Minimal Change Disease and Focal Segmental Glomerulosclerosis Are Associated with Good Kidney Prognosis and Thrombotic Microangiopathy with Poor Kidney Survival in Patients with COVID-19-Associated Nephropathies

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Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorFederal University of Paraná-
Autor(es): dc.contributorFederal University of Mato Grosso Dosul-
Autor(es): dc.contributorHospital Alemão Oswaldo Cruz-
Autor(es): dc.contributorFederal University of Maranhão-
Autor(es): dc.contributorInstituto de Nefropatologia-
Autor(es): dc.contributorUniversidade Federal de Pernambuco (UFPE)-
Autor(es): dc.contributorUniversidade Federal de Minas Gerais (UFMG)-
Autor(es): dc.contributorHospital Ana Nery-
Autor(es): dc.contributorHospital Semper-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorHospital e Pronto Socorro Delphina Abdel Aziz-
Autor(es): dc.contributorPUC-Paraná-
Autor(es): dc.contributorFederal University of Roraima-
Autor(es): dc.contributorFederal University of Amazonas-
Autor(es): dc.contributorHospital Nipo-Brasileiro-
Autor(es): dc.contributorUniversity of Brasilia-
Autor(es): dc.contributorPró-Rim Unidade de Terapia Renal Substitutiva-
Autor(es): dc.contributorInstituto Hospital de Base Do Distrito Federal-
Autor(es): dc.contributorHospital Unimed-
Autor(es): dc.contributorSanta Casa de Misericórdia de Belo Horizonte-
Autor(es): dc.contributorSanta Casa de Misericórdia de Campo Grande-
Autor(es): dc.contributorHospital Felício Rocho-
Autor(es): dc.contributorFederal University of Rio Grande Do Norte-
Autor(es): dc.contributorFederal University of Espírito Santo-
Autor(es): dc.contributorFederal University of Piauí-
Autor(es): dc.contributorFederal University of Alagoas-
Autor(es): dc.contributorFederal University of Paraíba-
Autor(es): dc.contributorFederal University of Vale Do São Francisco-
Autor(es): dc.creatorNeves, Precil Diego Miranda De Menezes-
Autor(es): dc.creatorAraújo, Stanley Almeida-
Autor(es): dc.creatorWanderley, David Campos-
Autor(es): dc.creatorSodré, Andressa Monteiro-
Autor(es): dc.creatorCampos, Marcos Adriano Garcia-
Autor(es): dc.creatorWatanabe, Elieser Hitoshi-
Autor(es): dc.creatorMalheiros, Denise Maria Avancini Costa-
Autor(es): dc.creatorCavalcante, Lívia Barreira-
Autor(es): dc.creatorLedesma, Felipe Lourenço-
Autor(es): dc.creatorIsrael, Karla Cristina Petruccelli-
Autor(es): dc.creatorBarcelos, Flávia Lara-
Autor(es): dc.creatorPinho, Laila Lopes De Farias-
Autor(es): dc.creatorBarbosa, Fabrício Augusto Marques-
Autor(es): dc.creatorMiranda, Silvana Maria Carvalho-
Autor(es): dc.creatorDantas, Márcio-
Autor(es): dc.creatorBritto, Welluma Lomarques De Mendonça-
Autor(es): dc.creatorPaixão, Jenaine Oliveira-
Autor(es): dc.creatorMadeira, Rafael Lage-
Autor(es): dc.creatorGuedes, Felipe Leite-
Autor(es): dc.creatorLuchi, Weverton MacHado-
Autor(es): dc.creatorCuvello-Neto, Américo Lourenço-
Autor(es): dc.creatorMarques, Igor Denizarde Bacelar-
Autor(es): dc.creatorAlmeida, Jose Bruno-
Autor(es): dc.creatorVasco, Rafael Fernandes Vanderlei-
Autor(es): dc.creatorMonteiro, Antonio-
Autor(es): dc.creatorLadchumananandasivam, Francisco Rasiah-
Autor(es): dc.creatorJúnior, Antônio Augusto Lima Teixeira-
Autor(es): dc.creatorGomes, Orlando Vieira-
Autor(es): dc.creatorHagemann, Rodrigo-
Autor(es): dc.creatorFerra-Neto, Oreste Angelo-
Autor(es): dc.creatorSantos, Ricardo Ferreira-
Autor(es): dc.creatorCosta, Denise Maria Do Nascimento-
Autor(es): dc.creatorLuz-Neto, Epitácio Rafael-
Autor(es): dc.creatorSoares, Leandro De Castro Bahia Alvarenga-
Autor(es): dc.creatorMubarac, Rebecca Souza-
Autor(es): dc.creatorCosta, Kellen Micheline Alves Henrique-
Autor(es): dc.creatorWeissheimer, Rafael-
Autor(es): dc.creatorAlmeida, Christiany Moreira-
Autor(es): dc.creatorDa Silva, Barbara Antunes Bruno-
Autor(es): dc.creatorMiranda, Leandro Santos-
Autor(es): dc.creatorIannuzzi, Leandro Rodrigues-
Autor(es): dc.creatorMurata, Gilson Masahiro-
Autor(es): dc.creatorNoronha, Irene De Lourdes-
Autor(es): dc.creatorSalgado-Filho, Natalino-
Autor(es): dc.creatorOnuchic, Luiz Fernando-
Autor(es): dc.creatorSilva, Gyl Eanes De Barros-
Data de aceite: dc.date.accessioned2025-08-21T16:00:10Z-
Data de disponibilização: dc.date.available2025-08-21T16:00:10Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1159/000542836-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309343-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309343-
