The secret of success? Mycophenolic acid! Kimura disease (KD) is a chronic inflammatory soft tissue disorder of unknown origin. Papules, nodules, and lymphadenopathies are part of its presentation. Renal involvement with forms of glomerulonephritis can occur and is generally associated with a proteinuria that encompasses nephrotic syndrome. The article describes the first case of successful therapy for a membranous glomerulonephritis due to KD! Read More

Low-flux hemodialysis or pre-dilution hemodiafiltration – is that the question?
Osmotic changes in plasma are assumed to cause acute cerebral swelling of the grey matter in hemodialysis patients. The symptoms of dialysis disequilibrium syndrome (DDS) range from nausea, confusion to death. The authors investigated whether both low-flux hemodialysis (HD) and pre-dilution hemodiafiltration (pre-HDF) have the same unwanted effect. Read More

The unlikely happens: How to identify rare diseases such as Listeria monocytogenes peritonitis in an HIV-infected patient.
The article discusses the first reported case of Listeria monocytogenes peritoneal dialysis (PD) peritonitis in an HIV-infected patient. Clinicians should recognize that immunocompromised patients are at risk for uncommon opportunistic infections, for which empiric antibiotics may be ineffective. However, it was possible to successfully treat the patient with intraperitoneal ampicillin. Read More

Can spontaneous remission occur in polyarteritis nodosa?
Yes it can. In rare cases. The article demonstrates why polyarteritis nodosa (PAN) must be included in the differential diagnosis of renal infarction. A 51-year-old woman was presented with bilateral renal infarction. A possible diagnosis of PAN was considered. However, within 2 weeks of admission, spontaneous remission of her symptoms occurred without any immunosuppressive treatment. Read More