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Pseudohypoparathyroidism (PHPT); is a hereditary disorder in which the target organ does not respond to parathormone (PTH). Biochemically; it is characterized by the hypocalcemia, hyperphosphatemia, and elevated PTH. The response to PTH administration is markedly lower. In addition to it's biochemical properties, Type 1A also has a characteristic somatic phenotype known as Albright hereditary osteodystrophy (AHO). This phenotype is characterized by short stature, round face, frontal bubble, brachydactyly, obesity. Here, we present a patient, diagnosed with Albright's hereditary osteodystrophy and hypocalcemia that is treated by calcium, vitamin D. [ABSTRACT FROM AUTHOR]

Objective: We aimed to evaluate the relationship between hemogram values, neutrophil lymphocyte ratio, platelet lymphocyte ratio and bone mineral densitometry values in postmenopausal women and thus to determine which parameter is in a stronger relationship with bone mineral densitometry values. Method: In this study, bone mineral densitometry values, neutrophil lymphocyte ratio, platelet lymphocyte ratio and hematological parameters (white blood cell, red blood cell, hemoglobin, platelet, lymphocyte, monocyte, basophil, neutrophil, eosinophil) of 64 postmenopausal female patients aged 50-60, with a body mass index in the range of 25-30 were retrospectively reviewed. Clinical conditions that may affect bone mineral density or hemogram values (acute and chronic infections, oncological, rheumatological and hematological diseases, chronic liver and kidney diseases, hyperparathyroidism, hypothyroidism, hyperthyroidism, vitamin D deficiency, steroid use, and a history of trauma or blood transfusion in the last one year) were excluded from the study. Then, correlation analysis was performed between bone mineral densitometry values and hematological parameters. Results: In our study, a statistically significant negative correlation was found between platelet lymphocyte ratio and femoral neck bone mineral density, femoral neck Z-score and femoral neck T-score (p=0.004, r=-0.353; p=0.005, r=-0.344; p=0.004, r=-0.359, respectively). In addition, a statistically significant positive correlation was found between monocyte values and femoral neck bone mineral density, femoral neck Z-score and femoral neck T-score. (p=0.030, r=0.272; p=0.038, r=0.259; p=0.022, r=0.285, respectively). There was no relationship between neutrophil lymphocyte ratio and bone mineral densitometry parameters. Conclusion: High platelet lymphocyte ratio and low monocyte value can be simple markers that can be used to help predict changes in bone density ratio after menopause. [ABSTRACT FROM AUTHOR]

