No abstract available.
Kidney Transplantation*

No abstract available.
Plasma* ; Spectrum Analysis* ; Trace Elements*

Sjogren's syndrome is an autoimmune exocrinopathy that develops into systemic autoimmune disease in 25% of patients, leading to general complications, one of which is kidney involvement. It presents mainly as interstitial nephritis, disclosed by hyposthenuria, distal renal tubular acidosis and diabetes insipidus. We here describe one case of secondary Sjogren syndrome with distal renal tubular acidosis who developed nephrocalcinosis and renal insufficiency.
Acidosis, Renal Tubular* ; Autoimmune Diseases ; Diabetes Insipidus ; Humans ; Kidney ; Nephritis, Interstitial ; Nephrocalcinosis ; Renal Insufficiency ; Sjogren's Syndrome*

PURPOSE: We wanted to report the minimum 3 year follow-up clinical results of the patients who underwent navigation guided cruciate retaining mobile bearing total knee arthroplasty and to evaluate the radiological results for a consecutive series of patients. MATERIALS AND METHODS: Cruciate retaining mobile bearing total knee arthroplasties with using a navigation system were performed for 54 knees. The mean patient age was 65 years old (range: 51~76 years). The mean follow up period was 44 months (range: 36~61 months). The Knee Society Score (KSS) and range of motion (ROM) were evaluated for the preoperative and postoperative clinical assessments. We evaluated the alignment and the position of the implants by using plane radiographs for the radiological assessment, and we investigated the wear and loosening of implants in the same manner at the last follow-up exam. RESULTS: The knee score improved from 38 to 91 (p=0.001) and the functional score improved from 46 to 92 (p=0.001). The mean range of motion was also improved postoperatively. The radiological results of the coronal axis alignment of the lower extremity and the implant position were satisfactory in 98% of the cases. Periprostheic osteolysis occurred in 4 cases, but there were no clinically significant osteolysis seen on the follow-up radiographs. CONCLUSION: Soft tissue balancing and the accuracy of implantation are necessary when performing cruciate retaining mobile bearing total knee arthroplasty. For this type of implant, navigation is useful tool to perform total knee arthorplasty for insuring the accuracy of the surgical procedure.
Arthroplasty ; Axis, Cervical Vertebra ; Follow-Up Studies ; Humans ; Knee ; Lower Extremity ; Osteolysis ; Range of Motion, Articular ; Ursidae

Sarcoidosis is a multisystem inflammatory disease of unknown etiology characterized by noncaseating epithelioid granuloma formation. Although the relationship between sarcoidosis and malignancy has been noted in recent decades, there are few case reports describing the concurrent diagnosis of sarcoidosis and malignancy. Herein, we describe a case of biopsy-proven splenic sarcoidosis mimicking metastasis at the time of ovarian adenocarcinoma. Imaging studies including positron-emission tomography-computed tomography were not useful for differentiating sarcoidosis from malignancy. Thus, our case highlights the importance of histopathological examination to rule out nonmalignant conditions before the diagnosis of metastatic disease is made.
Adenocarcinoma ; Diagnosis* ; Granuloma ; Neoplasm Metastasis ; Ovarian Neoplasms* ; Positron-Emission Tomography ; Sarcoidosis*