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Article ; Online: Clinicopathological Characteristics and Impacts on Clinical Outcomes of Thrombotic Microangiopathy Lesions in Patients with Immunoglobulin A Nephropathy in Thailand.

Puapatanakul, Pongpratch / Banjongjit, Athiphat / Kanjanabuch, Talerngsak / Surintrspanont, Jerasit / Iampenkhae, Kroonpong / Praditpornsilpa, Kearkiat / Eiam-Ong, Somchai / Boonpucknavig, Vijitr

American journal of nephrology

2023 Volume 54, Issue 7-8, Page(s) 308–318

Abstract: Introduction: More reports of thrombotic microangiopathy (TMA) in immunoglobulin A (IgA) nephropathy suggest its association with poor clinical outcomes. However, the prevalence and clinical significance of TMA in IgA nephropathy have not been widely ... ...

Abstract	Introduction: More reports of thrombotic microangiopathy (TMA) in immunoglobulin A (IgA) nephropathy suggest its association with poor clinical outcomes. However, the prevalence and clinical significance of TMA in IgA nephropathy have not been widely studied in different populations. Methods: Kidney biopsies of all patients with primary IgA nephropathy from 1995 to 2015 at the King Chulalongkorn Memorial Hospital, Thailand, were retrospectively reviewed and reclassified by two pathologists following the Oxford MEST-C classification. TMA lesions were detected based solely on light microscopic findings. Associations between the presence of TMA and clinical data, other pathologic findings, and clinical outcomes were studied. Results: Among 267 patients with primary IgA nephropathy, 166 had adequate clinical data and kidney tissues for the analysis. TMA was observed in 21 patients (13%) and was associated with higher mean arterial pressure (MAP), history of malignant hypertension, higher proteinuria, and lower estimated glomerular filtration rate (eGFR) at diagnosis compared to those without TMA. According to the Oxford MEST-C classification, TMA showed a significant association with severe tubular atrophy/interstitial fibrosis (T2) but not with mesangial hypercellularity (M1), endocapillary hypercellularity (E1), segmental glomerulosclerosis (S1), or crescents (C1-2). After a median follow-up of 50 months, patients with TMA had a significantly higher risk of progression to end-stage kidney disease (ESKD) (hazard ratio [HR] 5.8, 95% confidence interval [CI]: 3.1-10.9) and all-cause mortality (HR 3.4, 95% CI: 1.3-8.8). After adjusting for baseline eGFR, MAP, proteinuria, and other pathological lesions, TMA remained an independent predictor of ESKD (adjusted HR 2.4, 95% CI: 1.1-5.4). Conclusions: Kidney TMA in IgA nephropathy is associated with advanced disease stages, carries a poor prognosis, and thus should be considered in the pathological classification of IgA nephropathy.
MeSH term(s)	Humans ; Glomerulonephritis, IGA/complications ; Glomerulonephritis, IGA/epidemiology ; Glomerulonephritis, IGA/pathology ; Retrospective Studies ; Thailand/epidemiology ; Kidney/pathology ; Kidney Failure, Chronic/etiology ; Kidney Failure, Chronic/complications ; Thrombotic Microangiopathies/etiology ; Thrombotic Microangiopathies/complications ; Proteinuria/pathology ; Glomerular Filtration Rate ; Prognosis
Language	English
Publishing date	2023-07-10
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	604540-6
ISSN	1421-9670 ; 0250-8095
ISSN (online)	1421-9670
ISSN	0250-8095
DOI	10.1159/000531693
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Article: Membranous Nephropathy following Full-Dose of Inactivated SARS-CoV-2 Virus Vaccination: A Case Report and Literature Review.

Thammathiwat, Theerachai / Chompuk, Laor / Worawichawong, Suchin / Boonpucknavig, Vijitr / Sirilak, Supinda / Pongcharoen, Sutatip / Pichitsiri, Watchara / Kanjanabuch, Talerngsak

Vaccines

2022 Volume 11, Issue 1

Abstract: Vaccination against the SARS-CoV-2 virus (COVID-19) has proven to be the most effective measure to prevent the spread and reduce infection severity. A case report of de novo membranous nephropathy (MN) following immunization with inactivated virus ... ...

