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1.
Int J Parasitol ; 2024 Jun 24.
Article in English | MEDLINE | ID: mdl-38925265

ABSTRACT

Fasciola hepatica and Dicrocoelium dendriticum are parasitic trematodes residing in the bile ducts of mammalian hosts, causing, in some cases, impairment of liver function and hepatic fibrosis. Previous studies have shown that extracellular vesicles released by F. hepatica (FhEVs) and D. dendriticum (DdEVs) induce a distinct phenotype in human macrophages, but there is limited information on the effect of parasitic EVs on liver cells, which interact directly with the worms in natural infections. In this study, we isolated FhEVs and DdEVs by size exclusion chromatography and labeled them with a lipophilic fluorescent dye to analyze their uptake by human hepatic stellate cells (HSC) and hepatocytes, important cell types in liver pathology, using synthetic liposomes as internal labeling and uptake control. We analyzed EV uptake and the proteome profiles after the treatment with EVs for both cell types. Our results reveal that EVs establish unique and specific interactions with stellate cells and hepatocytes, suggesting a different role of EVs derived from each parasite, depending on the migration route to reach their final niche. FhEVs have a cytostatic effect on HSCs, but induce the extracellular matrix secretion and elicit anti-inflammatory responses in hepatocytes. DdEVs have a more potent anti-proliferative effect than FhEVs and trigger a global inflammatory response, increasing the levels of NF-κB and other inflammatory mediators in both cell types. These interactions may have a major influence on the progression of the disease, serving to generate conditions that may favor the establishment of the helminths in the host.

2.
Travel Med Infect Dis ; 59: 102712, 2024.
Article in English | MEDLINE | ID: mdl-38461878

ABSTRACT

We describe the evolution of the outbreak of Highly Pathogenic Avian Influenza (HPAI) A(H5N1) in sea lions (Otaria flavescens) of South America. At least 24,000 sea lions died in Peru, Chile, Argentina, Uruguay, and Brazil between January-October 2023. The most plausible route of infection is cohabiting with or foraging on infected birds. However, we urge a detailed evaluation of the sea lions actual source of infection given that the concomitant massive wild bird mortalities registered in the Pacific Ocean did not occur in the Atlantic Ocean.


Subject(s)
Influenza A Virus, H5N1 Subtype , Sea Lions , Animals , South America/epidemiology , Disease Outbreaks , Influenza in Birds/mortality , Influenza in Birds/epidemiology , Influenza in Birds/virology , Atlantic Ocean , Pacific Ocean , Orthomyxoviridae Infections/veterinary , Orthomyxoviridae Infections/mortality , Orthomyxoviridae Infections/virology , Orthomyxoviridae Infections/epidemiology , Birds/virology
3.
Emerg Infect Dis ; 30(3): 444-452, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38407173

ABSTRACT

We reviewed information about mammals naturally infected by highly pathogenic avian influenza A virus subtype H5N1 during 2 periods: the current panzootic (2020-2023) and previous waves of infection (2003-2019). In the current panzootic, 26 countries have reported >48 mammal species infected by H5N1 virus; in some cases, the virus has affected thousands of individual animals. The geographic area and the number of species affected by the current event are considerably larger than in previous waves of infection. The most plausible source of mammal infection in both periods appears to be close contact with infected birds, including their ingestion. Some studies, especially in the current panzootic, suggest that mammal-to-mammal transmission might be responsible for some infections; some mutations found could help this avian pathogen replicate in mammals. H5N1 virus may be changing and adapting to infect mammals. Continuous surveillance is essential to mitigate the risk for a global pandemic.


Subject(s)
Influenza A Virus, H5N1 Subtype , Influenza A virus , Influenza in Birds , Animals , Influenza A Virus, H5N1 Subtype/genetics , Influenza in Birds/epidemiology , Mammals , Mutation
4.
Emerg Infect Dis ; 29(12): 2553-2556, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37916983

ABSTRACT

We report a massive mortality of 5,224 sea lions (Otaria flavescens) in Peru that seemed to be associated with highly pathogenic avian influenza A(H5N1) virus infection. The transmission pathway may have been through the close contact of sea lions with infected wild birds. We recommend evaluating potential virus transmission among sea lions.


