Treatment of Oliguric Glomerulonephritis with Dialysis and Steroids
Authors: SATORU NAKAMOTO
Journal: Annals of Internal Medicine (1965)

Article1 September 1965Treatment of Oliguric Glomerulonephritis with Dialysis and SteroidsSATORU NAKAMOTO, M.D., GEORGE DUNEA, M.B., M.R.C.P., WILLEM J. KOLFF, M.D., F.A.C.P., LAWRENCE J. MCCORMACK, M.D.SATORU NAKAMOTO, M.D.Search for more papers by this author, GEORGE DUNEA, M.B., M.R.C.P.Search for more papers by this author, WILLEM J. KOLFF, M.D., F.A.C.P.Search for more papers by this author, LAWRENCE J. MCCORMACK, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-63-3-359 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe prognosis of acute glomerulonephritis with severe or prolonged oliguria is grave (1-7). Repeated hemodialyses are justified for at least 6 weeks, to allow time for diuresis to occur (7). Needle biopsy is helpful in assessing prognosis (8, 9) and possibly in avoiding what would be fruitless efforts in treatment. Although there is no evidence that adrenocorticotropic hormone (ACTH) or steroids favorably influence the long-term prognosis of glomerulonephritis (10, 11), there is a basis for administering high doses of corticosteroids to patients having severe oliguria in the hope that diuresis will ensue. The present report concerns a series of nine...References1. MERRILL JP: The use of the artificial kidney in the treatment of glomerulonephritis. J. Chronic Dis. 5: 138, 1957. CrossrefMedlineGoogle Scholar2. SCHREINERMARC-AURELETALMASMOSTOFI GEJAFK: Anuria in acute glomerulonephritis. Clin. Res. 8: 233, 1960. Google Scholar3. WILSON C: The natural history of nephritis, in Renal Disease, edited by BLACK, D. A. K., Blackwell Scientific Publications, Oxford, 1962, p. 188. Google Scholar4. HARRISONLOUGHRIDGEMILNE CVLWMD: Acute oliguric renal failure in acute glomerulonephritis and polyarteritis nodosa. Quart. J. Med. 33: 39, 1964. MedlineGoogle Scholar5. BERLYNEBAKER GMSB: Acute anuric glomerulonephritis. Ibid., p. 105. Google Scholar6. ELLIS A: Natural history of Bright's disease. Lancet 1: 1, 1942. CrossrefGoogle Scholar7. Editorial. Oliguric acute glomerulonephritis. Lancet 1: 1429, 1964. Google Scholar8. BRUNGORMSENHILDENIVERSENRAASCHOU CHTPF: Kidney biopsy in acute glomerulonephritis. Acta Med. Scand. 160: 155, 1958. CrossrefMedlineGoogle Scholar9. ALWALLERLANSONTORNBERGFAJERSMOËLL NPACMH: Two cases of acute glomerulonephritis with severe oliguria or anuria for 75 days; clinical course, roentgenological studies on kidney size, and postmortem findings. Acta Med. Scand. 161: 85, 1958. CrossrefMedlineGoogle Scholar10. KASSIRERSCHWARTZ JPWB: Acute glomerulonephritis. New Eng. J. Med. 265: 686, 1961. CrossrefMedlineGoogle Scholar11. MERRILL AJ: Management of the nephrotic syndrome. Amer. Heart J. 61: 719, 1961. CrossrefMedlineGoogle Scholar12. KOLFFWATSCHINGER WJB: Further development of a coil kidney; disposable artificial kidney. J. Lab. Clin. Med. 47: 969, 1956. MedlineGoogle Scholar13. QUINTONDILLARDCOLESCRIBNER WEDHJJBH: Eight months' experience with Silastic-Teflon bypass cannulas. Trans. Amer. Soc. Artif. Intern. Organs 8: 236, 1962. CrossrefMedlineGoogle Scholar14. SHALDONRAEROSENSILVAOAKLEY SAISMHJ: Refrigerated femoral venous-venous haemodialysis with coil preservation for rehabilitation of terminal uraemic patients. Brit. Med. J. 5347: 1716, 1963. CrossrefGoogle Scholar15. JENNINGSEARLE RBDP: Post-streptococcal glomerulonephritis: histopathologic and clinical studies of the acute, subsiding acute and early chronic latent phases. J. Clin. Invest. 