Endocrine Changes in Chronic Dialysis Patients

Kokot, F; Wiȩcek, Andrzej

doi:10.1007/978-94-009-1087-4_45

Cited by 12 publications

(10 citation statements)

References 170 publications

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“…Other studies report unaltered sun exposure habits in terms of time spent in sun or amount of skin exposed to sunlight with increasing body fat, 92 or unchanged sun protection practises in those with obesity. 93 Indeed, whole body exposure to UVB radiation lowered blood pressure in hypertensive subjects by ~5 mmHg, 101,102 but had no effect in normotensive adults. 102,103 Acute exposure to sub-erythemal UVA radiation lowered blood pressure in healthy (normotensive) young adults.…”

Section: 5mentioning

confidence: 99%

“…93 Indeed, whole body exposure to UVB radiation lowered blood pressure in hypertensive subjects by ~5 mmHg, 101,102 but had no effect in normotensive adults. 102,103 Acute exposure to sub-erythemal UVA radiation lowered blood pressure in healthy (normotensive) young adults. 63,104 However, a lasting effect was not observed beyond the window of treatment.…”

Section: 5mentioning

confidence: 99%

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Ultraviolet radiation, vitamin D and the development of obesity, metabolic syndrome and type-2 diabetes

Gorman

Lucas

Allen-Hall

et al. 2017

Photochem Photobiol Sci

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Section: 5mentioning

confidence: 99%

Section: 5mentioning

confidence: 99%

Ultraviolet radiation, vitamin D and the development of obesity, metabolic syndrome and type-2 diabetes

Gorman

Lucas

Allen-Hall

et al. 2017

Photochem Photobiol Sci

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“…Some of these clinically relevant alterations have been reported recently [1]. Among them are secondary hyperaldosteronism, suppression of gonadal function, diminished growth, relative erythropoietin deficiency, abnormalities in blood pressure regulation and dissociation of the physiological relationship between aldosterone synthesis and function of the renin-angiotensin system.…”

Section: Introductionmentioning

confidence: 99%

Endocrine Alteration in the Adrenal Gland in Kidney Transplant Patients

Wunderlich¹,

Zermann²,

Reichelt³

et al. 2001

Urol Int

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Introduction: Endocrine alterations associated with chronic renal failure have been reviewed recently. Some of these alterations are of clinical relevance. The aim of this study was to investigate the effect of renal transplantation on the endocrine system of the adrenal gland of the transplant recipients. Methods: The serum angiotensin-converting enzyme (SACE), plasma renin (PR) and plasma aldosterone (PA) were examined in 30 patients before and after renal allotransplantation. Additionally measured parameters were blood pressure, serum creatinine, potassium, sodium, the duration of dialysis and immunosuppressive medication. Results: Six weeks after renal transplantation, serum creatinine decreased from 820.07 ± 172.01 to 138.12 ± 67.54 µmol/l. In the same periode, serum potassium decreased from 5.42 ± 0.89 to 4.17 ± 0.42 mmol/l. PA and PR decreased from 1,150.84 ± 976.06 to 233.52 ± 217.07 µmol/l, and from 121.07 ± 100.12 to 26.16 ± 10.86 µU/ml, respectively. SACE decreased from 0.21 ± 0.21 to 0.13 ± 0.11 µmol/l. No significant correlation was seen with blood pressure, serum sodium, the duration of dialysis and immunosuppressive drugs. Additionally, 2 patients with acute renal graft dysfunction showed significant increases in PR and PA. After successful treatment both levels declined very quickly to prerejection levels. Patients after binephrectomy show no elevation in PR (5–47 µU/ml) or PA (21–416 µmol/l) neither before nor after renal transplantation. Conclusions: We conclude that renal transplantation has profound effects on the recipient’s renin-angiotensin-aldosterone system. Because of the rapid depression after renal transplantation, it does not appear to be involved in the pathogenesis of post transplantation hypertension but may reflect a role for repair processes after renal allotransplantation.

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“…Atrial natriuretic peptide secretion increases in re sponse to fluid volume loading in patients with renal failure [2], Although this hormone can cross dialysis membranes, plasma levels are determined primarily by plasma volume, not by the elimination rate of the dialyzer.…”

Section: Salt and Water Metabolismmentioning

confidence: 99%

“…Numerous endocrine-metabolic abnormalities regu larly accompany uremia [1][2][3]. Some endocrine dysfunc tions contribute importantly to the morbidity of uremic patients.…”

mentioning

confidence: 99%

Modifications of Endocrine-Metabolic Abnormalities of Uremia by Continuous Ambulatory Peritoneal Dialysis

Maher¹

1990

Am J Nephrol

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Endocrine Changes in Chronic Dialysis Patients

Cited by 12 publications

References 170 publications

Ultraviolet radiation, vitamin D and the development of obesity, metabolic syndrome and type-2 diabetes

Ultraviolet radiation, vitamin D and the development of obesity, metabolic syndrome and type-2 diabetes

Endocrine Alteration in the Adrenal Gland in Kidney Transplant Patients

Modifications of Endocrine-Metabolic Abnormalities of Uremia by Continuous Ambulatory Peritoneal Dialysis

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