Publications by authors named "Puri Sonika"

Introduction: Amyloidosis derived from leukocyte chemotactic factor 2 (ALECT2) may be associated with slowly progressive renal failure that is clinically unsuspected at the time of transplantation. While this is typically clinically insignificant, we report a case with extensive systemic ALECT2 amyloidosis that also involved the myocardium, contributing to perioperative death post renal transplantation.

Case Description: A 72-year-old Hispanic woman presented for renal transplantation due to end-stage renal disease secondary to hypertension.

View Article and Find Full Text PDF

Background: The association between economic status and kidney disease is incompletely explored even in countries with higher economy (HE); the situation is complex in lower economies (LE) of South Asia and Southeast Asia (SA and SEA).

Methods: Fifteen countries of SA and SEA categorized as HE and LE, represented by the representatives of the national nephrology societies, participated in this questionnaire and interview-based assessment of the impact of economic status on renal care.

Results: Average incidence and prevalence of end-stage kidney disease (ESKD) per million population (pmp) are 1.

View Article and Find Full Text PDF

South and Southeast Asia is the most populated, heterogeneous part of the world. The Association of Vascular Access and InTerventionAl Renal physicians (AVATAR Foundation), India, gathered trends on epidemiology and Interventional Nephrology (IN) for this region. The countries were divided as upper-middle- and higher-income countries as Group-1 and lower and lower-middle-income countries as Group-2.

View Article and Find Full Text PDF

Aim: There is paucity of data on the epidemiology of end-stage kidney disease (ESKD) from South Asia and South-East Asia. The objective of this study was to assess the aetiology, practice patterns and disease burden and growth of ESKD in the region comparing the economies.

Methods: The national nephrology societies of the region; responded to the questionnaire; based on latest registries, acceptable community-based studies and society perceptions.

View Article and Find Full Text PDF

Background: AKI is a common sequela of coronavirus disease 2019 (COVID-19). However, few studies have focused on AKI treated with RRT (AKI-RRT).

Methods: We conducted a multicenter cohort study of 3099 critically ill adults with COVID-19 admitted to intensive care units (ICUs) at 67 hospitals across the United States.

View Article and Find Full Text PDF
Article Synopsis
  • Atherosclerotic cardiovascular disease (ASCVD) rates are rising alarmingly in India, often affecting younger individuals with less severe cholesterol issues compared to Western countries.
  • The Lipid Association of India (LAI) aims to set more aggressive LDL cholesterol goals for secondary prevention and those with familial hypercholesterolemia after extensive expert consultations.
  • The LAI recommends an LDL-C goal of <50 mg/dL for high-risk patients, with even lower targets for specific extreme-risk categories to better manage and reduce ASCVD events in India.
View Article and Find Full Text PDF

Pregnancy-induced hypertension (PIH) is a known complication of late pregnancy and is an important cause of maternal and fetal morbidity and mortality. Data on clinical profile, especially renal profile of preeclampsia and eclampsia in Indian women are lacking. The aim of our study was to examine the renal profile and clinical outcomes of patients diagnosed with PIH in our institution with a focus on the spectrum of acute kidney injury (AKI).

View Article and Find Full Text PDF

Postpartum acute kidney injury (PPAKI) constitutes an important cause of obstetric AKI. It is associated with high maternal and fetal mortality in developing nations. The aim of this study is to survey the etiology and outcomes of PPAKI in a tertiary care Indian hospital.

View Article and Find Full Text PDF

Renal transplantation using living donors has superior outcomes in comparison to deceased donor transplantation and results in immediate allograft function in a majority of cases. Rarely may allograft be nonfunctional from the beginning, or anuria is noted after a period of good urine output. Surgical causes for anuria should be high on the differential diagnosis in immediate-to-early posttransplant period, especially in an unsensitized recipient.

View Article and Find Full Text PDF

Hyperoxaluria is a frequent complication of inflammatory bowel diseases, ileal resection and Roux-en-Y gastric bypass and is well-known to cause nephrolithiasis and nephrocalcinosis. The associated prevalence of chronic kidney disease and end-stage kidney disease (ESKD) is less clear but may be more consequential than recognized. In this review, we highlight three cases of ESKD due to enteric hyperoxaluria following small bowel resections.

View Article and Find Full Text PDF

Accurate assessment of blood volume (BV) may be helpful for prescribing hemodialysis (HD) and for reducing complications related to hypovolemia and volume overload. Monitoring changes in relative BV (RBV) using hematocrit, e.g.

View Article and Find Full Text PDF
Article Synopsis
  • Chronic antibody-mediated rejection (CAMR) is a significant cause of kidney transplant failure, often resistant to standard immunosuppressive therapies like prednisone and mycophenolate mofetil.
  • In a study of 31 patients with CAMR, those treated with the drug Rituximab had a longer median survival time for their kidney transplants (685 days) compared to those who did not receive the treatment (439 days).
  • While Rituximab showed therapeutic benefits, the positive effects were only observed in a specific subgroup of patients, highlighting the need for further research to identify which patients might benefit most.
View Article and Find Full Text PDF