Subject(s)
Influenza A Virus, H5N1 Subtype , Influenza A virus , Influenza in Birds , Sea Lions , Animals , Animals, Wild
5.
J Extracell Vesicles ; 12(4): e12317, 2023 04.
Article in English | MEDLINE | ID: mdl-37073796

ABSTRACT

Extracellular vesicles (EVs) released by the helminths Dicrocoelium dendriticum and Fasciola hepatica are important modulators of the host immune response, contributing to the establishment of the infection. Monocytes and, in particular, macrophages are major regulators of the inflammatory response and are likely responsible for the phagocytosis of most of the parasite EVs. In this study, we isolated EVs from F. hepatica (FhEVs) and D. dendriticum (DdEVs) by size exclusion chromatography (SEC) and characterized them by nanoparticle tracking analysis, transmission electron microscopy and LC-MS/MS, and analyzed the cohort of proteins. The treatment of monocytes/macrophages with FhEVs, DdEVs or EV-depleted fractions from SEC, demonstrated species-specific effects of the EVs. In particular, FhEVs reduce the migratory capacity of monocytes and the analysis of the cytokine profile showed that they induce a mixed M1/M2 response, exerting anti-inflammatory properties in Lipopolysaccharide-activated macrophages. In contrast, DdEVs do not affect monocyte migration and seem to have pro-inflammatory properties. These results correlate with the differences in the life cycle of both parasites, suggesting different host immune responses. Only F. hepatica migrates to the bile duct through the liver parenchyma, driving the host immune response to heal deep erosions. Furthermore, the proteomic analysis of the macrophages upon FhEV treatment identified several proteins that might be involved in FhEV-macrophage interactions.


Subject(s)
Dicrocoelium , Extracellular Vesicles , Fasciola hepatica , Animals , Humans , Fasciola hepatica/metabolism , Extracellular Vesicles/metabolism , Proteomics , Chromatography, Liquid , Tandem Mass Spectrometry , Macrophages/metabolism
7.
Environ Pollut ; 317: 120742, 2023 Jan 15.
Article in English | MEDLINE | ID: mdl-36436659

ABSTRACT

Plastic pollution is an alarming environmental problem affecting diverse species worldwide. Scavenging birds are currently exposed to plastic due to contamination of their food sources. Here, we evaluated the ingestion of plastic by a threatened top scavenger, the Andean condor (Vultur gryphus), and the potential origin of the plastic. We analyzed the biotic (organic items from the diet) and abiotic (synthetic material) composition of regurgitated pellets in two remote areas of Peru associated with protected areas: a marine-coastal region and an Andean region. Condors consume mainly Pinnipeds and South American camelids in the marine-coastal region, and camelids and livestock in the Andean region. We found different sizes and varieties of plastic debris, with a very high frequency of occurrence (85-100%) of microplastics in pellets of both areas studied. The occurrence of microplastics differed between sites; although very high in general, the rate of occurrence and density were higher in the marine-coastal region. We also confirmed that carcasses consumed by condors in both study areas were contaminated with plastic. Therefore, plastic in Andean condors is most probably acquired through the food web in both the marine and terrestrial environments. Andean condors from Peru are highly contaminated with plastic, which may affect their health, population dynamics, and conservation. Moreover, as condors are apex scavengers, our results highlight the fact that plastic pollution in remote areas of Peru is present at different levels of the food web and in the environment. Urgent Action should be taken to reduce environmental contamination with this hazardous pollutant.


Subject(s)
Falconiformes , Plastics , Animals , Microplastics , Incidence , Birds , Environmental Monitoring
8.
Front Hum Neurosci ; 16: 955607, 2022.
Article in English | MEDLINE | ID: mdl-36061507

ABSTRACT

Neurodevelopmental disorders differ considerably between males and females, and fetal brain development is one of the most critical periods to determine risk for these disorders. Transcriptomic studies comparing male and female fetal brain have demonstrated that the highest difference in gene expression occurs in sex chromosomes, but several autossomal genes also demonstrate a slight difference that has not been yet explored. In order to investigate biological pathways underlying fetal brain sex differences, we applied medicine network principles using integrative methods such as co-expression networks (CEMiTool) and regulatory networks (netZoo). The pattern of gene expression from genes in the same pathway tend to reflect biologically relevant phenomena. In this study, network analysis of fetal brain expression reveals regulatory differences between males and females. Integrating two different bioinformatics tools, our results suggest that biological processes such as cell cycle, cell differentiation, energy metabolism and extracellular matrix organization are consistently sex-biased. MSET analysis demonstrates that these differences are relevant to neurodevelopmental disorders, including autism.

