Tropical nephropathy

Journal of Nephrology & Therapeutics

ISSN: 2161-0959

Open Access

Tropical nephropathy

8th World Nephrology Conference

August 15-16, 2016 Sao Paulo, Brazil

Elizabeth De Francesco Daher

Federal University of Ceara, Brazil

Posters & Accepted Abstracts: J Nephrol Ther

Abstract :

Several prospective controlled studies were conducted by the research group in patients with tropical diseases such as visceral leishmaniasis, schistosomiasis and leprosy leptospirosis. Patients who were admitted to tertiary hospitals in Fortaleza, Cear├?┬í and outpatient clinics were monitored. To assess glomerular function, the glomerular filtration rate was estimated using the equation and CKD-EPI to plasma creatinine. It measured proteinuria and albuminuria, normalizing values by the urinary creatinine (mg/gcreatinine). The renal tubular function was assessed by a fractional sodium excretion (FENa +), potassium excretion fraction (FEK +). Urine was measured for MCP-1, NGAL and KIM-1, novel early biomarkers of renal injury, which were quantified by immunoassay technique of enzyme-linked (ELISA). Urinary biomarkers were normalized by urinary creatinine in the same sample and expressed in "mg/g Creatinina". The concentration of nitric oxide was carried out indirectly through the formation of its stable metabolite. It was also evaluated and endothelial injury through glococ├?┬ílice dosages Syndecam-1 and ICAM-1. The MCP-1 was shown useful as urinary biomarker for detecting subclinical renal dysfunction and as a predictor of long-term kidney disease in tropical diseases. In patients with mild renal damage secondary to leptospirosis, endothelial injury and especially their glycocalyx could be demonstrated by elevated serum levels of syndecan-1 and ICAM-1 and are related to the presence of acute kidney injury.

Biography :


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