exudates and Uremia

In a review of 112 patients with SLE nephritis treated between 1976 and 1982, 31 were known to have died. Renal failure (32.2%) was the commonest cause of death. Gastrointestinal haemorrhage (16%), infections (12.8%) and central nervous system involvement (6.5%) were important causes of death. Thirteen out of 17 patients dying in the presence of renal failure had initially presented with renal impairment. Renal biopsies in 16 patients who have died showed diffuse proliferative glomerulonephritis in all except 1 patient, and uraemia was the commonest cause of death in these patients. Pregnancies terminating in abortions were followed by complications in 5 patients. Discontinuation of steroid therapy by patients was followed by complications, and ended in death in 6 patients.

Topics: Adult; Female; Gastrointestinal Hemorrhage; Humans; Lupus Nephritis; Malaysia; Male; Patient Compliance; Uremia

Bilateral renal calculi were present in 114 (10.7%) of 1,070 cases of proved urinary calculus admitted to the Urological Department of the General Hospital, Kuala Lumpur, during the period November 1968-May 1973. The management of bilateral renal calculi is discussed with reference to the first 100 cases in this series. The introduction of renography has greatly facilitated the decision as to which kidney should be operated on first. The management of patients with and without uraemia is discussed and the use of the modified V and V-Y incisions for the removal of staghorn calculi is described. Complications and results are briefly reviewed.

Topics: Adult; Anuria; China; Ethnicity; Female; Humans; India; Kidney Calculi; Malaysia; Male; Middle Aged; Peritoneal Dialysis; Radioisotope Renography; Renal Dialysis; Uremia; Urography

Topics: Acute Kidney Injury; Adult; Antimalarials; Anuria; Capillaries; Chloroquine; Creatinine; Dextrans; Humans; Kidney; Malaria; Malaysia; Male; Nephrosis; Plasmodium malariae; Uremia