9.
Front Cell Infect Microbiol ; 12: 903602, 2022.
Article in English | MEDLINE | ID: mdl-35719328

ABSTRACT

The identification of extracellular vesicles (EVs) in Fasciola hepatica has provided a new way to understand parasite-host communication. Most of the studies on EVs have focused on the adult stage of F. hepatica, but recently, the presence of EVs from different developmental stages has been reported. To better understand the potential role of EVs in the biology of the parasite and in the infection process, the protein cargo of EVs from embryonated eggs and newly-excysted juvenile (NEJs) flukes cultured up to 28 days, has been analyzed. EVs were isolated by size exclusion chromatography and evaluated by nanoparticle tracking analysis and transmission electron microscopy. LC-MS/MS proteomic analysis of EVs revealed the presence of 23 different proteins from embryonated egg-derived EVs and 29 different proteins from NEJ-derived EVs. Most of the identified proteins had been previously described in EVs from F. hepatica adults, including cytoskeletal proteins, glycolytic enzymes, stress-related proteins and tetraspanins. Nevertheless, EVs from hatching eggs and NEJs exhibited qualitative differences in composition, when compared to EVs form adults, including the absence of cathepsin cysteine peptidases. The differential content of the EVs released by the different developmental stages of the parasite reflect the intense activity of NEJs at this early stage, with several proteins involved in membrane traffic and cell physiology. This new set of identified proteins could help to understand key metabolic, biochemical and molecular mechanisms mediated by EVs that take place upon egg hatching and after parasite excystment.


Subject(s)
Extracellular Vesicles , Fasciola hepatica , Animals , Chromatography, Liquid , Extracellular Vesicles/metabolism , Fasciola hepatica/chemistry , Fasciola hepatica/metabolism , Helminth Proteins/metabolism , Proteomics , Tandem Mass Spectrometry
10.
J Child Psychol Psychiatry ; 63(2): 143-151, 2022 02.
Article in English | MEDLINE | ID: mdl-33984874

ABSTRACT

BACKGROUND: Previous research investigating the overlap between attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (henceforth, autism) symptoms in population samples have relied on latent variable modeling in which averaged scores representing dimensions were derived from observed symptoms. There are no studies evaluating how ADHD and autism symptoms interact at the level of individual symptom items. METHODS: We aimed to address this gap by performing a network analysis on data from a school survey of children aged 6-17 years old (N = 7,405). ADHD and autism symptoms were measured via parent-report on the Swanson, Nolan, Pelham-IV questionnaire and the Childhood Autism Spectrum test, respectively. RESULTS: A relatively low interconnectivity between ADHD and autism symptoms was found with only 10.06% of possible connections (edges) between one ADHD and one autism symptoms different than zero. Associations between ADHD and autism symptoms were significantly weaker than those between two symptoms pertaining to the same construct. Select ADHD symptoms, particularly those presenting in social contexts (e.g. 'talks excessively', 'does not wait turn'), showed moderate-to-strong associations with autism symptoms, but some were considered redundant to autism symptoms. CONCLUSIONS: The present findings indicate that individual ADHD and autism symptoms are largely segregated in accordance with diagnostic boundaries corresponding to these conditions in children and adolescents from the community. These findings could improve our clinical conceptualization of ADHD and autism and guide advancements in diagnosis and treatment.


Subject(s)
Attention Deficit Disorder with Hyperactivity , Autism Spectrum Disorder , Autistic Disorder , Adolescent , Attention Deficit Disorder with Hyperactivity/diagnosis , Autism Spectrum Disorder/diagnosis , Autistic Disorder/complications , Child , Humans , Surveys and Questionnaires
11.
Front Hum Neurosci, v. 16, 955607, ago. 2022
Article in English | Sec. Est. Saúde SP, SESSP-IBPROD, Sec. Est. Saúde SP | ID: bud-4507

ABSTRACT

Neurodevelopmental disorders differ considerably between males and females, and fetal brain development is one of the most critical periods to determine risk for these disorders. Transcriptomic studies comparing male and female fetal brain have demonstrated that the highest difference in gene expression occurs in sex chromosomes, but several autossomal genes also demonstrate a slight difference that has not been yet explored. In order to investigate biological pathways underlying fetal brain sex differences, we applied medicine network principles using integrative methods such as co-expression networks (CEMiTool) and regulatory networks (netZoo). The pattern of gene expression from genes in the same pathway tend to reflect biologically relevant phenomena. In this study, network analysis of fetal brain expression reveals regulatory differences between males and females. Integrating two different bioinformatics tools, our results suggest that biological processes such as cell cycle, cell differentiation, energy metabolism and extracellular matrix organization are consistently sex-biased. MSET analysis demonstrates that these differences are relevant to neurodevelopmental disorders, including autism.

