Volunteers and in Patients with Glomerular Disease - Journal of the ...

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These findings were reproduced with nicotine-containing chewing gum. In contrast, when patients with IgA glomerulo- nephritis smoked, a similar increment.
J Am Soc Nephrol

Effects

of Smoking

Volunteers

and in Patients EBERHARD

RITZ,*

MELCHIOR

SEYFARTH,

*Depc,rt,ple,zt Center,

Patients

Abstract.

on Renal

of internal

Heidelberg,

with

URS

renal

with BENCK,* and

Medicine,

Gertnany;

disease

EDUARD

have

Disease

FRANEK,*

CHRISTINE

Caro!a

University

Universir’,

min’),

a poor

Heidelberg

Munich,

and

accompanied

by

involved have the effects of

vasopressin

(from

1 .27

epinephrine

(from

37

smoking

in

smoking,

and

sham

smoking

cotinine

measurements.

of seven

patients

tis,

occasional

also

were

obtained

while

order flow

These

with

acid

or

days. using

‘311-hippurate

caused

chewing

with

a minor

sure

(MAP)

renal

but

and

plasma

increase

of MAP

mmHg)

and

Smoking

has

heart

to

effects, not

the

the

well

urinary

damage,

is highly type

tiansen was

confirmed

same

by

holds

In established renal failure

health

hazard

or

8.98 7.52

(1-3).

(4,5).

albumin mellitus,

the risk

numerous

with

diabetic nephropathy, in smokers is higher

the

gum. In contrast, smoked, a similar

changes increase

of FF were not uniform, of urinary albumin/creatinine 20 volunteers for statistical

on the

that,

true

for both

with In

that

patients

year

smoking

patients

retrospective

Chris-

II diabetes

(9-1

mented

of progression

of 2, and

this

that

Copyright

Society

U 1998 by the American

Society

of Nephrology

study

of

at the

time

(18),

to

nally,

preliminary

is

intervention

and

and

on systemic acute

changes

findings

are

of

on progres-

this

trial)

study was

to 40

on

smokers,

from

the

pack-

indicated

that

increased

day

of

this sham

issue,

renal

smoking

, less

than

five

was

an

to end-stage by differtreatment.

(multiple

Fi-

risk

the relative

risk

factor of end-

of I .7 in subjects

(5). the

deleterious

disease

we compared

glomerulonephritis.

docu-

nephritis

not explained

by a factor

per

A

patients

of

MRFIT

progression

i.e.

a greater

progression

underlying

IgA

found

nephritis

was

autosomal

er a!. (17)

counterparts.

of onset

effect

cigarettes

versus with

had

nonproteinuric lupus

information In

Chapman

mechanisms

To address

Some

disease.

or in immunosuppressive data

potential

(16).

for accelerated

failure

smoking

sional

all

(P