SHORT REPORTSRenal biopsy findings in hypertensive patients with proteinuria
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Morphologic Variants of Focal Segmental Glomerulosclerosis and Their Significance
2014, Advances in Chronic Kidney DiseaseCitation Excerpt :However, in secondary adaptive FSGS (which typically has perihilar features), the glomeruli are usually enlarged and foot process effacement is usually focal and relatively mild. The predominance of the perihilar variant accompanied by glomerulomegaly has been reported in biopsy series of adaptive FSGS related to obesity,32 body-building,33 oligomeganephronia,34 solitary kidney,35 low nephron endowment due to prematurity,36 systemic hypertension37 and sickle cell anemia.38 In the setting of adaptive FSGS, reflex dilatation of the afferent arteriole leading to glomerular hypertension may cause particular stress on the perihilar segment.39
Classification Systems in Renal Pathology: Promises and Problems
2014, Surgical Pathology ClinicsCitation Excerpt :Most cases of tip variant are primary but tip lesions may also occur in other glomerular diseases, such as diabetic nephropathy,64 preeclampsia, and membranous glomerulonephritis,65 perhaps reflecting podocyte injury at the tubular pole in the setting of efflux of a protein-enriched ultrafiltrate. Perihilar variant accompanied by glomerulomegaly is commonly encountered in secondary adaptive FSGS, such as related to obesity,66 body building,67 oligomeganephronia,68 solitary kidney,69 prematurity,70 systemic hypertension,71 and sickle cell anemia.72 In these settings, perhilar FSGS may reflect glomerular hypertension due to reflex dilatation of the afferent arteriole leading to stress on the perihilar segment.73
Glomerular Disease
2014, Pathobiology of Human Disease: A Dynamic Encyclopedia of Disease MechanismsImmune and Inflammatory Glomerular Diseases
2013, Seldin and Geibisch's The KidneyImmune and Inflammatory Glomerular Diseases
2012, Seldin and Giebisch's The Kidney: Physiology and PathophysiologyPerihilar FSGS lesions originate from flat parietal epithelial cells
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