12.
An Acad Bras Cienc ; 92(4): e20200718, 2020.
Article in English | MEDLINE | ID: mdl-33206792

ABSTRACT

The development of self-disinfectant devices is highly needed to prevent and control infections, mainly caused by virus. In the past years, coronaviruses have been a threat to humanity, causing severe epidemics of respiratory infections such as severe acute respiratory syndrome (SARS), in 2003, and Middle East respiratory syndrome (MERS) in 2012, and presently the SARS-CoV2 is causing the COVID-19 pandemic. Previous studies have demonstrated that surface contamination play a significant role in the spreading of viruses. These studies demonstrated that the production of highly reactive species by copper alloys contributes to rapid elimination of viruses. Nanostructured materials such as semiconductors TiO2, Co3O4 CuO, NiO, and TiO2, and silver nanoparticles can decrease the virus viability on the surfaces when associated with polymers and textiles, especially in conditions of light exposure. In addition, graphene oxide is rising as a promising material for inactivation of viruses due to its capacity of destroying the viral envelope and capsid. The virucidal property of these materials can be enhanced by increasing their functionalization with photosensitizers. The present mini-review brings subsidies for the development of new advanced self-disinfectant materials that can be used in the manufacture of gloves, masks, and a variety of other devices.


Subject(s)
Coronavirus Infections , Metal Nanoparticles , Middle East Respiratory Syndrome Coronavirus , Pandemics , Pneumonia, Viral , Betacoronavirus , COVID-19 , Humans , SARS-CoV-2 , Silver
13.
J Photochem Photobiol B ; 209: 111956, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32673883

ABSTRACT

Currently, antimicrobial photodynamic therapy (APDT) is limited to the local treatment of topical infections, and a platform that can deliver the photosensitizer to internal organs is highly desirable for non-local ones; SPIONs can be promising vehicles for the photosensitizer. This work reports an innovative application of methylene blue (MB)-superparamagnetic iron oxide nanoparticles (SPIONs). We report on the preparation, characterization, and application of MB-SPIONs for antimicrobial photodynamic therapy. When exposed to light, the MB photosensitizer generates reactive oxygen species (ROS), which cause irreversible damage in microbial cells. We prepare SPIONs by the co-precipitation method. We cover the nanoparticles with a double silica layer - tetraethyl orthosilicate and sodium silicate - leading to the hybrid material magnetite-silica-MB. We characterize the as-prepared SPIONs by Fourier transform infrared spectroscopy, powder X-ray diffraction, and magnetic measurements. We confirm the formation of magnetite using powder X-ray diffraction data. We use the Rietveld method to calculate the average crystallite size of magnetite as being 14 nm. Infrared spectra show characteristic bands of iron­oxygen as well as others associated with silicate groups. At room temperature, the nanocomposites present magnetic behavior due to the magnetite core. Besides, magnetite-silica-MB can promote ROS formation. Thus, we evaluate the photodynamic activity of Fe3O4-silica-MB on Escherichia coli. Our results show the bacteria are completely eradicated following photodynamic treatment depending on the MB release time from SPIONs and energy dose. These findings encourage us to explore the use of magnetite-silica-MB to fight internal infections in preclinical assays.


Subject(s)
Escherichia coli Infections/drug therapy , Light , Magnetic Iron Oxide Nanoparticles/chemistry , Methylene Blue/chemistry , Humans , Microscopy, Electron, Scanning , Photochemotherapy/methods , Powder Diffraction , Proof of Concept Study , Spectrometry, X-Ray Emission , Spectroscopy, Fourier Transform Infrared
14.
Zootaxa ; 4712(2): zootaxa.4712.2.10, 2019 Dec 19.
Article in English | MEDLINE | ID: mdl-32230692

ABSTRACT

According to the ICZN (1999), the type locality is where the specimen used as holotype, syntype or lectotype was collected (Art. 76). As such, the type locality is a source of information about the habitat and geographical occurrence of a taxon. Topotypes, specimens collected within the type locality of a species or subspecies, have been used in comparison with other specimens to corroborate the identity of the latter (e.g. Tautz et al. 2003; Vuataz et al. 2011). Other studies have used type localities in reporting apparent extinctions (e.g. Williams 2015), or degradation of the taxon's habitat (e.g. Wirth 2018). Thus, type localities have information value for scientific collections, and may be of special conservation concern.


