Balkan nephropathy treatment

Before introduction of hemodialysis in the treatment of chronic renal patients, the kidneys of patients who died of Balkan nephropathy used to be the smallest seen at post mortem examinations, weighing 14.8-80 g each (Figure 2A) the difference between the left and right kidneys being small (5-20 g) [74, 76-78]. Surface of the kidneys is smooth, occasionally wavy but never granulated or roughly nodular. The section shows markedly narrowed cortex, pyramid and Bertin s columns are fairly well preserved, and corticomedular border is well differentiated. Papillary necrosis of the pyramids has not been found. 

Bukvic D, Marie I, Arsenovic A, Jankovic S, Djukanovic Lj.The prevalence of Balkan endemic nephropathy has not changed since 1971 In the Kolubara region In Serbia. Kidney Blood Press Res 2007 30 117-123 Petkovic S. Epidemiology and treatment of renal pelvic and ureeral tumours. J Urol 1971 114 858. 

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