Abstract	Vaccination against the SARS-CoV-2 virus (COVID-19) has proven to be the most effective measure to prevent the spread and reduce infection severity. A case report of de novo membranous nephropathy (MN) following immunization with inactivated virus vaccine (CoronaVac
Language	English
Publishing date	2022-12-29
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2703319-3
ISSN	2076-393X
ISSN	2076-393X
DOI	10.3390/vaccines11010080
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Article ; Online: Exploring hospital practice types and their impact on glomerular pathologic patterns: Insights from the largest kidney biopsy cohort in Thailand.

Kanjanabuch, Talerngsak / Isaranuwatchai, Suramath / Nopsopon, Tanawin / Thammathiwat, Theerachai / Pooprasert, Thitipong / Puapatanakul, Pongpratch / Pongpirul, Krit / Chawanasuntorapoj, Ratana / Kittiskulnam, Piyawan / Eiam-Ong, Somchai / Tungsanga, Kring / Chusil, Saowaluck / Ophascharoensuk, Vuddhidej / Vanichakarn, Supat / Sitprija, Visith / Boonpucknavig, Vijitr

Nephrology (Carlton, Vic.)

2023 Volume 28 Suppl 1, Page(s) 24–34

Abstract: Background: This study aims to investigate the influence of different kidney biopsy practices on the prevalence of glomerular pathologic patterns in the largest kidney biopsy registry in Thailand.: Methods: We conducted a retrospective review of ... ...

Abstract	Background: This study aims to investigate the influence of different kidney biopsy practices on the prevalence of glomerular pathologic patterns in the largest kidney biopsy registry in Thailand. Methods: We conducted a retrospective review of kidney biopsy records from the period between 2000 and 2014. The records were obtained from 2 major institutions: King Chulalongkorn Memorial Hospital, a large university-based hospital, and the Kidney Center Bangkok Hospital, which provides pathology services to hospitals throughout Thailand. The study included native kidney biopsies from all provinces in Thailand, excluding paediatric patients, kidney transplant recipients, and cases of inadequate and repeated biopsies. Patient demographics, indications for biopsy, and final glomerular diagnoses were compared across different hospital practice settings: university (UVH), private (PVH) and public (PBH). Results: A total of 5893 eligible native kidney biopsies were identified from a pool of 7005 biopsies conducted over a 15-year period in 25 provinces throughout Thailand. The 3 most common indications for biopsy were suspected kidney involvement in systemic lupus erythematosus (SLE) (29%), nephrotic syndrome (NS) (29%), and acute glomerulonephritis (AGN)/rapidly progressive glomerulonephritis (RPGN) (13%). The leading indication for biopsy differed across practice types, with suspected kidney involvement in SLE being the primary indication in UVH, while NS took precedence in both PBH and PVH practices. Notably, UVH performed fewer kidney biopsies for asymptomatic urinary abnormalities and diabetes-related indications compared with PVH and PBH. The leading glomerular diagnoses correlated with the biopsy indications, with lupus nephritis (LN) being the most common diagnosis in UVH and PBH practices, whiles immunoglobulin A nephropathy was the predominant diagnosis in PVH practice. Conclusion: Hospital practice types significantly impact the prevalence of glomerular pathologic diagnosis patterns in kidney biopsy data, highlighting the importance of considering this influence in epidemiological comparisons.
MeSH term(s)	Humans ; Child ; Thailand/epidemiology ; Kidney Diseases/diagnosis ; Kidney Diseases/epidemiology ; Kidney Diseases/therapy ; Kidney/pathology ; Glomerulonephritis/diagnosis ; Glomerulonephritis/epidemiology ; Glomerulonephritis/pathology ; Lupus Nephritis/pathology ; Nephrotic Syndrome/pathology ; Lupus Erythematosus, Systemic ; Hospitals, University ; Glomerulonephritis, IGA/pathology ; Biopsy ; Retrospective Studies
Language	English
Publishing date	2023-06-19
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1303661-0
ISSN	1440-1797 ; 1320-5358
ISSN (online)	1440-1797
ISSN	1320-5358
DOI	10.1111/nep.14202
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Zs.A 4822: Show issues

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Article: Pathology of renal diseases in the tropics.

