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Glomérulonéphrite extramembraneuse du sujet âgé

Glomérulonéphrite extramembraneuse du sujet âgé

          
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About the Book

La glomérulonéphrite extra-membraneuse (GEM) est la cause la plus fréquente du syndrome néphrotique du sujet âgé de plus de 65 ans. Chez cette population particulière, la GEM est généralement secondaire à des causes néoplasiques et peut même parfois révéler la tumeur. La néphropathie dans ce cas n'est que la partie émergée de l'iceberg. Nous avons mené une étude rétrospective, descriptive et analytique sur 44 ans incluant des patients âgés ayant une GEM.Nous avons retenu 30 patients. L'âge moyen était de 69 ans avec une prédominance masculine. La néphropathie était idiopathique chez 25 patients (83,3%) et secondaire chez 5 patients. Cinq patients avaient atteint le stade 5 de la MRC. Les facteurs pronostiques étaient l'insuffisance rénale initiale (p=0,027), le nombre de glomérule en pain à cacheté (p=0,023), la fibrose interstitielle étendue (p=0,043) et l'atrophie tubulaire (p=0,012). En conclusion, nous avons proposé le schéma thérapeutique recommandé par les KDIGO 2019 pour la prise en charge de la GEM du sujet âgé.


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Product Details
  • ISBN-13: 9786202533324
  • Publisher: KS Omniscriptum Publishing
  • Publisher Imprint: Editions Universitaires Europeennes
  • Height: 229 mm
  • No of Pages: 224
  • Spine Width: 13 mm
  • Width: 152 mm
  • ISBN-10: 6202533323
  • Publisher Date: 14 Jul 2020
  • Binding: Paperback
  • Language: French
  • Returnable: N
  • Weight: 336 gr


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