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2. Renal Diseases in the Tropics

Author

Sinniah, R., Boonpucknavig, V., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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3. Spirochaetal and Leptospiral Diseases

Author

Sinniah, R., Boonpucknavig, V., Sinniah, B., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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5. Tropical Pathology

Author

Ashworth, T. G., primary, Andersen, E. M., additional, Ballard, R. C., additional, Barral-Netto, M., additional, Bittencourt, A. L., additional, Boonpucknavig, V., additional, Diesfeld, H. J., additional, Freinkel, A. L., additional, Goldsmid, J. M., additional, Hale, M. J., additional, Isaacson, C., additional, Isaäcson, M., additional, Itakura, H., additional, Jenkins, T., additional, Kaschula, R. O. C., additional, Knox-Macaulay, H. H. M., additional, Londero, A. T., additional, Lucas, S., additional, Marty, A. M., additional, Meyers, W. M., additional, Mills, A. M., additional, Paterson, A. C., additional, Rose, A. G., additional, Simson, I. W., additional, Sinniah, B., additional, Sinniah, R., additional, Toriyama, K, additional, Walker, A. R. P., additional, and Zaki, S. R., additional

Published
1995
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7. Clinical Pathology

Author

Boonpucknavig, V., Srichaikul, T., Punyagupta, S., Peters, Wallace, editor, and Richards, William H. G., editor

Published
1984
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9. Renal Involvement in Snakebite

Author

Sitprija, V., Benyajati, C., Boonpucknavig, V., Ohsaka, Akira, editor, Hayashi, Kyozo, editor, Sawai, Yoshio, editor, Murata, Ryosuke, editor, Funatsu, Masaru, editor, and Tamiya, Nobuo, editor

Published
1976
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17. Cardiovascular Diseases in the Tropics

Author

Rose, A. G., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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18. Malnutrition and Intestinal Malabsorption

Author

Kaschula, R. O. C., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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19. Cirrhosis and Other Liver Diseases

Author

Simson, I. W., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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20. Blood Diseases in the Tropics

Author

Knox-Macaulay, H. H. M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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21. Helminthology

Author

Marty, A. M., Andersen, E. M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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22. Tropical Mycotic Diseases

Author

Bittencourt, A. L., Londero, A. T., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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23. Trypanosomiasis

Author

Bittencourt, A. L., Ashworth, T. G., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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24. Malaria

Author

Marty, A. M., Andersen, E. M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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25. Kaposi’s Sarcoma

Author

Itakura, H., Toriyama, K., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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26. Geomedicine

Author

Diesfeld, H. J., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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27. Sexually Transmitted Diseases in the Tropics

Author

Ballard, R. C., Freinkel, A. L., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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28. The Viral Haemorrhagic Fevers

Author

Isaäcson, M., Hale, M. J., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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29. Leishmaniasis

Author

Bittencourt, A. L., Barral-Netto, M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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30. Mycobacterial Infections of the Skin

Author

Meyers, W. M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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31. Infections Caused by Rickettsiae and Rickettsia-Like Organisms, and Bartonellosis

Author

Isaäcson, M., Hale, M. J., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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32. Intestinal Protozoa

Author

Mills, A. E., Goldsmid, J. M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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33. Non-Intestinal Bacterial Infections

Author

Isaäcson, M., Hale, M. J., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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34. New Technology for the Diagnosis of Infectious Disease

Author

Zaki, S. R., Marty, A. M., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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35. Intestinal Bacterial Infections

Author

Isaäcson, M., Hale, M. J., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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36. Diseases of Uncertain Aetiology

Author

Itakura, H., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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37. Environmental Diseases in the Tropics

Author

Itakura, H., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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38. Cancer in the Tropics

Author

Walker, A. R. P., Isaacson, C., Paterson, A. C., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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39. Guidelines for Autopsies in the Tropics

Author

Lucas, S., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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40. Genetic Diseases in the Tropics

Author

Jenkins, T., Doerr, W., editor, Seifert, G., editor, Ashworth, T. G., Andersen, E. M., Ballard, R. C., Barral-Netto, M., Bittencourt, A. L., Boonpucknavig, V., Diesfeld, H. J., Freinkel, A. L., Goldsmid, J. M., Hale, M. J., Isaacson, C., Isaäcson, M., Itakura, H., Jenkins, T., Kaschula, R. O. C., Knox-Macaulay, H. H. M., Londero, A. T., Lucas, S., Marty, A. M., Meyers, W. M., Mills, A. M., Paterson, A. C., Rose, A. G., Simson, I. W., Sinniah, B., Sinniah, R., Toriyama, K, Walker, A. R. P., and Zaki, S. R.

