0000000000640318
AUTHOR
Gioacchino Li Cavoli
Renal involvement in psychological eating disorders
Psychological eating disorders – anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder – are an increasing public health problem with severe clinical manifestations: hypothermia, hypotension, electrolyte imbalance, endocrine disorders and kidney failure; they are of interest to nephrologists, but pathophysiological mechanisms in determining the renal involvement are still unclear. We describe pathophysiology, histological features and clinical manifestations of the most frequent psychological eating disorders: AN and BN. Regarding AN, we analyze the recent literature, and identify 3 principal pathways towards renal involvement: chronic dehydration-hypokalemia, nephrocalcinosis …
Takayasu's disease effects on the kidneys: current perspectives.
Takayasu arteritis (TA) is a chronic vasculitis disease of unknown etiology. Clinically significant renal disease is relatively common, and renovascular hypertension is the major renal problem. The assessment of TA activity is usually challenging because vascular inflammation may progress to fixed vascular injury without findings of active disease. Until now, the best therapeutic options have not been identified. This review highlights the current perspectives of renal involvement in TA.
Quality of Life in Patients on Peritoneal Dialysis: Clinical and Psychological Changes with Age and Duration of Treatment
For nephrologists, the theme of the quality of life (QoL) of patients on dialysis, in relation to physical and psychological parameters, is of great interest. We examine the importance of psychological variable-related factors of age and duration of treatment. We studied the quality of life of 56 subjects on peritoneal dialysis prospectively at time 0 and time 1 (after six months). Patients were divided into four age groups and some clinical parameters were registered. We used three specific tests for psychological assessment. Our study suggests that peritoneal dialysis patients have a significantly worse quality of life, especially according to physical parameters, and this also considera…
Incidence of hepatitis C virus infection in patients with chronic kidney disease on conservative therapy
SummaryHepatitis C virus (HCV) infection is a never-ending public health problem. Many studies have investigated the incidence of HCV infection among dialysis patients, but there have only been a few epidemiological studies in renal conservative therapy. We studied 320 subjects with pre-dialysis chronic kidney disease living in Sicily, Italy. The incidence of HCV infection was 6.25%. In Europe, incidence ranges from 0.2% to 3.5%. It appears that the incidence of HCV infection is higher in the studied patient population than in the population as a whole.