Research Article
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Diabetik Glomeruloskleroz

Year 1973, Volume: 26 Issue: 4, 972 - 982, 31.12.1973
https://izlik.org/JA72YD62LY

Abstract

Ankara Üniversitesi İç Hastalıkları Kliniği’ne başvuran nefropatili 12 diyabet hastasına perkütan renal biyopsi yapıldı. On iki olgunun biyopsi sonuçları şu şekildeydi: Altı olguda yaygın, iki olguda nodüler ve minimal yaygın, iki olguda saf nodüler ve bir olguda eksüdatif diyabetik glomerüloskleroz. Bir olguda sadece minimal değişiklikler vardı.
Hem klinik hem de histolojik bulgular literatürde bildirilen sonuçlardan farklı değildi, ancak kronik piyelonefrit komplikasyonu biraz daha yüksek bulundu.

Supporting Institution

Ankara University Faculty of Medicine

References

  • 1 — KIMMELLSTIEL. P., AND WILSON, C. : intercapillary liseons in glomeruli •of kindey. Amer. J. Path. 12: 8B, 1936.
  • 2 — CHURG, J. AND DOLGER, H. : Diabetic Renal Disease. Chapt 22, p. 873
  • 3 — HBPTINSTALL, R. H. : Pathology of the kidney. p. 465-495 1st Edition Litte Brown and uo. Boston 1966.
  • 4 — BELL. E. T. : A postmortem study of vascular disease in diabeties. A. M. Arch Path. 53: 444, 1952.
  • 5 — LE COMPIE, P. M. . Vascular Lesions in diabetes Mellitus. J. Chronic, Dis. 2: 178, 1955.
  • 6 ASHTON, N. : Diabetic microangiopathy. Adv. Ophthalmol. 8: 1, 1958.
  • 7 — BINKLEY, G. W. : Dermopathy in the diabetic syndrome, Arch. Derm 92: 625, 1965.
  • 8 BLOODWORTH, J. M. B. JR. : Diabetic microangicpathy. Diabetes 12. 99, 1963.
  • 9 — COLBY. A. O. : Neurologic disorders of diabetes mellitus, diabetes 14: 516, 1965.
  • 10 — OSTRANDER, L. D. JR. ET AL : The relationship of cardiovascular Disease to hyperglyce ia. Ann. int. Med. 62: 1188, 1965.
  • 11 — PARTAMÍAN, J. O. AND BREDLEY, R. F. : Acute myocardial infarction new Eng. J. med. 273: 455, 1965.
  • 12 — WILHELM, R. H. : The pancreas. Textbook of Endocrinology. Edited by R. A. Williams W. B. Saunders. co. London, 1968. p. 613 fourth. Edition.
  • 13 — DACHS, S., CHURG, J, MAUTHER, W., and Grishman E. Diabetic
  • 14 — DAYSOG, A., DOBSON, H. L.. : and Brennan, J. C. Renal Glomerular nephropathy. Amer. J. Path. 44: 155, 1964.
  • and vascular lesions in diabetes mellitus : A study based on renal biopsies. Ann. Intern. Med. 54: 672, 1961.
  • 15 — tnpSTEIN, F. H., AND ZUPA, V. J. : Clinical Correlates of the Kimmeistie1-Wi1son lesicn. New. Eng. J. Med. 254: 896, 1956.
  • 16 — FARQUHAR, M. G., HOPPER, J., JR., AND MOON, H. D. DtABETiC GLOMERULOSCLEROSŽS : Electron and light microscopic studies, Amer. J, Path. 35: 721, 1959.
  • 17 FREEDMAN, L. R. : Inapparent diabetes mellitus as a cause of renal insufficiency due to Kimmelstiel-Wilson lesions. Bull, Hopkins Hops. 100: 132, 1957.
  • 18 — GELLMAN, D. D, PtRANt, C. L., SOOTHtLL, J. F., MUEHRCKE, R. C., AND KARK R. M. DIABETIC NEPHROPATHY : A clinical and pathologic study based on renal biopsies Medecine 38. 321 1959.
  • 19 — GOODOFF, 1. 1., I ntercapillary glomerulosclerosis. Ann. Intern. Med. 22: 373, 1945.
  • 20 HATCH, F. E., WATT, M. F., KRAMER, N. C., PARRISH, A. n., : and Howe J. S. Diabetic glomerulosclerosis : A longHterm follow-up study based on renal biopsies. Amer. J. Med. 31: 216 1961.
  • 21 — HENDERSON, L. L., SPRAGUE, R. G., : and Wagener, H. P. Intercapillary glomerulosclerosis. Amer. J. Med. 3: 131, 1947.
