Background
Methods
Study population
Cont on dialysis | GFR | GFR Year | Age at intox | Admission Year | Crea | Alat | Alp | Bil | Urea | Asat | Cancer | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. | Biopsy (Y/N) | † Year | 1st trpl Year | 2nd trpl Year | Initial dialysis | CKD5 | BP | Hb | Alb | Inital peak values first w. after intoxication | after intox | ||||||||||
1a
| N | N | N | N | 47 | 1979 | 130/70 | 116 | 39 | 889 | 0,22 | 3,6 | 5 | 9 | N | ||||||
2a
| N | N | N | N | 24 | 1979 | 140/80 | 149 | P 71 | 400 | 0,19 | 2,9 | 9 | 0,33 | |||||||
3 | N | 1980 | Y | N | Y | 35 | 2011 | 44 | 1979 | 185/100 | 124 | 1550 |
0,3
|
3
|
6
| 37 |
0,3
| Yb
| |||
4 | N | 1986 | Y | N | Y | 55 | 2012 | 60 | 1985 | 170/110 | 95 | P 71 | 542 | 0,54 | 4,1 | 7,5 | 23 | 0,52 | Yc
| ||
5 | Y | Y | N | N | 26 | 1985 | 120/80 | 86 | 1270 |
0,3
|
3
|
7
| 17 |
0,3
| N | ||||||
6a
| N | 1987 | 1999 | Y | N | Y | 38 | 2004 | 21 | 1985 | |||||||||||
7 | Y | 1988 | 2003 | Y | N | Y | 107 | 2009 | 14 | 1987 | 130/80 | 101 | 1800 | 24 | N | ||||||
8 | N | 2012 | N | N | N | 40 | 1987 | 130/80 | 144 | P 67 | 126 | 0,7 | 2,2 | 11 | 0,47 | ||||||
9a
| N | Y | Y | Y | 26 | 1990 | |||||||||||||||
10 | N | Y | Y | Y | 16 | 1990 | |||||||||||||||
11 | N | 1992 | 2004 | Y | N | Y | 39 | 1991 | 130/70 | 123 | 32 | 1333 | 0,47 | 3 | 7,4 | 45 | 0,23 | N | |||
12 | N | 1992 | Y | N | Y | 41 | 1991 | 130/80 | 119 | 32 | 1074 | 0,19 | 3,3 | 7,9 | 34 | 0,17 | N | ||||
13 | N | 1992 | Y | N | Y | 21 | 1991 | 135/80 | 125 | 45 | 1458 | 0,14 | 2,7 | 7,5 | 42 | 0,24 | Yd
| ||||
14 | N | 1999 | 1983 | Y | N | Y | 41 | 1979 | 160/90 | 143 | 41 | 1630 | 46 | ||||||||
15 | N | 2000 | Y | Y | Y | 68 | 1984 | 180/95 | 125 | P 72 | 970 |
0,3
|
3
|
7
|
0,3
| ||||||
16 | N | 2000 | Y | N | Y | 28 | 2003 | 28 | 1999 | ||||||||||||
17 | N | 2001 | Y | N | Y | 52 | 2002 | 27 | 1999 | ||||||||||||
18 | N | 2002 | Y | N | Y | 44 | 2012 | 36 | 2001 | 1100 |
0,3
|
3
|
7
|
0,3
| N | ||||||
19 | N | 1995 | Y | Y | Y | 40 | 60 | 1984 | 180/100 | 111 | P 69 | 970 | 0,26 | 2,2 | 14 | 10 | 0,31 | ||||
20 | Y | 2007 | Y | Y | Y | 46 | 1999 | ||||||||||||||
21 | N | 2013 | Y | N | Y | 48 | 2007 | 129/71 | 1052 | 0,28 | 1,4 | 6,4 | 27,6 | 0,3 | N | ||||||
22 | N | 2009 | Y | N | Y | 40 | 2009 | 52 | 2007 | 174/97 | N | ||||||||||
23a
| N | N | N | N | 25 | 2010 | 160/104 | 115 | 243 | 0,45 | 1,1 | 6 | |||||||||
24 | Y | 2012 | Y | N | Y | 11 | 2012 | 57 | 2010 | 125/87 | 127 | 37 | 2809 | 0,12 | 1 | 7,9 | N | ||||