Boonpucknavig, Vijitr / Soontornniyomkij, Virawudh

Seminars in nephrology

2003 Volume 23, Issue 1, Page(s) 88–106

Abstract: Renal diseases unique to the tropics are those that occur in association with infectious diseases including dengue hemorrhagic fever, typhoid fever, shigellosis, leptospirosis, lepromatous leprosy, malaria, opisthorchiasis, and schistosomiasis. These ... ...

Abstract	Renal diseases unique to the tropics are those that occur in association with infectious diseases including dengue hemorrhagic fever, typhoid fever, shigellosis, leptospirosis, lepromatous leprosy, malaria, opisthorchiasis, and schistosomiasis. These renal complications can be classified on the basis of their clinical and pathologic characteristics into acute transient reversible glomerulonephritis, chronic progressive irreversible glomerulonephritis, amyloidosis, and acute renal failure (ARF) resulting from acute tubular necrosis, acute tubulointerstitial nephritis, and thrombotic microangiopathy. Certain primary glomerular diseases including immunoglobulin (Ig) M nephropathy and focal segmental and global glomerulosclerosis are prevalent in some tropical countries. Renal complications of venomous snakebites also are common in the tropics. This article discusses and summarizes important works in the literature in respect to the clinical syndromes, pathologic features, and pathogenesis of tropical renal diseases both in humans and experimental animal models.
MeSH term(s)	Biopsy, Needle ; Communicable Diseases/complications ; Communicable Diseases/diagnosis ; Female ; Glomerulosclerosis, Focal Segmental/etiology ; Glomerulosclerosis, Focal Segmental/pathology ; Humans ; Immunohistochemistry ; Kidney Diseases/epidemiology ; Kidney Diseases/etiology ; Kidney Diseases/pathology ; Kidney Tubular Necrosis, Acute/etiology ; Kidney Tubular Necrosis, Acute/pathology ; Male ; Nephritis, Interstitial/etiology ; Nephritis, Interstitial/pathology ; Prevalence ; Prognosis ; Risk Factors ; Severity of Illness Index ; Survival Rate ; Tropical Climate/adverse effects
Language	English
Publishing date	2003-01
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	604652-6
ISSN	1558-4488 ; 0270-9295
ISSN (online)	1558-4488
ISSN	0270-9295
DOI	10.1053/snep.2003.50008
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Article: Immunological and immunopathological studies of patients with burn scar.

Boonpucknavig, S / Boonpucknavig, V / Visuthikosol, V

Journal of the Medical Association of Thailand = Chotmaihet thangphaet

1992 Volume 75 Suppl 1, Page(s) 20–24

Abstract: Sera obtained from 5 cases of burn scars (patients group 1) and cases of burn scars with squamous cell carcinoma (patients group 2) of the skin are analysed for anticollagen antibodies. Anticollagen type VI was demonstrable in the serum of one out of 5 ... ...

Abstract	Sera obtained from 5 cases of burn scars (patients group 1) and cases of burn scars with squamous cell carcinoma (patients group 2) of the skin are analysed for anticollagen antibodies. Anticollagen type VI was demonstrable in the serum of one out of 5 cases in group 1 and 4 out of 6 cases in group 2. Collagen type VI was demonstrable in the scar without carcinoma of one patient whose serum contained anticollagen type VI. It is suggested that collagen type VI in the scar and their immunobiologic reaction may be related to the regulation of tumor development in scar tissue of the skin.
MeSH term(s)	Antibodies, Anti-Idiotypic/blood ; Biopsy ; Burns/complications ; Carcinoma, Squamous Cell/etiology ; Carcinoma, Squamous Cell/immunology ; Carcinoma, Squamous Cell/pathology ; Cicatrix/etiology ; Cicatrix/immunology ; Cicatrix/pathology ; Collagen/classification ; Collagen/immunology ; Evaluation Studies as Topic ; Fluorescent Antibody Technique ; Humans ; Skin Neoplasms/etiology ; Skin Neoplasms/immunology ; Skin Neoplasms/pathology
Chemical Substances	Antibodies, Anti-Idiotypic ; Collagen (9007-34-5)
Language	English
Publishing date	1992-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	801630-6
ISSN	0125-2208 ; 0025-7036
ISSN	0125-2208 ; 0025-7036
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Zs.A 957: Show issues

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Article: Wilms' tumor, male pseudohermaphroditism and glomerulonephritis: the Drash syndrome. First case report in Thailand and review the literatures.

