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Pathology of Urate Nephropathy

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Uric Acid

Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 51))

Abstract

Although urate nephropathy frequently is assumed to be synonymous with gouty kidney, there are certain objections to either term in this context. In the former the onus is placed solely upon the uric acid moiety for the nephropathy. Proof is lacking that this is always the fact. An objection to the implications of gouty kidney is its restricted sense, since in this discussion selected features beyond the kidney in patients with gout will be included. Furthermore, urates may not be demonstrated in the parenchyma of the kidney of many patients with gout, and the functioning units of the kidney may show alterations or changes not usually attributed to reactions either initiated or augmented by uric acid deposition. The focus of this discussion, however, will concern the kidney in gout, but other aspects including selected features of the transport of uric acid through the kidney will be considered briefly.

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References

  • Ball, G.V., Morgan, J.M.: Chronic lead ingestion and gout. South Med. J. 61, 21–24 (1968)

    Article  Google Scholar 

  • Barlow, K. A., Beilin, L. J.: Renal disease in primary gout. Quart. J. Med. 37, 79–96 (1968)

    PubMed  CAS  Google Scholar 

  • Berger, L., Yü, T.F.: Renal function in gout. IV. An analysis of 524 gouty subjects including long term follow up studies. Amer. J. Med. 59, 605 (1975)

    Article  PubMed  CAS  Google Scholar 

  • Deger, G.E., Wagoner, R.D.: Peritoneal dialysis in acute uric acid nephropathy. Mayo Clin. Proc. 47, 189–192(1972)

    PubMed  CAS  Google Scholar 

  • Emmerson, B.T.: The clinical differentiation of lead gout from primary gout. Arthritis Rheum. 11, 623–634 (1968)

    Article  PubMed  CAS  Google Scholar 

  • Emmerson, B.T., Mirosch, W., Douglas, J. B.: The relative contributions of tubular reabsorption and secretion to urate excretion in lead nephropathy. Aust. N.Z. J. Med. 4, 353–362 (1971)

    Article  Google Scholar 

  • Frei, E. III, Bentzel, C.J., Rieselbach, R., Block, J.B.: Renal complications of neoplastic disease. J. chron. Dis. 16, 757–776 (1963)

    Article  PubMed  CAS  Google Scholar 

  • Gonick, H.C., Rubini, M.E., Gleason, I.O., Sommers, S.C.: The renal lesion in gout. Ann. intern. Med. 62, 667–674 (1965)

    PubMed  CAS  Google Scholar 

  • Greenbaum, D., Ross, J.H., Steinberg, V.L.: Renal biopsy in gout. Brit. med. J. 1961 I, 1502–1504

    Article  Google Scholar 

  • Gudzent, F.: Gicht und Rheumatismus. Berlin: Springer 1928

    Google Scholar 

  • Heptinstall, R.H.: Pathology of the Kidney, pp. 495–506, 2nd Ed. Boston: Little Brown 1966

    Google Scholar 

  • Kjellstrand, C.M., Campbell, D.C., von Hartitzsch, B., Buselmeier, T.J.: Hyperuricemia acute renal failure. Arch, intern. Med. 133, 349–359 (1974)

    Article  CAS  Google Scholar 

  • Klinenberg, J.R., Bluestone, R., Schlosstein, L., Waisman, J., Whitehouse, M. W.: Urate deposition disease: how is it regulated and how can it be modified? Ann. intern. Med. 78, 99–111 (1973)

    PubMed  CAS  Google Scholar 

  • Kröpelin, T., Mertz, D.P.: Zur Röntgendiagnostik der Gichtniere. Dtsch. med. Wschr. 97, 71–75 (1972)

    Article  PubMed  Google Scholar 

  • Lesch, M., Nyhan, W.L.: A familial disorder of uric acid metabolism and central nervous system function. Amer. J. Med. 36, 561–570 (1964)

    Article  PubMed  CAS  Google Scholar 

  • Lilis, R., Gavrilescu, N., Nestorescu, B., Dumitriu, C., Roventa, A.: Nephropathy in chronic lead poisoning. Brit. J. industr. Med. 25, 196–202 (1968)

