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Biomedical subjects

L W Statius van Eps

Publications and source records attributed to L W Statius van Eps.

53 records · Page 3Linked to original sources
PubMed1981

Beta-2-microglobulin in sickle cell anaemia. Evidence of increased tubular reabsorption.

Sickle cell nephropathy is characterized by severe defects in renal medullary functions. In contrast, both proximal tubular secretion and reabsorption are found to be elevated. Since proximal tubular cells are involved in reabsorption and catabolism of beta 2-microglobulin (beta 2-m), we studied serum concentration and urinary excretion of this low molecular weight protein in sickle cell nephropathy. Serum beta 2-m concentration was higher in sickle cell anaemia (SCA) patients compared to control persons. beta 2-m excretion, however, was normal and beta 2-m clearance was not significantly decreased. Fractional beta 2-m excretion was significantly lower and therefore tubular reabsorption of beta 2-m was increased in the SCA patients. There was no correlation between serum beta 2-m concentration and the tubular reabsorption of beta 2-m and phosphate. These findings are further evidence of a particular function of the proximal tubule in sickle cell nephropathy.

Adolescent↗
PubMed1980

The influence of indomethacin on renal haemodynamics in sickle cell anaemia.

1. Glomerular filtration rate and effective renal blood-flow were normal in a series of patients with sickle cell anaemia. Fractional creatinine excretion and fractional urea excretion were increased. 2. During indomethacin administration there were significant falls in glomerular filtration rate, effective renal blood-flow, creatinine clearance and urea clearance in the patients with sickle cell anaemia; fractional urea excretion also fell markedly. In control subjects none of these variables changed after indomethacin. 3. Serum concentration of urea rose markedly during indomethacin administration in sickle cell anaemia, owing to both the decrease in glomerular filtration rate and the increase in fractional urea reabsorption. 4. We conclude that prostaglandins have an important role in maintaining a normal glomerular filtration rate and effective renal blood-flow in sickle cell anaemia. The abnormal urea handling in patients with this disease remains to be elucidated.

Adolescent↗
PubMed1979

Urinary beta 2 microglobulin in upper and lower urinary-tract infections.

Beta 2-- microglobulin excretion in 24 h urine collections and beta2- microglobulin clearance were significantly increased in patients with upper-urinary-tract infections, but beta 2- microglobulin clearance and excretion were normal in patients with cystitis. Beta 2-microglobulin estimation may be used to distinguish between upper and lower urinary-tract infections, except when pre-existing tubular damage is present. Voided urine must have a pH above 6 . 0, since beta 2- microglobulin is rapidly degraded in the bladder at low pH.

Aged↗
PubMed1979

Anti-dsDNA and complement profiles as prognostic guides in systemic lupus erythematosus.

Antibodies to dsDNA, tested with circular DNA in the Farr assay, are specific for systemic lupus erythematosus. A longitudinal study showed a clear relation between the clinical state, the anti-dsDNA titer (expressed in units), and the C1q and C3 levels: when anti-dsDNA levels remained high, no exacerbations were observed. A sharp drop in anti-dsDNA, usually preceded by a rise, was related to a serious exacerbation. Only during the exacerbation when both C1q and C3 were very low was renal involvement seen.

Antibodies, Antinuclear↗
PubMed1979

Acquired, transient factor X (Stuart factor) deficiency in patient with mycoplasma pneumonial infection.

A case of severe haemorrhagic diathesis due to acquired deficiency of factor X (both immunologically and in procoagulant activity) is presented. The clinical and serological features of this case indicated mycoplasma pneumonial infection. Factor X in the peripheral blood did not appear to be influenced by administration of vitamin K, prothrombin-complex concentrate, fresh plasma or fresh whole blood. Circulating inhibitors of blood coagulation were absent and systemic amyloidosis could not be demonstrated. After 20 d, factor X spontaneously returned to normal. In view of the absence of other known causes of factor X deficiency, a possible relationship with mycoplasma pneumonial infection is suggested.

Blood Transfusion↗
PubMed1978

The tubular reabsorption of phosphate in sickle-cell nephropathy.

1. In a series of patients with sickle-cell anaemia, serum phosphate and magnesium concentrations were elevated. Serum calcium concentrations were normal. Urinary excretion of calcium was decreased. 2. The maximum tubular reabsorption of phosphate per litre of glomerular filtrate (TmP/GFR) was significantly increased in these patients. 3. The increase in phosphate reabsorption explains the elevated serum phosphate observed in these patients.

Adolescent↗
PubMed1978

Sodium and fluid balance during hypotensive response to alpha-methyldopa.

1. Detailed observations on sodium and fluid balance during treatment with alpha-methyldopa were made in five hypertensive patients. The initial fall in blood pressure concurred with a decline in fluid and sodium excretion. Sodium balance increased 100-300 mEq. In one patient with serve hypertension the sodium balance was incompletely restored, the relationship with blood pressure indicating a negative feedback loop. In the other patients sodium balance reverted to baseline, while the hypotensive response was maintained. This is probably due to a decrease in renal arteriolar tone. 2. Parallel systemic and renal vasodilatation may account for the discrepancy between a significant increase in blood volume and insignificant long-term changes in the fluid and sodium status.

Adult↗