  • 22 HENNIGAR R., Cchen, R. and Katz H. P. Nodular glomerulosclerosis : Clinico-pathological correlation of 40 advanced cases. Amer. J. Med. Sci. 241: 89, 1961.
  • 23 — HORN, R. C., JR, : and Smetana H, Intercapillary glomerulosclerosis. Amer. J. Path. 18: 93, 1942.
  • 24 JOHN'SSON, S. : Retinopathy and nephropathy in diabetes mellitus: Comparison of the effects of two forms of treatment. Diabetes 9: 1, 1960.
  • 25 — KIMMELSTINL, P., KIM. O. J. AND BERES, J. Studies on renal biopsy specimens with the aid of the electron microscope I. Glomeruli in diabetes. Amer. J. Clin. Path. 38: 270, 1962.
  • 26 — LAMBIE, A. T., AND MACFARLANE, A. A. clinicooathol.ogical study of diabetic glomerulosclerosis. Quart. J. Med. 24: 125, 1955.
  • 27 — LAUFER, IA., AND STEIN, O. : The exudative Lesion in Diabetic glo„ merulosclerosis. Amer. J. Clin. Path. 32: 56, 1959.
  • 28 — LYNCH, M. J. G., AND RAPHAEL, S, S. The nature of diabetic (Kimmelstie1-Wi1son) glomerulosclerosis. Diabetes 6: 488, 1957.
  • 29 — MANN, G. V., GARDNER, C, AND ROOT, F. F. : Clinical manifastations of intercapillary glomerulosclerosis in diabetes mellitus. Amer. J. Med. 7: 3, 1949.
  • 30 — MCMANUS, J. F. A. : The Development of intercapillary glomerulosclerosis. Proc. Amer. Diab. Ass. 9: 303, 1949.
  • 31 — ROGERS, J., AND ROBBINS, S. L. : Intercapillary glomerulosclerosis; a clinical and pathological study : I. Specificity of the clinical syndrome. Amer. J. Med. 12: 688, 1952.
  • 32 — SABOUR, M. S., MASCDONALD, M. K., AND ROBSON, J. S. : An electron microscopic study of the human kidney in young diabetic with normal renal function iDabetes 11: 291, 1962.
  • 33 — SALOMON, M. 1. DIABETIC NEPHROPATHY : Clinicopathologic correlation; a study based on renal biopsies. Metabolism 12: 687, 1963,
  • 34 SIEGAL, S.. AND ALLEN, A, C., Intercapillary glomeruldsclerosis (Kimmelstiel-Wi1son) and the nephrotic syndrome in diabetes mellitus. Amer. J. Med. sci. 201: 516, 1941. 35 — HILL, G. : 3 nolu Literatürde bahsedilmistir.
  • 36 — HALL, G. F. M. : Factors in the aetiology of diabetic glomerulosclerosis. Quart. J. Med. 21: 385, 1952.
  • 37 — LAIPPLY, T.c., EITZEN, O., AND DUTRA, F. R. : Intercapillary glo merulosclerosis. Arch. Intenn. Med, 74: 354, 1944. 38 ROGERS, J., ROBBINS, S. L., AN DJEGHERS, H. : Intercapillary merulosclerosis; a clinical and patologic study : H. A. clinical study of 100 anatomically proven cases. Amer. J. Med. 12: 692, 1952.
  • 39 MARBLE, A. WÍLSON, r. L., AND ROOT, H. F. DÏABETÏC NEPHROPATH Y : A clinical syndrome. Trans. Ass. Amer. Physicians 64 : 353, 1951.
  • 40 RUNYAN, J. W., HURVtTZ, D., AND ROBBÏNSONS, S. L. : Effect of Kimmelstiel Wilson syndrome on insulin requirements in diabetes. New Eng. J. Med. 252 : 388, 1955.
  • 41 — KtMMELSTÏEL, P,. AND PORTER, W. B. : Intercapillarv rosis. New Eng. J. Med. 238 : 876, 908, 1948
  • 42 THOMSEN, A. C. : The Significance of Renal Biopsy for the Diagnosis of Pyelonephritis in Diabetic Patients. In Wolstenholme, G. E. W, and Cameron, M. P. (Eds), Ciba Foundation Symposium on Renal Biopsy, Boston : Little, Brown, 1961. P. 281.
  • 43 YOUNG, K. R, AND CLANCY, C. F. : Urinary tract infections ing diabetes mellitus. Med, Clin. N. Amer. 39 : 1665, 1955.
  • 44 — SÖRMÐN, C. ve ÖZDEMÏ...R, A. : The spectrum of renal dissease found by kidney biopsy in Turkey. Ann. Intern. Med. 67 • 603, 1967.
  • 45 ÖZDEMIR, A. t. : Perkütan, böbrek biyopsi tekniži A (j. TIP Fak. Mec. 17 : 650, 1964.

