Table of contents
January 2007 Volume 3 No 1
Editorial
Viewpoint
A new look at an old problem: therapy of chronic hyponatremia
2Taking into account the danger of provoking osmotic demyelination by causing an overly rapid rise in the plasma sodium level, these authors from the University of Toronto offer their recommendations for correcting chronic hyponatremia. They highlight the importance of avoiding a substantial water diuresis, and discuss three key clinical settings where such a diuresis can occur.
Research Highlights
Ciclosporin A for the treatment of refractory proteinuria in pediatric lupus nephritis
4Outpatient alcohol cyst sclerotherapy relieves flank pain associated with ADPKD
4Brachio–brachial fistula proposed as an alternative to prosthetic grafts
4Guidelines Summary
Practice Points
Superimposing candesartan onto ACE inhibition slows renal function decline in nondiabetic chronic kidney disease
8Benefit of acetylcysteine for prevention of contrast-induced nephropathy after primary angioplasty
10Optimal paricalcitol starting dose for parathyroid hormone suppression in secondary hyperparathyroidism
12Predicting outcomes of peritoneal-dialysis-associated peritonitis based on dialysate white blood cell count
14Is it premature to use calcineurin-inhibitor-free immunosuppression in pediatric renal transplantation?
16Reviews
Anemia in diabetes: marker or mediator of microvascular disease?
20One in five patients with diabetic kidney dysfunction is anemic. Low hemoglobin levels in this population are associated with an increased risk of progression to end-stage renal disease, increased cardiovascular morbidity and mortality, hypertension, retinopathy, neuropathy and foot ulcers. Here, Merlin Thomas from the Baker Medical Research Institute in Melbourne explores the pathophysiology of anemia in diabetic kidney disease, and the clinical utility of its correction.
doi:10.1038/ncpneph0378 | Full Text | PDF (704K)
Living donor renal transplantation: recent developments and perspectives
31A new source of organs became available following the first successful transplantation of a kidney from a living donor half a century ago. Since then, expanding the living donor pool has been a priority. This appraisal of strategies used to increase the number of living kidney donors focuses on transplantation across ABO and HLA barriers, and extending selection criteria to include elderly and obese donors, and those with hypertension.
doi:10.1038/ncpneph0383 | Full Text | PDF (289K)
Mechanisms of Disease: the role of aldosterone in kidney damage and clinical benefits of its blockade
42Experimental data support a role for aldosterone in renal injury that is independent of renin and angiotensin II, and indicate that blocking the activity of this mineralocorticoid might ameliorate progression of chronic kidney disease. Lucia Del Vecchio and colleagues discuss these findings. The authors also review preliminary clinical trial data, which are consistent with a significant antiproteinuric effect of aldosterone antagonists such as spironolactone.
doi:10.1038/ncpneph0362 | Full Text | PDF (214K)
Case Study

Idiopathic hypocomplementemic immune-complex-mediated tubulointerstitial nephritis
50doi:10.1038/ncpneph0347 | Full Text | PDF (467K)


