The Changing Epidemiology of Acute Renal Failure: Patterns in Economically Advanced and Developing Countries

Chugh, Kirpal S.; Kjellstrand, Carl M.

doi:10.1007/978-1-4613-1673-2_10

International Yearbook of Nephrology 1989 1989

DOI: 10.1007/978-1-4613-1673-2_10

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The Changing Epidemiology of Acute Renal Failure: Patterns in Economically Advanced and Developing Countries

Kirpal S. Chugh

Carl M. Kjellstrand

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1995

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Serious Renal Disease in Egypt

et al. 1995

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We studied serious renal disease in Egypt by registering all 155 patients coming to the nephrology service at the University of Cairo during a period of 62 days in 1993. The patients presented with severe uremic symptoms. Admission creatinine and urea levels were high, 804 mumol/l and 64 mmol/l. Fifteen percent of the patients died; 115 underwent dialysis. Sixty patients presented with chronic renal failure; 53 with acute renal failure, but 24 of these were later found to have end-stage renal failure. Of 29 patients with true acute renal failure, 11 (38%) had pre-renal failure and 7 (24%) post-renal failure. Twenty-one patients were followed up after transplantation and chronic dialysis, another 17 had nephrotic syndrome, 3 hypertension, and one had asymptomatic urinary abnormalities. The most common specific etiology for chronic end-stage renal failure was diabetes mellitus type II in the older patients; second most common was Schistosoma in the younger ones. Most diabetic patients came from the city. All but one Schistosoma patient came from rural Egypt. In the 22 patients who underwent renal biopsy the most common diagnosis was mesangio capillary glomerulonephritis. The prevalence of acute renal failure, particularly iatrogenic-toxic, is increasing.

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Serious Renal Disease in Egypt

et al. 1995

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The Changing Epidemiology of Acute Renal Failure: Patterns in Economically Advanced and Developing Countries

Cited by 1 publication

References 42 publications

Serious Renal Disease in Egypt

Serious Renal Disease in Egypt

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