Diabetic Glomerulosclerosis

Year 1973, Volume: 26 Issue: 4, 972 - 982, 31.12.1973
https://izlik.org/JA72YD62LY

Abstract

Renal biopsies were done on 12 patients with diabetes mellitus in the Department of Medicine, University of Ankara Medical School. Histologically in six cases the biopsy specimens revealed solely diffuse glomerular changes, in two cases nodule - diffuse changes, in two cases solely nodular changes, in one case exudative changes; In one case the biopsy showed minimal changes.
The frequency of chronic pyelonephritis in diabetic subjects is somewhat higher than in literature. The other clinical and histologic findings in our cases were not more different than reported cases in literature.

References

  • 1 — KIMMELLSTIEL. P., AND WILSON, C. : intercapillary liseons in glomeruli •of kindey. Amer. J. Path. 12: 8B, 1936.
  • 2 — CHURG, J. AND DOLGER, H. : Diabetic Renal Disease. Chapt 22, p. 873
  • 3 — HBPTINSTALL, R. H. : Pathology of the kidney. p. 465-495 1st Edition Litte Brown and uo. Boston 1966.
  • 4 — BELL. E. T. : A postmortem study of vascular disease in diabeties. A. M. Arch Path. 53: 444, 1952.
  • 5 — LE COMPIE, P. M. . Vascular Lesions in diabetes Mellitus. J. Chronic, Dis. 2: 178, 1955.
  • 6 ASHTON, N. : Diabetic microangiopathy. Adv. Ophthalmol. 8: 1, 1958.
  • 7 — BINKLEY, G. W. : Dermopathy in the diabetic syndrome, Arch. Derm 92: 625, 1965.
  • 8 BLOODWORTH, J. M. B. JR. : Diabetic microangicpathy. Diabetes 12. 99, 1963.
  • 9 — COLBY. A. O. : Neurologic disorders of diabetes mellitus, diabetes 14: 516, 1965.
  • 10 — OSTRANDER, L. D. JR. ET AL : The relationship of cardiovascular Disease to hyperglyce ia. Ann. int. Med. 62: 1188, 1965.
  • 11 — PARTAMÍAN, J. O. AND BREDLEY, R. F. : Acute myocardial infarction new Eng. J. med. 273: 455, 1965.
  • 12 — WILHELM, R. H. : The pancreas. Textbook of Endocrinology. Edited by R. A. Williams W. B. Saunders. co. London, 1968. p. 613 fourth. Edition.
  • 13 — DACHS, S., CHURG, J, MAUTHER, W., and Grishman E. Diabetic
  • 14 — DAYSOG, A., DOBSON, H. L.. : and Brennan, J. C. Renal Glomerular nephropathy. Amer. J. Path. 44: 155, 1964.
  • and vascular lesions in diabetes mellitus : A study based on renal biopsies. Ann. Intern. Med. 54: 672, 1961.
  • 15 — tnpSTEIN, F. H., AND ZUPA, V. J. : Clinical Correlates of the Kimmeistie1-Wi1son lesicn. New. Eng. J. Med. 254: 896, 1956.
  • 16 — FARQUHAR, M. G., HOPPER, J., JR., AND MOON, H. D. DtABETiC GLOMERULOSCLEROSŽS : Electron and light microscopic studies, Amer. J, Path. 35: 721, 1959.
  • 17 FREEDMAN, L. R. : Inapparent diabetes mellitus as a cause of renal insufficiency due to Kimmelstiel-Wilson lesions. Bull, Hopkins Hops. 100: 132, 1957.
  • 18 — GELLMAN, D. D, PtRANt, C. L., SOOTHtLL, J. F., MUEHRCKE, R. C., AND KARK R. M. DIABETIC NEPHROPATHY : A clinical and pathologic study based on renal biopsies Medecine 38. 321 1959.
  • 19 — GOODOFF, 1. 1., I ntercapillary glomerulosclerosis. Ann. Intern. Med. 22: 373, 1945.
  • 20 HATCH, F. E., WATT, M. F., KRAMER, N. C., PARRISH, A. n., : and Howe J. S. Diabetic glomerulosclerosis : A longHterm follow-up study based on renal biopsies. Amer. J. Med. 31: 216 1961.
  • 21 — HENDERSON, L. L., SPRAGUE, R. G., : and Wagener, H. P. Intercapillary glomerulosclerosis. Amer. J. Med. 3: 131, 1947.
  • 22 HENNIGAR R., Cchen, R. and Katz H. P. Nodular glomerulosclerosis : Clinico-pathological correlation of 40 advanced cases. Amer. J. Med. Sci. 241: 89, 1961.
