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WFRF:(Hikmat O.)
 

Sökning: WFRF:(Hikmat O.) > Renal Phenotype in ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004695naa a2200565 4500
001oai:gup.ub.gu.se/315417
003SwePub
008240528s2022 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/3154172 URI
024a https://doi.org/10.1159/0005211482 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Parasyri, M.4 aut
2451 0a Renal Phenotype in Mitochondrial Diseases: A Multicenter Study
264 c 2022-01-24
264 1b S. Karger AG,c 2022
520 a Aims: This study aimed to investigate associations between renal and extrarenal manifestations of mitochondrial diseases and their natural history as well as predictors of renal disease severity and overall disease outcome. The secondary aim was to generate a protocol of presymptomatic assessment and monitoring of renal function in patients with a defined mitochondrial disease. Methods: A multicenter, retrospective cohort study was performed by the Mitochondrial Clinical and Research Network (MCRN). Patients of any age with renal manifestations associated with a genetically verified mitochondrial disease were included from 8 expert European centers specializing in mitochondrial diseases: Gothenburg, Oulu, Copenhagen, Bergen, Helsinki, Stockholm, Rotterdam, and Barcelona. Results: Of the 36 patients included, two-thirds had mitochondrial DNA-associated disease. Renal manifestations were the first sign of mitochondrial disease in 19%, and renal involvement was first identified by laboratory tests in 57% of patients. Acute kidney injury occurred in 19% of patients and was the first sign of renal disease in the majority of these. The most common renal manifestation was chronic kidney disease (75% with stage 2 or greater), followed by tubulopathy (44.4%), the latter seen mostly among patients with single large-scale mitochondrial DNA deletions. Acute kidney injury and tubulopathy correlated with worse survival outcome. The most common findings on renal imaging were increased echogenicity and renal dysplasia/hypoplasia. Renal histology revealed focal segmental glomerulosclerosis, nephrocalcinosis, and nephronophthisis. Conclusion: Acute kidney injury is a distinct renal phenotype in patients with mitochondrial disease. Our results highlight the importance to recognize renal disease as a sign of an underlying mitochondrial disease. Acute kidney injury and tubulopathy are 2 distinct indicators of poor survival in patients with mitochondrial diseases.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng
653 a Mitochondrial disease
653 a Acute kidney injury
653 a Mitochondrial DNA
653 a Renal
653 a manifestations
653 a kidney
653 a mutations
653 a children
653 a Urology & Nephrology
700a Brandström, Per,d 1959u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics4 aut0 (Swepub:gu)xbranp
700a Uusimaa, J.4 aut
700a Ostergaard, E.4 aut
700a Hikmat, O.4 aut
700a Isohanni, P.4 aut
700a Naess, K.4 aut
700a de Coo, I. F. M.4 aut
700a Osorio, A. N.4 aut
700a Nuutinen, M.4 aut
700a Lindberg, C.4 aut
700a Bindoff, L. A.4 aut
700a Tulinius, Mar,d 1953u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics4 aut0 (Swepub:gu)xtulim
700a Darin, Niklas,d 1964u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics4 aut0 (Swepub:gu)xdarin
700a Sofou, Kalliopiu Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics4 aut0 (Swepub:gu)xsofka
710a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för pediatrik4 org
773t Kidney Diseasesd : S. Karger AGg 8:2q 8:2x 2296-9381x 2296-9357
856u https://www.karger.com/Article/Pdf/521148
8564 8u https://gup.ub.gu.se/publication/315417
8564 8u https://doi.org/10.1159/000521148

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