RESUMEN
A case of a renal transplant patient who had polyclonal B cell lymphoma of the transplant ureter 3 months postoperatively while on cyclosporine therapy is reported. Removal of the ureteral segment along with acyclovir therapy and discontinuation of cyclosporine resulted in no subsequent tumor growth and stable renal function for more than 5 years.
Asunto(s)
Ciclosporina/efectos adversos , Trasplante de Riñón , Linfoma de Células B/inducido químicamente , Neoplasias Ureterales/inducido químicamente , Adulto , Humanos , Masculino , Uréter/trasplanteRESUMEN
Nine women with laxative abuse and predominantly ammonium urate renal calculi underwent metabolic studies to identify common chemical abnormalities and determine pathophysiology. The 24-hour urine studies demonstrated marked decreases in volume (902 cm.3), sodium (28 mEq.), citrate (116 mg.) and potassium (21 mEq.). A significant elevation in ammonium urate supersaturation was found compared to control subjects when studied by the computer model EQUIL 2. Of the patients 7 had 1 or more urine specimens positive for phenolphthalein. Gastrointestinal loss of fluid and electrolytes allowed for chronic extracellular volume depletion. Intracellular acidosis was present as judged by low urinary citrate and potassium. The fact that the ion product for ammonium urate is increased significantly compared to controls reflects the stated pathophysiological changes. Laxative abuse should be suspected whenever a woman has an ammonium urate renal calculus in sterile urine.