Published
1995
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41. Exploring hospital practice types and their impact on glomerular pathologic patterns: Insights from the largest kidney biopsy cohort in Thailand.

Author

Kanjanabuch T, Isaranuwatchai S, Nopsopon T, Thammathiwat T, Pooprasert T, Puapatanakul P, Pongpirul K, Chawanasuntorapoj R, Kittiskulnam P, Eiam-Ong S, Tungsanga K, Chusil S, Ophascharoensuk V, Vanichakarn S, Sitprija V, and Boonpucknavig V

Subjects
Humans, Child, Thailand epidemiology, Kidney pathology, Hospitals, University, Biopsy, Retrospective Studies, Kidney Diseases diagnosis, Kidney Diseases epidemiology, Kidney Diseases therapy, Glomerulonephritis diagnosis, Glomerulonephritis epidemiology, Glomerulonephritis pathology, Lupus Nephritis pathology, Nephrotic Syndrome pathology, Lupus Erythematosus, Systemic, Glomerulonephritis, IGA pathology
Abstract

Background: This study aims to investigate the influence of different kidney biopsy practices on the prevalence of glomerular pathologic patterns in the largest kidney biopsy registry in Thailand., Methods: We conducted a retrospective review of kidney biopsy records from the period between 2000 and 2014. The records were obtained from 2 major institutions: King Chulalongkorn Memorial Hospital, a large university-based hospital, and the Kidney Center Bangkok Hospital, which provides pathology services to hospitals throughout Thailand. The study included native kidney biopsies from all provinces in Thailand, excluding paediatric patients, kidney transplant recipients, and cases of inadequate and repeated biopsies. Patient demographics, indications for biopsy, and final glomerular diagnoses were compared across different hospital practice settings: university (UVH), private (PVH) and public (PBH)., Results: A total of 5893 eligible native kidney biopsies were identified from a pool of 7005 biopsies conducted over a 15-year period in 25 provinces throughout Thailand. The 3 most common indications for biopsy were suspected kidney involvement in systemic lupus erythematosus (SLE) (29%), nephrotic syndrome (NS) (29%), and acute glomerulonephritis (AGN)/rapidly progressive glomerulonephritis (RPGN) (13%). The leading indication for biopsy differed across practice types, with suspected kidney involvement in SLE being the primary indication in UVH, while NS took precedence in both PBH and PVH practices. Notably, UVH performed fewer kidney biopsies for asymptomatic urinary abnormalities and diabetes-related indications compared with PVH and PBH. The leading glomerular diagnoses correlated with the biopsy indications, with lupus nephritis (LN) being the most common diagnosis in UVH and PBH practices, whiles immunoglobulin A nephropathy was the predominant diagnosis in PVH practice., Conclusion: Hospital practice types significantly impact the prevalence of glomerular pathologic diagnosis patterns in kidney biopsy data, highlighting the importance of considering this influence in epidemiological comparisons., (© 2023 Asian Pacific Society of Nephrology.)

Published
2023
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42. Clinicopathological Characteristics and Impacts on Clinical Outcomes of Thrombotic Microangiopathy Lesions in Patients with Immunoglobulin A Nephropathy in Thailand.

