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      한국인 성인에서 국소분절사구체경화증의 아형에 따른 분석 = An Analysis of Focal Segmental Glomerulosclerosis according to Morphologic Subtypes

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      https://www.riss.kr/link?id=A101633625

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      다국어 초록 (Multilingual Abstract)

      Background : The histological subtypes of focal segmental glomerulosclerosis (FSGS) have different significance and influence clinical presentations and outcomes in patients with FSGS. However, no such data has been reported in Korea. Methods : We reviewed renal biopsy specimens of 69 adult patients who were diagnosed with idiopathic FSGS between 2000 and 2008, subclassified them according to the Columbia classification and correlated the results with clinical findings. Results : The frequencies of the FSGS subtypes were not otherwise specified (NOS) (n = 28), tip (n = 21), perihilar (n = 11), collapsing (n = 5) and cellular types (n = 4) in descending order. Nephrotic syndrome was more common in patients with the tip and collapsing types than the perihilar type. The prevalence of chronic kidney disease stage 4/5 at the time of renal biopsy was significantly higher in patients with the cellular type than the NOS or the tip type. The remission rate after treatment tended to be higher in patients with the NOS type (22.0%) and the tip type (15.2%) than the perihilar (6.8%) and collapsing types (3.4%). Conclusions : Classifying FSGS subtypes may be helpful to predict of clinical features and renal outcomes.
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      Background : The histological subtypes of focal segmental glomerulosclerosis (FSGS) have different significance and influence clinical presentations and outcomes in patients with FSGS. However, no such data has been reported in Korea. Methods : We rev...

      Background : The histological subtypes of focal segmental glomerulosclerosis (FSGS) have different significance and influence clinical presentations and outcomes in patients with FSGS. However, no such data has been reported in Korea. Methods : We reviewed renal biopsy specimens of 69 adult patients who were diagnosed with idiopathic FSGS between 2000 and 2008, subclassified them according to the Columbia classification and correlated the results with clinical findings. Results : The frequencies of the FSGS subtypes were not otherwise specified (NOS) (n = 28), tip (n = 21), perihilar (n = 11), collapsing (n = 5) and cellular types (n = 4) in descending order. Nephrotic syndrome was more common in patients with the tip and collapsing types than the perihilar type. The prevalence of chronic kidney disease stage 4/5 at the time of renal biopsy was significantly higher in patients with the cellular type than the NOS or the tip type. The remission rate after treatment tended to be higher in patients with the NOS type (22.0%) and the tip type (15.2%) than the perihilar (6.8%) and collapsing types (3.4%). Conclusions : Classifying FSGS subtypes may be helpful to predict of clinical features and renal outcomes.

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      참고문헌 (Reference)

      1 Ito H, "Twenty-seven children with focal segmental glomerulosclerosis:correlation between the segmental location of the glomerular lesions and prognosis" 22 : 9-14, 1984

      2 Korbet SM, "The prognosis of focal segmental glomerular sclerosis of adulthood" 65 : 304-311, 1986

      3 Beaman M, "The glomerular tip lesion:a steroid responsive nephrotic syndrome" 27 : 217-221, 1987

      4 Howie AJ, "The glomerular tip lesion:a previously undescribed type of segmental glomerular abnormality" 142 : 205-220, 1984

      5 Morita M, "The clinical significance of the glomerular location of segmental lesions in focal segmental glomerulosclerosis" 33 : 211-219, 1990

      6 Velosa JA, "Significance of proteinuria on the outcome of renal function in patients with focal segmental glomerulosclerosis" 58 : 568-577, 1983

      7 Canaud G, "Recurrence of nephrotic syndrome after transplantation in a mixed population of children and adults:course of glomerular lesions and value of the Columbia classification of histological variants of focal and segmental glomerulosclerosis(FSGS)" 25 : 1321-1328, 2010

      8 Shiiki H, "Primary focal segmental glomerulosclerosis:clinical course,predictors of renal outcome and treatment" 39 : 606-611, 2000

      9 Schwartz MM, "Primary focal segmental glomerular sclerosis in adults:prognostic value of histologic variants" 25 : 845-852, 1995

      10 Deegens JK, "Pathological variants of focal segmental glomerulosclerosis in an adult Dutch population:epidemiology and outcome" 23 : 186-192, 2008

      1 Ito H, "Twenty-seven children with focal segmental glomerulosclerosis:correlation between the segmental location of the glomerular lesions and prognosis" 22 : 9-14, 1984