40: 1525, 1961. CrossrefMedlineGoogle Scholar16. ANDERSONKOLFF AWJ: Artificial kidney in the treatment of uremia associated with acute glomerulonephritis (with a note on regional heparinization). Ann. Intern. Med. 51: 476, 1959. LinkGoogle Scholar17. EHRICH WE: Glomerular nephritis and lipid nephrosis: identities and mechanisms. J. Chronic Dis. 5: 14, 1957. CrossrefMedlineGoogle Scholar18. DEWARDENER HE: Acute and chronic glomerular nephritis. Brit. Med. J. 5172: 561, 1960. CrossrefGoogle Scholar19. DANOWSKIMATEER TSFM: Therapy of acute and chronic glomerulonephritis. J. Chronic Dis. 5: 122, 1957. CrossrefMedlineGoogle Scholar20. EARLE DP: Management of acute glomerulonephritis. Mod. Treatm. 1: 49, 1964. MedlineGoogle Scholar21. POLLAK VE: Treatment of the nephritis of systemic lupus erythematosus. Ibid., p. 89. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: SATORU NAKAMOTO, M.D.; GEORGE DUNEA, M.B., M.R.C.P.; WILLEM J. KOLFF, M.D., F.A.C.P.; LAWRENCE J. MCCORMACK, M.D.Affiliations: From the Department of Artificial Organs and the Department of Anatomic Pathology, The Cleveland Clinic Foundation, Cleveland, Ohio.Dr. Dunea is a Fellow in the Department of Artificial Organs of the Cleveland Clinic, Cleveland, Ohio.Requests for reprints should be addressed to Willem J. Kolff, M.D., Department of Artificial Organs, The Cleveland Clinic Foundation, 2020 E. 93rd St.Cleveland, Ohio 44106. Nextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAcute Glomerulonephritis and Glomerulonephritis in Bacterial EndocarditisClinical course of rapidly progressive glomerulonephritis during immunosuppressive therapy, plasmaexchange and without specific therapyAcute Renal Failure in Glomerular DiseaseThe Acute Glomerulonephritis SyndromeRenal diseaseMedical Treatment of Glomerular DiseasesThe chronic glomerulonephritides of childhood. Part IIThe differential diagnosis of crescentic glomerulonephritisACUTE OLIGURIC GLOMERULONEPHRITISFETO-FETAL TRANSFUSION AND SINGLE UMBILICAL ARTERYSIDE-EFFECT OF THIOCARBAMIDESCOMBINED IMMUNOSUPPRESSION AND ANTICOAGULATION IN RAPIDLY PROGRESSIVE GLOMERULONEPHRITISSUCCESSFUL IMMUNOSUPPRESSIVE TREATMENT OF OLIGURIC EXTRACAPILLARY GLOMERULONEPHRITISON CORTICOSTEROID AND AZATHIOPRINE TREATMENT OF GLOMERULAR RENAL DISEASESAn immunopathologic study of rapidly progressive glomerulonephritis in the adultA Case of Acute Glomerulonephritis and Severe Uraemia, Treated with Heparin and CorticosteroidsAcute Glomerulonephritis with Prolonged Oliguria An Analysis of 29 CasesCHARLES D. LEONARD, M.D., RAYMOND B. NAGLE, M.D., GARY E. STRIKER, M.D., RALPH E. CUTLER, M.D., F.A.C.P., BELDING H. SCRIBNER, M.D.KIDNEY TRANSPLANTATION FOR RAPIDLY PROGRESSIVE GLOMERULONEPHRITISANTICOAGULANTS IN "IRREVERSIBLE" ACUTE RENAL FAILURERapidly Progressive (Nonstreptococcal) GlomerulonephritisROBERTO A. BACANI, M.D., FRANCISCO VELASQUEZ, M.D., ALAN KANTER, M.D., CONRAD L. PIRANI, M.D., VICTOR E. POLLAK, M.B., F.R.C.P. (EDIN)OLIGURIC GLOMERULONEPHRITIS IN AN INFANT OF FOUR MONTHSOliguric glomerulonephritis and parathyroid adenomaAcute Renal Failure: Its Unusual Causes and Manifestations 1 September 1965Volume 63, Issue 3Page: 359-368KeywordsAdrenocorticotropic hormoneAnatomical pathologyBiopsyEdemaGlomerulonephritisMedical dialysisSteroids ePublished: 1 December 2008 Issue Published: 1 September 1965 Copyright & PermissionsCopyright ©, 1965, by The American College of PhysiciansPDF downloadLoading ...