Author

Puapatanakul P, Banjongjit A, Kanjanabuch T, Surintrspanont J, Iampenkhae K, Praditpornsilpa K, Eiam-Ong S, and Boonpucknavig V

Subjects
Humans, Retrospective Studies, Thailand epidemiology, Kidney pathology, Proteinuria pathology, Glomerular Filtration Rate, Prognosis, Glomerulonephritis, IGA complications, Glomerulonephritis, IGA epidemiology, Glomerulonephritis, IGA pathology, Kidney Failure, Chronic etiology, Kidney Failure, Chronic complications, Thrombotic Microangiopathies etiology, Thrombotic Microangiopathies complications
Abstract

Introduction: More reports of thrombotic microangiopathy (TMA) in immunoglobulin A (IgA) nephropathy suggest its association with poor clinical outcomes. However, the prevalence and clinical significance of TMA in IgA nephropathy have not been widely studied in different populations., Methods: Kidney biopsies of all patients with primary IgA nephropathy from 1995 to 2015 at the King Chulalongkorn Memorial Hospital, Thailand, were retrospectively reviewed and reclassified by two pathologists following the Oxford MEST-C classification. TMA lesions were detected based solely on light microscopic findings. Associations between the presence of TMA and clinical data, other pathologic findings, and clinical outcomes were studied., Results: Among 267 patients with primary IgA nephropathy, 166 had adequate clinical data and kidney tissues for the analysis. TMA was observed in 21 patients (13%) and was associated with higher mean arterial pressure (MAP), history of malignant hypertension, higher proteinuria, and lower estimated glomerular filtration rate (eGFR) at diagnosis compared to those without TMA. According to the Oxford MEST-C classification, TMA showed a significant association with severe tubular atrophy/interstitial fibrosis (T2) but not with mesangial hypercellularity (M1), endocapillary hypercellularity (E1), segmental glomerulosclerosis (S1), or crescents (C1-2). After a median follow-up of 50 months, patients with TMA had a significantly higher risk of progression to end-stage kidney disease (ESKD) (hazard ratio [HR] 5.8, 95% confidence interval [CI]: 3.1-10.9) and all-cause mortality (HR 3.4, 95% CI: 1.3-8.8). After adjusting for baseline eGFR, MAP, proteinuria, and other pathological lesions, TMA remained an independent predictor of ESKD (adjusted HR 2.4, 95% CI: 1.1-5.4)., Conclusions: Kidney TMA in IgA nephropathy is associated with advanced disease stages, carries a poor prognosis, and thus should be considered in the pathological classification of IgA nephropathy., (© 2023 S. Karger AG, Basel.)

Published
2023
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43. Membranous Nephropathy following Full-Dose of Inactivated SARS-CoV-2 Virus Vaccination: A Case Report and Literature Review.

Author

Thammathiwat T, Chompuk L, Worawichawong S, Boonpucknavig V, Sirilak S, Pongcharoen S, Pichitsiri W, and Kanjanabuch T

Abstract

Vaccination against the SARS-CoV-2 virus (COVID-19) has proven to be the most effective measure to prevent the spread and reduce infection severity. A case report of de novo membranous nephropathy (MN) following immunization with inactivated virus vaccine (CoronaVac ® , Sinovac Biotech) is presented here. A 53-year-old man presented with a sudden onset of leg edema a week after receiving an inactivated virus vaccine and a relapse of nephrotic syndrome (NS) with acute kidney injury (AKI) after a booster dose. Screening for serum anti-phospholipase A2 receptor antibody and secondary causes of MN were negative. Kidney biopsy revealed an early MN pattern with focal spike formation, whilst numerous subepithelial electron-dense deposits and a few small deposits in the mesangial area were observed through electron microscopy. A short course of steroids and oral cyclophosphamide was prescribed, resulting in the complete remission of NS and AKI. MN following SARS-CoV-2 vaccination should call for medical importance. Awareness of the association between vaccination and MN should be kept in mind to avoid unnecessary treatment with long-term immunosuppressive agents.

Published
2022
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44. Pathology of renal diseases in the tropics.

Author

Boonpucknavig V and Soontornniyomkij V

Subjects
Biopsy, Needle, Communicable Diseases diagnosis, Female, Glomerulosclerosis, Focal Segmental etiology, Glomerulosclerosis, Focal Segmental pathology, Humans, Immunohistochemistry, Kidney Diseases epidemiology, Kidney Tubular Necrosis, Acute etiology, Kidney Tubular Necrosis, Acute pathology, Male, Nephritis, Interstitial etiology, Nephritis, Interstitial pathology, Prevalence, Prognosis, Risk Factors, Severity of Illness Index, Survival Rate, Communicable Diseases complications, Kidney Diseases etiology, Kidney Diseases pathology, Tropical Climate adverse effects
Abstract