  • 23 — HORN, R. C., JR, : and Smetana H, Intercapillary glomerulosclerosis. Amer. J. Path. 18: 93, 1942.
  • 24 JOHN'SSON, S. : Retinopathy and nephropathy in diabetes mellitus: Comparison of the effects of two forms of treatment. Diabetes 9: 1, 1960.
  • 25 — KIMMELSTINL, P., KIM. O. J. AND BERES, J. Studies on renal biopsy specimens with the aid of the electron microscope I. Glomeruli in diabetes. Amer. J. Clin. Path. 38: 270, 1962.
  • 26 — LAMBIE, A. T., AND MACFARLANE, A. A. clinicooathol.ogical study of diabetic glomerulosclerosis. Quart. J. Med. 24: 125, 1955.
  • 27 — LAUFER, IA., AND STEIN, O. : The exudative Lesion in Diabetic glo„ merulosclerosis. Amer. J. Clin. Path. 32: 56, 1959.
  • 28 — LYNCH, M. J. G., AND RAPHAEL, S, S. The nature of diabetic (Kimmelstie1-Wi1son) glomerulosclerosis. Diabetes 6: 488, 1957.
  • 29 — MANN, G. V., GARDNER, C, AND ROOT, F. F. : Clinical manifastations of intercapillary glomerulosclerosis in diabetes mellitus. Amer. J. Med. 7: 3, 1949.
  • 30 — MCMANUS, J. F. A. : The Development of intercapillary glomerulosclerosis. Proc. Amer. Diab. Ass. 9: 303, 1949.
  • 31 — ROGERS, J., AND ROBBINS, S. L. : Intercapillary glomerulosclerosis; a clinical and pathological study : I. Specificity of the clinical syndrome. Amer. J. Med. 12: 688, 1952.
  • 32 — SABOUR, M. S., MASCDONALD, M. K., AND ROBSON, J. S. : An electron microscopic study of the human kidney in young diabetic with normal renal function iDabetes 11: 291, 1962.
  • 33 — SALOMON, M. 1. DIABETIC NEPHROPATHY : Clinicopathologic correlation; a study based on renal biopsies. Metabolism 12: 687, 1963,
  • 34 SIEGAL, S.. AND ALLEN, A, C., Intercapillary glomeruldsclerosis (Kimmelstiel-Wi1son) and the nephrotic syndrome in diabetes mellitus. Amer. J. Med. sci. 201: 516, 1941. 35 — HILL, G. : 3 nolu Literatürde bahsedilmistir.
  • 36 — HALL, G. F. M. : Factors in the aetiology of diabetic glomerulosclerosis. Quart. J. Med. 21: 385, 1952.
  • 37 — LAIPPLY, T.c., EITZEN, O., AND DUTRA, F. R. : Intercapillary glo merulosclerosis. Arch. Intenn. Med, 74: 354, 1944. 38 ROGERS, J., ROBBINS, S. L., AN DJEGHERS, H. : Intercapillary merulosclerosis; a clinical and patologic study : H. A. clinical study of 100 anatomically proven cases. Amer. J. Med. 12: 692, 1952.
  • 39 MARBLE, A. WÍLSON, r. L., AND ROOT, H. F. DÏABETÏC NEPHROPATH Y : A clinical syndrome. Trans. Ass. Amer. Physicians 64 : 353, 1951.
  • 40 RUNYAN, J. W., HURVtTZ, D., AND ROBBÏNSONS, S. L. : Effect of Kimmelstiel Wilson syndrome on insulin requirements in diabetes. New Eng. J. Med. 252 : 388, 1955.
  • 41 — KtMMELSTÏEL, P,. AND PORTER, W. B. : Intercapillarv rosis. New Eng. J. Med. 238 : 876, 908, 1948
  • 42 THOMSEN, A. C. : The Significance of Renal Biopsy for the Diagnosis of Pyelonephritis in Diabetic Patients. In Wolstenholme, G. E. W, and Cameron, M. P. (Eds), Ciba Foundation Symposium on Renal Biopsy, Boston : Little, Brown, 1961. P. 281.
  • 43 YOUNG, K. R, AND CLANCY, C. F. : Urinary tract infections ing diabetes mellitus. Med, Clin. N. Amer. 39 : 1665, 1955.
  • 44 — SÖRMÐN, C. ve ÖZDEMÏ...R, A. : The spectrum of renal dissease found by kidney biopsy in Turkey. Ann. Intern. Med. 67 • 603, 1967.
  • 45 ÖZDEMIR, A. t. : Perkütan, böbrek biyopsi tekniži A (j. TIP Fak. Mec. 17 : 650, 1964.
There are 44 citations in total.