Subject(s)
Birds , Ecosystem , Animals , Geography , Peru
15.
Am J Med Genet B Neuropsychiatr Genet ; 180(6): 390-414, 2019 09.
Article in English | MEDLINE | ID: mdl-30537354

ABSTRACT

The male-biased prevalence of certain neurodevelopmental disorders and the sex-biased outcomes associated with stress exposure during gestation have been previously described. Here, we hypothesized that genes distinctively targeted by only one or both homologous proteins highly conserved across therian mammals, SOX3 and SRY, could induce sexual adaptive changes that result in a differential risk for neurodevelopmental disorders. ChIP-seq/chip data showed that SOX3/SRY gene targets were expressed in different brain cell types in mice. We used orthologous human genes in rodent genomes to extend the number of SOX3/SRY set (1,721). These genes were later found to be enriched in five modules of coexpressed genes during the early and mid-gestation periods (FDR < 0.05), independent of sexual hormones. Genes with differential expression (24, p < 0.0001) and methylation (40, p < 0.047) between sexes were overrepresented in this set. Exclusive SOX3 or SRY target genes were more associated with the late gestational and postnatal periods. Using autism as a model sex-biased disorder, the SOX3/SRY set was enriched in autism gene databases (FDR ≤ 0.05), and there were more de novo variations from the male autism spectrum disorder (ASD) samples under the SRY peaks compared to the random peaks (p < 0.024). The comparison of coexpressed networks of SOX3/SRY target genes between male autism and control samples revealed low preservation in gene modules related to stress response (99 genes) and neurogenesis (78 genes). This study provides evidence that while SOX3 is a regulatory mechanism for both sexes, the male-exclusive SRY also plays a role in gene regulation, suggesting a potential mechanism for sex bias in ASD.


Subject(s)
Neurodevelopmental Disorders/genetics , SOXB1 Transcription Factors/genetics , Sex-Determining Region Y Protein/genetics , Animals , Autism Spectrum Disorder/genetics , DNA-Binding Proteins/genetics , Databases, Genetic , Female , Gene Expression Regulation/genetics , Gene Regulatory Networks , Genetic Predisposition to Disease , Humans , Male , Mice , Mice, Inbred C57BL , Risk Factors , SOXB1 Transcription Factors/metabolism , Sex Chromosomes/genetics , Sex Factors , Sex-Determining Region Y Protein/metabolism , Transcription Factors/genetics
16.
J Ethnobiol Ethnomed ; 13(1): 35, 2017 Jun 13.
Article in English | MEDLINE | ID: mdl-28610587

ABSTRACT

BACKGROUND: The use of birds as pets has been a historical tradition in Mexico since prehispanic times. It has survived through bird traders, called pajareros, which is a local name given to the trade (derived from pájaro, the Spanish word for bird). However, the trade of birds has not been sufficiently described; therefore, the goal of this paper is to analyze the bird trade in Mexico using the components of an ethnoecology scheme known as kosmos-corpus-praxis complex. METHODS: Qualitative research techniques were used, including ethnographic immersion, participative research, and interviews of 79 pajareros in 22 localities in nine Mexican states. RESULTS: The activity of the pajareros occurs within their households, with each member having distinct roles. The roles involved in bird trading are capturing, acclimation, maintenance, and sale. Their assignment depends on gender, age, and residential location (rural or urban). Beyond their households, the pajareros are well organized in trade unions and are represented by a leader, who acts as an intermediate between them and the government officers who are involved in the authorization of federal permits. The pajareros use 96 species of birds, most of which are native to Mexico. Practicing the trade requires highly specific knowledge of the biology, ecology, habitat, nutrition, diseases, and behavior of the birds, as well as the abiotic components of their environment, such as climatology and geography. The cosmovision of pajarero households is embedded in their identity, making them proud of their trade. CONCLUSIONS: Our paper provides the first comprehensive description of the pajarero trade, showing evidence of local communitarian management in the places where the wild birds are captured.


Subject(s)
Birds , Pets , Animals , Commerce , Mexico
17.
J Forensic Sci ; 62(2): 462-467, 2017 Mar.
Article in English | MEDLINE | ID: mdl-27864972

ABSTRACT

In animal bites, the dental attributes can be fundamental in identifying the marks made by various species on different matrices. Although rodent bite marks have been studied in the context of postmortem interference, little research has used different baits to analyze these marks linking not only specific behavior patterns but also the possibility of structural damage. Twenty mice (Mus musculus) were exposed to different baits to study their bite marks in a controlled model. The known pattern of parallel and multiple grooves has been seen in all baits, but polyvinyl chloride and fiber-optic cable were significantly different between each other and the other baits. Some baits showed patterns of anchorage of the upper incisors and space between the lower incisors when gnawing. This technical note represents a novel model of analysis where veterinarians and/or dentists may be asked to give an opinion on alleged animal bite marks.