Renal diseases unique to the tropics are those that occur in association with infectious diseases including dengue hemorrhagic fever, typhoid fever, shigellosis, leptospirosis, lepromatous leprosy, malaria, opisthorchiasis, and schistosomiasis. These renal complications can be classified on the basis of their clinical and pathologic characteristics into acute transient reversible glomerulonephritis, chronic progressive irreversible glomerulonephritis, amyloidosis, and acute renal failure (ARF) resulting from acute tubular necrosis, acute tubulointerstitial nephritis, and thrombotic microangiopathy. Certain primary glomerular diseases including immunoglobulin (Ig) M nephropathy and focal segmental and global glomerulosclerosis are prevalent in some tropical countries. Renal complications of venomous snakebites also are common in the tropics. This article discusses and summarizes important works in the literature in respect to the clinical syndromes, pathologic features, and pathogenesis of tropical renal diseases both in humans and experimental animal models., (Copyright 2003, Elsevier Science (USA). All rights reserved.)

Published
2003
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45. Lymphocyte crossmatching in the sensitized patient.

Author

Chiewsilp P, Mongkolsuk T, Mavichak V, Buabut B, Sujirachato K, Jirasiritham S, and Boonpucknavig V

Subjects
Autoantibodies analysis, Cytotoxicity, Immunologic, Flow Cytometry, Humans, Male, Middle Aged, B-Lymphocytes immunology, Histocompatibility Testing, Kidney Transplantation immunology, T-Lymphocytes immunology
Published
1996

46. Effect of aloe vera gel to healing of burn wound a clinical and histologic study.

Author

Visuthikosol V, Chowchuen B, Sukwanarat Y, Sriurairatana S, and Boonpucknavig V

Subjects
Adolescent, Adult, Burns pathology, Child, Child, Preschool, Female, Gels, Humans, Infant, Male, Middle Aged, Skin pathology, Treatment Outcome, Aloe, Burns drug therapy, Plants, Medicinal, Wound Healing
Abstract

In a study of twenty-seven patients with partial thickness burn wound, they were treated with aloe vera gel compared with vaseline gauze. It revealed the aloe vera gel treated lesion healed faster than the vaseline gauze area. The average time of healing in the aloe gel area was 11.89 days and 18.19 days for the vaseline gauze treated wound. Statistical analysis by using t-test and the value of P < 0.002 was statistically significant. In histologic study, it showed early epithelialization in the treated aloe vera gel area. Only some minor adverse effects, such as discomfort and pain were encountered in the 27 cases. This study showed the effectiveness of aloe vera gel on a partial thickness burn wound, and it might be beneficial to do further trials on burn wounds.

Published
1995

47. A study of simplified porcine skin preservation.

Author

Visuthikosol V, Punyahotra N, Navykarn T, Kruavit A, and Boonpucknavig V

Subjects
Animals, Burns surgery, Humans, Necrosis, Swine, Time Factors, Organ Preservation methods, Skin pathology, Skin Transplantation
Abstract

The study of preserved porcine skin was done by using split-thickness skin grafts of pigs weighing approximately 25 to 30 kg. The harvesting of split-thickness skin grafts was performed under aseptic and antiseptic conditions. The povidone-iodine solution and 0.25% acidified sodium hypochlorite solution were used before immersion of the skin in 90% glycerine solution. Prepared skin graft was stored in the freezer compartment of a home refrigerator. Serial studies of the bacteriology and the histology of specimens were performed monthly for 12 months. No bacterial organisms were found during the study. The integrity of the skin lasted up to 5 months, however, the property of the preserved skin was as good as the other biological dressing even after 6 months. This simple, low-cost procedure is useful for restoring allografts or even autografts in a hospital without conveniences or adequate facilities.

Published
1993
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48. Wilms' tumor, male pseudohermaphroditism and glomerulonephritis: the Drash syndrome. First case report in Thailand and review the literatures.

