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Nephrosclerosis

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nephrosclerosis

[¦nef·rō·sklə′rō·səs]
(medicine)
Sclerosis of the renal arteries and arterioles.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
The following article is from The Great Soviet Encyclopedia (1979). It might be outdated or ideologically biased.

Nephrosclerosis

 

a condition of kidneys arising during the final stage of hypertensive disease and accompanied by a proliferation of connective tissue and the onset of uremia. Nephrosclerosis arises less frequently in such diseases as atherosclerosis of the principal vessels of the kidneys, pyelonephritis, tuberculosis of the kidneys, diffuse glomerulonephritis, and nephrolithiasis.

When occurring in conjunction with hypertension, nephrosclerosis is accompanied by hyalinosis and necrosis of the small arteries of the kidneys. In pronounced cases of nephrosclerosis, the kidneys become smaller and acquire a granular surface. Occasionally, the surface appears nodular. In cases of malignant hypertension, early diagnosis of nephrosclerosis is possible only through a biopsy of the kidney; tests of kidney function and X-ray and radioisotopic tracer analyses are also carried out.

Treatment involves a salt-free diet, agents that decrease arterial pressure, and antibacterial measures in cases complicated by infection. Surgical treatment is recommended in some instances of renal injury.

REFERENCES

Miasnikov, A. L. Gipertonicheskaia bolezn’i ateroskleroz. Moscow, 1965.
Osnovy nefrologii, vol. 2. Edited by E. M. Tareev. Moscow, 1972.
Pochki. Edited by F. K. Mostofi and D. E. Smith. Moscow, 1972. (Translated from English.)

N. R. PALEEV

The Great Soviet Encyclopedia, 3rd Edition (1970-1979). © 2010 The Gale Group, Inc. All rights reserved.
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She has advanced kidney dysfunction secondary to hypertensive nephrosclerosis. She has chronic kidney disease (CKD) Stage 4 not related to diabetes.
The causes of renal failure were diabetic nephropathy (n = 68), chronic glomerulonephritis (n = 30), polycystic kidney disease (n = 3), hypertensive nephrosclerosis (n =15), or unknown (n = 20).
The causes of ESRD were diabetic nephropathy (32 patients), hypertensive nephrosclerosis (14 patients), chronic glomerulonephritis (7 patients), and others (7 patients).
In China, IgA nephropathy was the most frequently biopsy finding seen in all NDRD patients, followed by membranous nephropathy, mesangial proliferative glomerulonephritis, hypertensive nephrosclerosis, renal damage, minimal-change disease, focal segmental glomerulosclerosis, and crescentic glomerulonephritis [30].
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We had one male patient (53 years old) diagnosed with ESRD secondary to hypertensive nephrosclerosis and was on hemodialysis three times/week for the 7 years prior to his LGGCP.
The other 2341 cases were non-DN diseases, including chronic glomerulonephritis (58.9% [1379/2341]), hypertensive nephrosclerosis (22.1% [518/2341]), polycystic kidney (4.7% [111/2341]), obstructive nephropathy (2.4% [56/2341]), drug-induced renal damage (1.8% [41/2341]), gout nephropathy (1.4% [33/2341]), system lupus erythematosus (1.1% [26/2341]), chronic pyelonephritis (0.6% [15/2341]), Henoch–Schonlein purpura nephritis (0.4% [9/2341]), and the others (6.5% [153/2341]).
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