    PubMed  CAS  Google Scholar 

  • Mayne, J.G.: Pathological study of the renal lesion found in 27 patients with gout. Ann. rheum. Dis. 15, 61–62 (1955)

    Google Scholar 

  • Pardo, V., Perez-Stable, E., Fisher, E.R.: Ultrastructural studies in hypertension. III. Gouty nephropathy. Lab. Invest. 18, 143–150 (1968)

    PubMed  CAS  Google Scholar 

  • Richet, P., Mignon, G. F., Ardaillou, R.: Gout secondary to chronic kidney disease (Fre). Presse med. 73, 633–638(1975)

    Google Scholar 

  • Rieselbach, R.E., Bentzel, C.J., Cotlove, E., Frei, E., Frereich, E.J.: Uric acid excretion and renal function in the acute hyperuricemia of leukemia: pathogenesis and therapy of uric acid nephropathy. Amer. J. Med. 37, 872–884 (1964)

    Article  PubMed  CAS  Google Scholar 

  • Rundles, R.W., Wyngaarden, J.B., Hitchings, G.H., Elion, G.B., Silberman, H. R.: Effects of xanthine oxidase inhibitor on thiopurine metabolism, hyperuricemia, and gout. Trans. Ass. Amer. Physicians 76, 126–140 (1963)

    CAS  Google Scholar 

  • Schultz, A.: Zur Frage der Beziehungen zwischen Leukämie und Gicht. Zugleich Mitteilung histologischer Darstellungsmethoden der Harnsäure und der Urate. Virchows Arch. path. Anat. 280, 519–533 (1931)

    Article  CAS  Google Scholar 

  • Seegmiller, J.E., Frazier, P.D.: Biochemical considerations of the renal damage of gout. Ann. rheum. Dis. (Suppl.) 25, 668–672 (1966)

    CAS  Google Scholar 

  • Sokoloff, L.: The pathology of gout. Metabolism 6, 230–243 (1957)

    PubMed  CAS  Google Scholar 

  • Sokoloff, L.: Pathology of gout. Arthritis Rheum. 8, 707–713 (1965)

    Article  PubMed  CAS  Google Scholar 

  • Sorensen, L.B.: The pathogenesis of gout. Arch, intern. Med. 109, 379–390 (1962)

    CAS  Google Scholar 

  • Talbott, J.H.: Gout. New York: Oxford Univ. Pr. 1943

    Google Scholar 

  • Talbott, J.H.: Gout and blood dyscrasias. Medicine (Baltimore) 38, 173–205 (1959)

    CAS  Google Scholar 

  • Talbott, J.H.: Gout, 3rd Ed. New York: Grune and Stratton 1967

    Google Scholar 

  • Talbott, J. H., Terplan, K. L.: The kidney in gout. Medicine (Baltimore) 39, 405–462 (1960)

    CAS  Google Scholar 

  • Talbott, J.H., Yü, T.F.: Gout and Uric Acid Metabolism. New York: Stratton Intercon 1976

    Google Scholar 

  • Traut, E. F., Knight, A.A., Szanto, P.M., Passerelli, E. W.: Specific vascular changes in gout. J. Amer. med. Ass. 156, 591–593 (1954)

    CAS  Google Scholar 

  • Yü, T.F., Berger, L.: Renal disease in primary gout; a study of 253 gout patients with proteinuria. Semin. Arthritis Rheum. 4, 293–307 (1975)

    Article  PubMed  Google Scholar 

  • Yü, T.F., Weinreb, N., Wittman, R., Wasserman, L.R.: Secondary gout associated with chronic myeloproliferative disorders. Semin. Arthritis Rheum. 5, 247–257 (1976)

    Article  PubMed  Google Scholar 

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© 1978 Springer-Verlag Berlin Heidelberg

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Talbott, J.H. (1978). Pathology of Urate Nephropathy. In: Kelley, W.N., Weiner, I.M. (eds) Uric Acid. Handbook of Experimental Pharmacology, vol 51. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66867-8_19

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  • DOI: https://doi.org/10.1007/978-3-642-66867-8_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-66869-2

  • Online ISBN: 978-3-642-66867-8

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