      2 Korbet SM, "The prognosis of focal segmental glomerular sclerosis of adulthood" 65 : 304-311, 1986

      3 Beaman M, "The glomerular tip lesion:a steroid responsive nephrotic syndrome" 27 : 217-221, 1987

      4 Howie AJ, "The glomerular tip lesion:a previously undescribed type of segmental glomerular abnormality" 142 : 205-220, 1984

      5 Morita M, "The clinical significance of the glomerular location of segmental lesions in focal segmental glomerulosclerosis" 33 : 211-219, 1990

      6 Velosa JA, "Significance of proteinuria on the outcome of renal function in patients with focal segmental glomerulosclerosis" 58 : 568-577, 1983

      7 Canaud G, "Recurrence of nephrotic syndrome after transplantation in a mixed population of children and adults:course of glomerular lesions and value of the Columbia classification of histological variants of focal and segmental glomerulosclerosis(FSGS)" 25 : 1321-1328, 2010

      8 Shiiki H, "Primary focal segmental glomerulosclerosis:clinical course,predictors of renal outcome and treatment" 39 : 606-611, 2000

      9 Schwartz MM, "Primary focal segmental glomerular sclerosis in adults:prognostic value of histologic variants" 25 : 845-852, 1995

      10 Deegens JK, "Pathological variants of focal segmental glomerulosclerosis in an adult Dutch population:epidemiology and outcome" 23 : 186-192, 2008

      11 D’Agati VD, "Pathologic classification of focal segmental glomerulosclerosis:a working proposal" 43 : 368-382, 2004

      12 Kambham N, "Obesityrelated glomerulopathy:an emerging epidemic" 59 : 1498-1509, 2001

      13 Weiss MA, "Nephrotic syndrome,progressive irreversible renal failure,and glomerular"collapse":a new clinicopathologic entity?" 7 : 20-28, 1986

      14 Valeri A, "Idiopathic collapsing focal segmental glomerulosclerosis:a clinicopathologic study" 50 : 1734-1746, 1996

      15 Jennette JC, "Heptinstall's pathology of the kidney. 6th ed" Lippincott Williams & Wilkins 2007

      16 Schwartz MM, "Focal segmental glomerular sclerosis:the cellular lesion" 28 : 968-974, 1985

      17 Rydel JJ, "Focal segmental glomerular sclerosis in adults:presentation,course,and response to treatment" 25 : 534-542, 1995

      18 Alexopoulos E, "Factors influencing the course and the response to treatment in primary focal segmental glomerulosclerosis" 15 : 1348-1356, 2000

      19 Howie AJ, "Evolution of nephrotic-associated focal segmental glomerulosclerosis and relation to the glomerular tip lesion" 67 : 987-1001, 2005

      20 Miyata J, "Evaluation and correlation of clinical and histological features of focal segmental glomerulosclerosis" 44 : 115-120, 1986

      21 Meyrier AY, "Collapsing glomerulopathy:expanding interest in a shrinking tuft" 33 : 801-803, 1999

      22 Grcevska L, "Collapsing glomerulopathy:clinical characteristics and follow-up" 33 : 652-657, 1999

      23 Detwiler RK, "Collapsing glomerulopathy:a clinically and pathologically distinct variant of focal segmental glomerulosclerosis" 45 : 1416-1424, 1994

      24 Shi SF, "Clinicopathologic study of different variants of focal segmental glomerulosclerosis" 36 : 11-14, 2007

      25 Korbet SM, "Clinical picture and outcome of primary focal segmental glomerulosclerosis" 3 : 68-73, 1999

      26 Thomas DB, "Clinical and pathologic characteristics of focal segmental glomerulosclerosis pathologic variants" 69 : 920-926, 2006

      27 Shiiki H, "Clinical and morphological predictors of renal outcome in adult patients with focal and segmental glomerulosclerosis(FSGS)" 46 : 362-368, 1996

      28 Stokes MB, "Cellular focal segmental glomerulosclerosis:clinical and pathologic features" 70 : 1783-1792, 2006

      29 Rich AR, "A hitherto undescribed vulnerability of the juxtamedullary glomeruli in lipoid nephrosis" 100 : 173-186, 1957

      30 Shimamura T, "A collapsing form of glomerulopathy" 45 : 520-523, 1995

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      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
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      2009-04-13 학술지명변경 한글명 : 대한병리학회지 -> The Korean Journal of Pathology KCI등재
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      2005-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2002-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      1999-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.13 0.13 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.13 0.11 0.409 0.01
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