Difference between revisions of "Polyomavirus nephropathy"

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#redirect [[Renal_transplant_pathology#Polyomavirus_nephropathy]]
'''Polyomavirus nephropathy''' is a pathology seen in [[Renal_transplant_pathology|renal transplants]].
 
==General==
*This pathology is associated with failure of transplanted kidneys.<ref name=pmid216990>{{cite journal |author=Mackenzie EF, Poulding JM, Harrison PR, Amer B |title=Human polyoma virus (HPV)--a significant pathogen in renal transplantation |journal=Proc Eur Dial Transplant Assoc |volume=15 |issue= |pages=352–60 |year=1978 |pmid=216990 |doi= |url=}}</ref>
*Treatment: reduce immunosuppression.<ref name=Nickeleit>Nickeleit, Volker; Singh, Harsharan K. Polyomavirus Allograft Nephropathy: Clinico-Pathological Correlations. URL: [http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=eurekah&part=A74503#A74539 http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=eurekah&part=A74503#A74539]. Accessed on: 8 November 2010.</ref>
*Implicated in [[urothelial carcinoma]] - esp. in renal transplant recipients.<ref name=pmid18971934>{{Cite journal  | last1 = Roberts | first1 = IS. | last2 = Besarani | first2 = D. | last3 = Mason | first3 = P. | last4 = Turner | first4 = G. | last5 = Friend | first5 = PJ. | last6 = Newton | first6 = R. | title = Polyoma virus infection and urothelial carcinoma of the bladder following renal transplantation. | journal = Br J Cancer | volume = 99 | issue = 9 | pages = 1383-6 | month = Nov | year = 2008 | doi = 10.1038/sj.bjc.6604711 | PMID = 18971934 }}</ref>
==Microscopic==
Features:<ref name=Nickeleit/>
*Ground glass-like nuclear inclusions.
*Nuclear enlargement.
 
===Images===
<gallery>
Image:Polyomavirus_nephropathy_-_high_mag.jpg | PN - high mag. (WC)
Image:Polyomavirus_nephropathy_-_very_high_mag.jpg | PN - very high mag. (WC)
</gallery>
www:
*[http://tpis1.upmc.com:81/tpis/GU/G00011a.html Polyomavirus (upmc.com)].<ref>URL: [http://tpis1.upmc.com:81/tpis/kidney/KAINbk.html http://tpis1.upmc.com:81/tpis/kidney/KAINbk.html]. Accessed on: 11 November 2011.</ref>
*[http://path.upmc.edu/cases/case582.html Polyomavirus nephropathy - several images (upmc.edu)].
 
==IHC==
Features:
*SV40 +ve<ref name=pmid25359127>{{Cite journal  | last1 = Lautenschlager | first1 = I. | last2 = Jahnukainen | first2 = T. | last3 = Kardas | first3 = P. | last4 = Lohi | first4 = J. | last5 = Auvinen | first5 = E. | last6 = Mannonen | first6 = L. | last7 = Dumoulin | first7 = A. | last8 = Hirsch | first8 = HH. | last9 = Jalanko | first9 = H. | title = A case of primary JC polyomavirus infection-associated nephropathy. | journal = Am J Transplant | volume = 14 | issue = 12 | pages = 2887-92 | month = Dec | year = 2014 | doi = 10.1111/ajt.12945 | PMID = 25359127 }}</ref> (nuclear staining).
 
===Images===
<gallery>
Image:Polyomavirus_nephropathy_-_sv40_-_high_mag.jpg | PN - high mag. (WC/Nephron)
Image:Polyomavirus_nephropathy_-_sv40_-_very_high_mag.jpg | PN - very high mag. (WC/Nephron)
</gallery>
www:
*[http://tpis1.upmc.com:81/tpis/GU/G00011b.html Polyomavirus (upmc.com)].
 
==See also==
*[[Renal transplant pathology]].
 
==References==
{{Reflist|1}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Genitourinary pathology]]

Revision as of 17:18, 29 June 2016

Polyomavirus nephropathy is a pathology seen in renal transplants.

General

  • This pathology is associated with failure of transplanted kidneys.[1]
  • Treatment: reduce immunosuppression.[2]
  • Implicated in urothelial carcinoma - esp. in renal transplant recipients.[3]

Microscopic

Features:[2]

  • Ground glass-like nuclear inclusions.
  • Nuclear enlargement.

Images

www:

IHC

Features:

  • SV40 +ve[5] (nuclear staining).

Images

www:

See also

References

  1. Mackenzie EF, Poulding JM, Harrison PR, Amer B (1978). "Human polyoma virus (HPV)--a significant pathogen in renal transplantation". Proc Eur Dial Transplant Assoc 15: 352–60. PMID 216990.
  2. 2.0 2.1 Nickeleit, Volker; Singh, Harsharan K. Polyomavirus Allograft Nephropathy: Clinico-Pathological Correlations. URL: http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=eurekah&part=A74503#A74539. Accessed on: 8 November 2010.
  3. Roberts, IS.; Besarani, D.; Mason, P.; Turner, G.; Friend, PJ.; Newton, R. (Nov 2008). "Polyoma virus infection and urothelial carcinoma of the bladder following renal transplantation.". Br J Cancer 99 (9): 1383-6. doi:10.1038/sj.bjc.6604711. PMID 18971934.
  4. URL: http://tpis1.upmc.com:81/tpis/kidney/KAINbk.html. Accessed on: 11 November 2011.
  5. Lautenschlager, I.; Jahnukainen, T.; Kardas, P.; Lohi, J.; Auvinen, E.; Mannonen, L.; Dumoulin, A.; Hirsch, HH. et al. (Dec 2014). "A case of primary JC polyomavirus infection-associated nephropathy.". Am J Transplant 14 (12): 2887-92. doi:10.1111/ajt.12945. PMID 25359127.