Descrição: dc.descriptionIntroduction: The kidney is a frequent target of SARS-CoV-2, potentially developing lesions in glomeruli, vessels, and tubulointerstitium in response to this infection. Herein, we present the analysis of the first large Latin American cohort of adult patients undergoing kidney biopsy due to COVID- 19-associated kidney disorders. Methods: This retrospective, multicenter, national study was based on the collection of information on demographics, comorbidities, laboratory data, kidney histology, therapy, and therapeutic response. Patients diagnosed with collapsing glomerulopathy (CG) were genotyped for APOL1. Results: Our cohort included 94 patients, most male (62.8%). The median age was 44 (33-52) years, and 50% of them were previously hypertensive. The time between COVID-19 diagnosis and kidney biopsy was 30 (15-60) days. Most patients had decreased kidney function at diagnosis, 43.5% required dialysis upon diagnosis, 77.6% received immunosuppression, and 2/3 achieved a clinical remission. CG was the most common kidney involvement (18 cases), reproducing previous findings. Focal segmental glomerulosclerosis (FSGS), thrombotic microangiopathy (TMA), and IgA nephropathy were also frequent, with 10 cases each. FSGS and minimal change disease (MCD) were associated with the best cumulative kidney survival; none started dialysis. In contrast, patients with TMA/C3 glomerulopathy presented a poor kidney prognosis, with more than half progressing to kidney replacement therapy. Conclusion: A novel and striking finding of our study, therefore, was the association of FSGS and MCD with the best kidney outcome among all COVID-19-related histological patterns. Moreover, the overall distribution of histological profiles showed significant particularities in the analyzed patient cohort, the most important being the higher frequency of TMA cases.-
Descrição: dc.descriptionNephrology Division University of São Paulo-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Paraná-
Descrição: dc.descriptionMolecular Medicine Division University of São Paulo-
Descrição: dc.descriptionPediatric Nephrology Service Federal University of Mato Grosso Dosul-
Descrição: dc.descriptionNephrology and Dialysis Center Hospital Alemão Oswaldo Cruz-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Maranhão-
Descrição: dc.descriptionInstituto de Nefropatologia-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Pernambuco-
Descrição: dc.descriptionCentro de Microscopia Eletrônica Universidade Federal de Minas Gerais-
Descrição: dc.descriptionNephrology Service Hospital Ana Nery-
Descrição: dc.descriptionFaculty of Medicine Federal University of Maranhão-
Descrição: dc.descriptionNephrology Service Hospital Semper-
Descrição: dc.descriptionClinical Hospital of State University Júlio de Mesquita Filho State University of São Paulo-
Descrição: dc.descriptionNephrology Service Hospital e Pronto Socorro Delphina Abdel Aziz-
Descrição: dc.descriptionPathology Division University of São Paulo-
Descrição: dc.descriptionNephrology Service PUC-Paraná-
Descrição: dc.descriptionPathology Service Hospital Alemão Oswaldo Cruz-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Roraima-
Descrição: dc.descriptionNephrology Division Federal University of Amazonas-
Descrição: dc.descriptionNephrology Service Hospital Nipo-Brasileiro-
Descrição: dc.descriptionNephrology Service University Hospital University of Brasilia-
Descrição: dc.descriptionPró-Rim Unidade de Terapia Renal Substitutiva-
Descrição: dc.descriptionNephrology Service Instituto Hospital de Base Do Distrito Federal-
Descrição: dc.descriptionPathology Division Federal University of Maranhão-
Descrição: dc.descriptionNephrology Service Hospital Unimed-
Descrição: dc.descriptionPathology and Legal Medicine Department Ribeirão Preto Medical School - USP/FMRP-
Descrição: dc.descriptionNephrology Service Santa Casa de Misericórdia de Belo Horizonte-
Descrição: dc.descriptionNephrology Division Ribeirão Preto Medical School - USP/FMRP-
Descrição: dc.descriptionNephrology Service Santa Casa de Misericórdia de Campo Grande-
Descrição: dc.descriptionNephrology Service Universidade Federal de Minas Gerais-
Descrição: dc.descriptionNephrology Service Hospital Felício Rocho-
Descrição: dc.descriptionNephrology Service Federal University of Rio Grande Do Norte-
Descrição: dc.descriptionNephrology Service Federal University of Espírito Santo-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Piauí-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Alagoas-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Mato Grosso Dosul-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Paraíba-
Descrição: dc.descriptionDepartment of Genetics Ribeirão Preto Medical School University of São Paulo-
Descrição: dc.descriptionNephrology Service University Hospital Federal University of Vale Do São Francisco-
Descrição: dc.descriptionClinical Hospital of State University Júlio de Mesquita Filho State University of São Paulo-
Idioma: dc.languageen-
Relação: dc.relationAmerican Journal of Nephrology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCOVID-19-
Palavras-chave: dc.subjectKidney pathology-
Palavras-chave: dc.subjectKidney prognosis-
Palavras-chave: dc.subjectPodocytopathies-
Palavras-chave: dc.subjectSARS-CoV-2-
Palavras-chave: dc.subjectThrombotic microangiopathy-
Título: dc.titleMinimal Change Disease and Focal Segmental Glomerulosclerosis Are Associated with Good Kidney Prognosis and Thrombotic Microangiopathy with Poor Kidney Survival in Patients with COVID-19-Associated Nephropathies-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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