Subject(s)
Bites and Stings/pathology , Mice , Animals , Bone and Bones/pathology , Construction Materials , Forensic Medicine , Microscopy, Electron, Scanning , Optical Fibers , Polyvinyl Chloride , Swine , Wood
18.
Rev. cuba. med ; 52(3)jul.-sept. 2013. ilus
Article in Spanish | CUMED | ID: cum-57846

ABSTRACT

La afección renal es infrecuente en la esclerosis sistémica, pero constituye una complicación grave que ocurre más frecuentemente en la forma clínica difusa. Se describe el comportamiento de una paciente con esclerosis sistémica difusa que desarrolla una hipertensión arterial refractaria complicada, anemia y falla renal. Se realizó biopsia renal con una descripción histopatológica compatible con una nefropatía isquémica asociada a la enfermedad con un mal pronóstico, a pesar del tratamiento con inhibidores de la enzima de conversión de angiotensina(AU)


Renal disease is uncommon in systemic sclerosis but, at the same time, it is a severe complication occurring more frequently in a diffuse clinical form. The behavior of a female patient with diffuse systemic sclerosis that developed a complicated refractory arterial hypertension, anemia and renal failure is described. Renal biopsy was made with a histopathological description consistent with an ischemic kidney disease associated with this disease which had a poor prognosis despite the treatment with angiotensin converting enzyme inhibitors (ACEI)(AU)


Subject(s)
Humans , Female , Adult , Scleroderma, Systemic/complications , Kidney Diseases/complications , Kidney Diseases/diagnosis , Kidney/pathology , Image-Guided Biopsy/methods
19.
Rev. cuba. med ; 52(3): 209-213, jul.-set. 2013.
Article in Spanish | LILACS | ID: lil-686488

ABSTRACT

La afección renal es infrecuente en la esclerosis sistémica, pero constituye una complicación grave que ocurre más frecuentemente en la forma clínica difusa. Se describe el comportamiento de una paciente con esclerosis sistémica difusa que desarrolla una hipertensión arterial refractaria complicada, anemia y falla renal. Se realizó biopsia renal con una descripción histopatológica compatible con una nefropatía isquémica asociada a la enfermedad con un mal pronóstico, a pesar del tratamiento con inhibidores de la enzima de conversión de angiotensina


Renal disease is uncommon in systemic sclerosis but, at the same time, it is a severe complication occurring more frequently in a diffuse clinical form. The behavior of a female patient with diffuse systemic sclerosis that developed a complicated refractory arterial hypertension, anemia and renal failure is described. Renal biopsy was made with a histopathological description consistent with an ischemic kidney disease associated with this disease which had a poor prognosis despite the treatment with angiotensin converting enzyme inhibitors


Subject(s)
Humans , Female , Scleroderma, Systemic/complications , Scleroderma, Systemic/diagnosis , Renal Insufficiency/etiology , Renal Insufficiency/pathology
20.
Rev. cuba. med ; 52(3): 209-213, jul.-set. 2013.
Article in Spanish | CUMED | ID: cum-56577

ABSTRACT

La afección renal es infrecuente en la esclerosis sistémica, pero constituye una complicación grave que ocurre más frecuentemente en la forma clínica difusa. Se describe el comportamiento de una paciente con esclerosis sistémica difusa que desarrolla una hipertensión arterial refractaria complicada, anemia y falla renal. Se realizó biopsia renal con una descripción histopatológica compatible con una nefropatía isquémica asociada a la enfermedad con un mal pronóstico, a pesar del tratamiento con inhibidores de la enzima de conversión de angiotensina(AU)


Renal disease is uncommon in systemic sclerosis but, at the same time, it is a severe complication occurring more frequently in a diffuse clinical form. The behavior of a female patient with diffuse systemic sclerosis that developed a complicated refractory arterial hypertension, anemia and renal failure is described. Renal biopsy was made with a histopathological description consistent with an ischemic kidney disease associated with this disease which had a poor prognosis despite the treatment with angiotensin converting enzyme inhibitors (AU)


Subject(s)
Humans , Female , Scleroderma, Systemic/complications , Scleroderma, Systemic/diagnosis , Renal Insufficiency/etiology , Renal Insufficiency/pathology
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