Details

Primary Language Turkish
Subjects ​Internal Diseases
Journal Section Research Article
Authors

İlhan Özdemir This is me

Publication Date December 31, 1973
IZ https://izlik.org/JA72YD62LY
Published in Issue Year 1973 Volume: 26 Issue: 4

Cite

APA Özdemir, İ. (1973). Diabetik Glomeruloskleroz. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 26(4), 972-982. https://izlik.org/JA72YD62LY
AMA 1.Özdemir İ. Diabetik Glomeruloskleroz. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1973;26(4):972-982. https://izlik.org/JA72YD62LY
Chicago Özdemir, İlhan. 1973. “Diabetik Glomeruloskleroz”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 26 (4): 972-82. https://izlik.org/JA72YD62LY.
EndNote Özdemir İ (December 1, 1973) Diabetik Glomeruloskleroz. Ankara Üniversitesi Tıp Fakültesi Mecmuası 26 4 972–982.
IEEE [1]İ. Özdemir, “Diabetik Glomeruloskleroz”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 26, no. 4, pp. 972–982, Dec. 1973, [Online]. Available: https://izlik.org/JA72YD62LY
ISNAD Özdemir, İlhan. “Diabetik Glomeruloskleroz”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 26/4 (December 1, 1973): 972-982. https://izlik.org/JA72YD62LY.
JAMA 1.Özdemir İ. Diabetik Glomeruloskleroz. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1973;26:972–982.
MLA Özdemir, İlhan. “Diabetik Glomeruloskleroz”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 26, no. 4, Dec. 1973, pp. 972-8, https://izlik.org/JA72YD62LY.
Vancouver 1.Özdemir İ. Diabetik Glomeruloskleroz. Ankara Üniversitesi Tıp Fakültesi Mecmuası [Internet]. 1973 Dec. 1;26(4):972-8. Available from: https://izlik.org/JA72YD62LY