25a
| N | Y | Y | Y | 61 | 2011 | 145/80 | 98 | 23 | 1300 | 35 | ||||||||||
26 | N | Y | Y | Y | 39 | 2011 | 150/80 | 137 | 30 | 1081 | 0,22 | 0,62 | 5 | 0,47 | N | ||||||
27a
| N | N | N | N | 48 | 2011 | 140/80 | 152 | 34 | 710 | 0,6 | 1,3 | 6,9 | 25,2 | 0,72 | N | |||||
28a
| Y | N | N | N | 55 | 2012 | 125/80 | 152 | 33 | 473 | 0,51 | 1,5 | 8,2 | N |
Case control population
Kidney morphology
Statistical analysis
Results
Study population
Acute effects
Patients with non-dialysis dependent kidney injury
Patients with dialysis-dependent chronic kidney disease stage 5
Kidney morphology
Patient No. | Time after ingestion | Tubular damage: Necrosis, apoptosis, degeneration, dilatation, involvement | Edema | Inflammation | Fibrosis | |
---|---|---|---|---|---|---|
5 | 2v | 0 + 0 0 | focal | minimal | minimal | minimal |
7 | -- | --- | - | - | - | |
20 | 3v | + + + + | diffuse | severe | prominent | minimal |
24 | >10d | 0 + + + | diffuse | prominent | slight | slight |
28 | 10d | 0 + 0 0 | focal | focal | minimal | minimal |
Case control population
A. Matched control patients who had hemodialysis | ||||||||
No#: | Born year | Transplant 1 | Diagnosis | Follow up M | Follow up Y | Death Y | CoD | Cancer |
1 | 1935 | 1980 | PCK | 356 | 30 | 2010 | Peritonitis | Y |
2 | 1925 | 1986 | Amylioidosis | 95 | 8 | 1994 | Unknown | Y |
3 | 1965 | 2002 | Crescentic GN | 141 | 12 | N | ||
4 | 1953 | 2012 | IgAN | 20 | 2 | N | ||
5 | 1958 | 2012 | PCK | 22 | 2 | N | ||
6 | 1955 | 2009 | PCK | 59 | 5 | N | ||
7 | 1942 | 1983 | Pyelonephritis | 368 | 31 | |||
8 | 1972 | 1988a
| PCK | 307 | 26 | N | ||
9 | 1970 | 2000 | Interstitial Nephritis | 156 | 13 | |||
10 | 1973 | 2001 | IgAN | 194 | 16 | |||
11 | 1952 | 1992 | IgAN | 157 | 13 | 2005 | Epilepsy | N |
12 | 1951 | 1992 | Interstitial nephritis | 263 | 22 | N | ||
13 | 1971 | 1992 | CGN | 260 | 22 | |||
B. Matched control patients who had a renal transplantation | ||||||||
No#: | Born year | HD start | Diagnosis | Follow up M | Follow up Y | Death Y | CoD | Cancer |
14 | 1925 | 1984 | CVD | 160 | 13 | 1997 | Cancer | Y |
15 | 1916 | 1984 | Heredetary nephropaty | 139 | 12 | 1996 | Sepsis | |
16 | 1962 | 1985 | Glomerulonephritis | 343 | 29 | Y | ||
17 | 1942 | 1987 | CVD | 72 | 6 | 1993 | CVD | |
18 | 1965 | 1990 | Glomerulonephritis | 284 | 24 | |||
19 | 1952 | 1999 | Glomerulonephritis | 178 | 15 | |||
20 | 1973 | 2011 | Interstitial nephritis | 29 | 2 | N |