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Related Concept Videos

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The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
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Related Experiment Video

Updated: Mar 22, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
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Kidney involvement in medium- and large-vessel vasculitis.

Federica Maritati1, Francesco Iannuzzella2, Maria P Pavia1

  • 1Nephrology Unit, University Hospital, Parma, Italy.

Journal of Nephrology
|April 22, 2016
PubMed
Summary

Medium- and large-vessel vasculitides (MVV and LVV) can significantly impact the kidneys, causing issues like renal artery stenosis and ischemia. Recognizing these renal manifestations is crucial for managing these inflammatory vascular diseases.

Keywords:
Giant-cell arteritisIgG4PeriaortitisPolyarteritis nodosaRenal artery stenosisRenal infarctionRetroperitoneal fibrosisTakayasu arteritis

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Area of Science:

  • Vascular Inflammation
  • Nephrology
  • Rheumatology

Background:

  • Medium- and large-vessel vasculitides (MVV and LVV) are inflammatory disorders affecting major arteries.
  • This group includes giant-cell arteritis, Takayasu's arteritis, Kawasaki disease, and polyarteritis nodosa.
  • Chronic periaortitis may also be considered within this spectrum.

Purpose of the Study:

  • To review the renal involvement in MVV and LVV.
  • To highlight the importance of identifying renal abnormalities in these conditions.

Main Methods:

  • Literature review focusing on renal manifestations of MVV and LVV.

Main Results:

  • MVV and LVV primarily affect the aorta and its branches.
  • Unlike small-vessel vasculitides, they do not typically cause glomerulonephritis, but can lead to tubulo-interstitial nephritis.
  • Renal artery involvement is common, presenting as stenosis, intra-renal vasculitis, ischemia, infarction, microaneurysms, and hemorrhage.

Conclusions:

  • Renal artery and intra-renal vascular lesions are significant complications of MVV and LVV.
  • Renal abnormalities in these syndromes should not be overlooked during patient evaluation and management.