquired from the bite of a sandfly that introduces the amastigote forms of <em>leishmania</em> into the bloodstream. It is a frequent infection in the countries of the Mediterranean basin and in Tunisia, where it is rife in an endemo-epidemic mode. However, it is rare after kidney transplantation. It constitutes a challenge due to the diagnostic difficulty, the variability and the polymorphism of the clinical picture in immunocompromised patients. We report seven observations of cutaneous leishmaniasis after kidney transplantation through which we try to identify diagnostic and therapeutic difficulties.</p></div>","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 506-511"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40576649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lithiase urinaire de type IVa2 et pathologies associées : à propos de 3 cas","authors":"Imen Gorsane ,&nbsp;Hayet Kaaroud ,&nbsp;Malek Karroubi ,&nbsp;Mariem Hajji ,&nbsp;Kahena Bouzid ,&nbsp;Ezzeddine Abderrahim","doi":"10.1016/j.nephro.2022.08.001","DOIUrl":"10.1016/j.nephro.2022.08.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Urinary lithiasis is a very common condition. The morpho-constitutional analysis of urinary stones is important for etiological diagnosis. It guides the explorations and the specific management. Type IV_a2 stones are rare, have particular morphology and correspond to very targeted pathologies. We propose to report our cases of patients diagnosed with type IV_a2 urinary lithiasis.</p></div><div><h3>Methods</h3><p>Our retrospective work focused on three cases of patients with the morphological type of renal lithiasis IV_a2, collected between 2008 and 2020 in the Medicine A Department of Charles Nicolle Hospital in Tunis.</p></div><div><h3>Results</h3><p>All three patients were female; average age 37.6 years. The clinical symptomatology was identical marked by renal colic with recurrent episodes. The presence of a type IV_a2 stone, isolated or associated with other components, guided the etiological investigation to look for a secondary or primary cause of distal renal tubular acidosis. We retained the diagnosis of a primary hyperparathyroidism in one case and a primary Gougerot-Sjögren's syndrome in the second case, and probable in the last case.</p></div><div><h3>Conclusion</h3><p>Determination of urolithiasis nature (morphological and chemical), although carried out late, was of major interest to us and allowed us to make the diagnosis of distal tubular acidosis.</p></div>","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages 570-574"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40679114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Contents","authors":"","doi":"10.1016/S1769-7255(22)00604-6","DOIUrl":"https://doi.org/10.1016/S1769-7255(22)00604-6","url":null,"abstract":"","PeriodicalId":51140,"journal":{"name":"Nephrologie & Therapeutique","volume":"18 6","pages":"Pages e1-e2"},"PeriodicalIF":0.7,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1769725522006046/pdfft?md5=80a044b4299e6f0c728106ba15771bb6&pid=1-s2.0-S1769725522006046-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136741649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}