Amaç: Uzun dönemdeki surviye ve allograft fonksiyonuna etkili olan faktörler her merkezde farklılıklar gösterebilmektedir. Bu nedenle ünitemizden takipli renal allograft biyopsi yapılmış olan hastaların biyopsi sonuçları ve greft sağ kalımları arasındaki ilişkilerin değerlendirilmesi amaçlanmıştır. Yöntemler: 70 hastaya yapılan 94 adet biyopsi retrospektif olarak incelemiştir. Ultrason rehberliğinde tek kullanımlık 16G otomatik iğne ile 2 kore biyopsi alınmıştır. Her biyopsi ışık mikroskopisi ve immunfloresan boyama ile incelenmiştir. Hastalar akut selüler rejeksiyon (ASR), kalsinörin inhibitörü(KNI) toksisitesi, intersitisyel fibrozis tübüler atrofi (IFTA), akut tubüler hasar(ATH) ve greft kaybı gelişenler olarak gruplara ayrılarak alt analizleri yapılmıştır. Bulgular: Toplamda 34(%36,2) biyopsi ile en sık tespit edilen patolojiyi akut selüler rejeksiyon oluşturmaktadır. IFTA, ATH, nüks/de novo glomerülonefrit biyopsi sayıları sırasıyla 21(%22,3), 20(%21,3), 15(%16) olarak bulunmuştur. Akut rejeksiyon öyküsü olanlarda greft sürvisinin daha kısa olduğu tespit edilmiştir (p<0.05). Greft kaybı olan grupta IFTA daha fazla görülmüştür (p<0.05). Surviler logrank testi ile IFTA ya göre kıyaslandığında istatistiksel anlamlılığını yitirmiştir. Çalışmaya alınan hastalarda KNI toksisitesi, ATH ile greft sürvileri arasında anlamlı fark tespit edilememiştir. Biyopsi sırasındaki albümin seviyesi greft kaybı olan grupta anlamlı olarak daha düşük bulunmuştur (p<0.05). Sonuç: Biyopsilerin yaklaşık üçte birinde öntanıdan farklı bir tanı ile karşılaşılmıştır. Bu da biyopsi olmadan diğer klinik ve laboratuvar bulguların yetersizliğini göstermektedir. Greft survisini ön görmede biyopsi önemli yer teşkil etmektedir. Non-invaziv olarak biyopsi öncesi bakılan serum albumin seviyesi greft kaybını öngörmede bir parametre olarak değerlendirilebilir. Objective: Factors affecting long-term survival and allograft function may differ in each center. Therefore, it is aimed to evaluate the relation between biopsy results and graft survival of patients who have undergone renal allograft biopsy. Methods: We retrospectively analyzed 94 biopsies of 70 renal transplant recipients. Disposable 16 G needles were used to perform 2 ultrasound-guided core biopsies. Each specimen was examined under light and immunofluorescence microscopy. Patients were divided into acute cellular rejection (ACR), calcineurin inhibitor (CNI) toxicity, graft loss, interstitial fibrosis tubular atrophy (IFTA), acute tubular damage (ATD) groups and analyzed. Results: The most frequent pathology was ACR, diagnosed in total of 34 (36.2%) specimens. IFTA, ATD and recurrent de novo glomerulonephritis biopsy were 21 (22.3%), 20 (21.3%) and 15 (16%), in number, respectively. Graft survival in patients with a history of acute rejection was shorter than without history (p<0.05). IFTA was more common in the group with loss of graft (p<0.05). When compared with survival in log-rank test IFTA have lost their statistical significance. There was no significant difference between CNI toxicity, ATD and graft survival. Graft loss was more common in patients with lower albumin levels during biopsy (p<0.05). Conclusions: Approximately one third of the biopsies were diagnosed differently than presumed. This demonstrates the inadequacy of other clinical and laboratory findings without biopsy. Renal allograft biopsy is an important tool to predict graft survival. Serum albumin level before biopsy can be considered as a parameter for predicting loss of graft. [ABSTRACT FROM AUTHOR]

Objective: Acute kidney injury (AKI) is an important clinical entity that is known to increase mortality in patients with sepsis. Erythrocyte maturation and proliferation are inhibited by pro-inflammatory cytokines; these cytokines exert effects on red cell distribution width (RDW) well. Based on this knowledge; our aim in this study was to evaluate the impact of RDW on acute kidney injury in patients with sepsis. Methods: 120 patients diagnosed with sepsis and admitted to intesive care unit (ICU) and treated between 2009-2013 were retrospectively evaluated. Patients were divided into two groups as follows: group 1 (RDW≥16.8) and group 2 (RDW<16.8). Multiple logistic regression analysis was used to determine the association between RDW and AKI and mortality. Results: There was a statistically significant relationship between AKI and RDW (p<0.001, OR=11.52) but there were no statistically significant relationship between AKI and sex, age, serum lactate levels as well as SOFA score. Also, there were statistically significant relationship between mortality and RDW (p=0.044, OR=5), serum lactate levels (p=0.030) and SOFA score (p<0.001). RDW was found associated with both AKI and mortality. Conclusions: Results suggest that RDW is an important parameter for predicting development of AKI and mortality in ICU patients with sepsis. [ABSTRACT FROM AUTHOR]