Author

Wongwaisayawan S, Boonpucknavig V, Boonpucknavig S, and Hattirat P

Subjects
Disorders of Sex Development complications, Disorders of Sex Development genetics, Glomerulonephritis complications, Glomerulonephritis pathology, Hospitals, University, Humans, Infant, Karyotyping, Male, Photomicrography, Syndrome, Thailand, Wilms Tumor complications, Wilms Tumor pathology, Disorders of Sex Development diagnosis, Glomerulonephritis diagnosis, Wilms Tumor diagnosis
Abstract

The Drash syndrome, the first case in Thailand is reported. The patient had male pseudohermaphrodite, Wilms' tumor of the left kidney and mesangial proliferative glomerulonephritis. Metastasis of Wilms' tumor was noted in the liver, omentum, pelvic peritoneum and vertebral body. Chemotherapy (actinomycin D, vincristine and dexamethasone) and local irradiation were given. The patient developed pneumonia, diarrhea and ended up with Steven-Johnson syndrome from Cotrimoxazole hypersensitivity.

Published
1992

49. Rapidly progressive glomerulonephritis in Thai children.

Author

Tapaneya-Olarn W, Tapaneya-Olarn C, Boonpucknavig V, and Boonpucknavig S

Subjects
Adolescent, Child, Child, Preschool, Cyclophosphamide therapeutic use, Drug Therapy, Combination, Female, Glomerular Filtration Rate, Hospitals, University, Humans, Infant, Kidney Failure, Chronic epidemiology, Kidney Failure, Chronic etiology, Male, Prednisolone therapeutic use, Prognosis, Retrospective Studies, Thailand epidemiology, Treatment Outcome, Glomerulonephritis diagnosis, Glomerulonephritis epidemiology, Glomerulonephritis therapy
Abstract

Sixteen children with extensive crescentic glomerulonephritis and rapid renal deterioration were selected from 476 patients with glomerulopathy for study. The patients (1-14 yr, M:F = 5:11) presented with edema, oligoanuria, hypertension, gross hematuria and uremic symptoms in 81, 62, 62, 56 and 50 per cent, respectively. The mean Scr was 804 (+/- 436) micromole/L and BUN 38 (+/- 13.4) mmole/L. Anemia was found in 100 per cent, hematuria in 100 per cent, heavy proteinuria 75 per cent, hypoalbuminemia 40 per cent, hypercholesterolemia 38 per cent and low C3 40 per cent. The underlying causes of RPGN included idiopathic 9, PSAGN 6 and LE 1. Eight patients recovered with normal or slightly elevated Scr while the diseases progressed to ESRD in 8 patients. Idiopathic RPGN and extensive (greater than 80%) crescentic glomerulonephritis correlated with a poor prognosis.

Published
1992

50. Development of immune-complex glomerulonephritis and amyloidosis in Syrian golden hamsters infected with Opisthorchis viverrini.

Author

Boonpucknavig S, Boonpucknavig V, Tanvanich S, Doungchawee G, and Thamavit W

Subjects
Amyloidosis diagnosis, Amyloidosis etiology, Animals, Cricetinae, Disease Models, Animal, Evaluation Studies as Topic, Fluorescent Antibody Technique, Glomerulonephritis, IGA diagnosis, Glomerulonephritis, IGA etiology, Kidney Diseases diagnosis, Kidney Diseases etiology, Mesocricetus, Microscopy, Electron, Amyloidosis pathology, Glomerulonephritis, IGA pathology, Kidney Diseases pathology, Opisthorchiasis complications
Abstract

Renal disease associated with Opisthorchis viverrini infection was investigated in Syrian golden hamsters. On the fourth week after infection with 100 viable metacercariae; anti-tegumental membrane antibodies were detected in the sera by immunofluorescence antibody technic and by enzyme-linked immunosorbent assay. Six weeks after infection tegumental and anti-tegumental membrane immune-complex and amyloid fibrils were found in the glomeruli. Amyloid was characterized to be AA protein. Acute proliferative glomerulonephritis associated with the brightest immune-complex deposits developed in week 8 after infection. Intensity of immune-complexes in all glomeruli were reduce gradually thereafter and replaced by amyloid. Progressive obsolescence of the glomeruli, tubular atrophy, interstitial inflammation and fibrosis associated with massive proteinuria and deterioration of renal function appeared in week 10 after infection toward the end of the experiment in week 38 after infection.

Published
1992

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