Wongwaisayawan, S / Boonpucknavig, V / Boonpucknavig, S / Hattirat, P

Journal of the Medical Association of Thailand = Chotmaihet thangphaet

1992 Volume 75 Suppl 1, Page(s) 147–152

Abstract: The Drash syndrome, the first case in Thailand is reported. The patient had male pseudohermaphrodite, Wilms' tumor of the left kidney and mesangial proliferative glomerulonephritis. Metastasis of Wilms' tumor was noted in the liver, omentum, pelvic ... ...

Abstract	The Drash syndrome, the first case in Thailand is reported. The patient had male pseudohermaphrodite, Wilms' tumor of the left kidney and mesangial proliferative glomerulonephritis. Metastasis of Wilms' tumor was noted in the liver, omentum, pelvic peritoneum and vertebral body. Chemotherapy (actinomycin D, vincristine and dexamethasone) and local irradiation were given. The patient developed pneumonia, diarrhea and ended up with Steven-Johnson syndrome from Cotrimoxazole hypersensitivity.
MeSH term(s)	Disorders of Sex Development/complications ; Disorders of Sex Development/diagnosis ; Disorders of Sex Development/genetics ; Glomerulonephritis/complications ; Glomerulonephritis/diagnosis ; Glomerulonephritis/pathology ; Hospitals, University ; Humans ; Infant ; Karyotyping ; Male ; Photomicrography ; Syndrome ; Thailand ; Wilms Tumor/complications ; Wilms Tumor/diagnosis ; Wilms Tumor/pathology
Language	English
Publishing date	1992-01
Publishing country	Thailand
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	801630-6
ISSN	0125-2208 ; 0025-7036
ISSN	0125-2208 ; 0025-7036
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Article: Heterogeneity of antibody response to glomerular basement membrane antigen in patients with different forms of glomerulonephritis.

Doungchawee, G / Chalermsanyakorn, P / Boonpucknavig, S / Boonpucknavig, V

Journal of the Medical Association of Thailand = Chotmaihet thangphaet

1992 Volume 75 Suppl 1, Page(s) 25–31

Abstract: Antibodies to collagenous and noncollagenous components of glomerular basement membrane (GBM) have been detected by immunoblotting in some sera from patients with various kinds of glomerulonephritis. A half proportion of patients with rapidly progressive ...

Abstract	Antibodies to collagenous and noncollagenous components of glomerular basement membrane (GBM) have been detected by immunoblotting in some sera from patients with various kinds of glomerulonephritis. A half proportion of patients with rapidly progressive glomerulonephritis (RPGN), chronic focal glomerulonephritis (CFGN), idiopathic membranous glomerulonephritis (MGN). IgA nephropathy and lupus nephritis (LE-GN) had IgG antibodies to heterogenous components in acid insoluble fraction of pepsin digested GBM. This acid insoluble fraction represented a complex of collagen and noncollagenous proteins of GBM. Following digestion of acid insoluble fraction with bacterial collagenase, the triple helical collagenous components of GBM were destroyed and released most likely of noncollagenous proteins. Antibodies to this noncollagenous proteins were found in only some patients with chronic glomerulonephritis (17.6%) and lupus nephritis (21.4%). Upon reaction with human placenta derived type IV collagen, different frequencies of antibody response were found in patients of different groups. However, all these reactive sera showed a similar immunoblotting pattern. The relationship between antibody response to antigenic components from human GBM or human placenta and pathogenesis of renal disease is unclear. However, the occurrence of spontaneous autoantibody response to some exposed GBM self antigens may mediate further renal destruction resulting in chronic ongoing stage of the disease.
MeSH term(s)	Antibody Formation/immunology ; Basement Membrane/immunology ; Electrophoresis, Polyacrylamide Gel ; Evaluation Studies as Topic ; Glomerulonephritis/blood ; Glomerulonephritis/classification ; Glomerulonephritis/immunology ; Humans ; Immunoblotting ; Kidney Glomerulus/immunology
Language	English
Publishing date	1992-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	801630-6
ISSN	0125-2208 ; 0025-7036
ISSN	0125-2208 ; 0025-7036
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Article: Basement membrane antibodies in Alport's syndrome.

Boonpucknavig, S / Boonpucknavig, V / Tapaneeyaolarn, W

Asian Pacific journal of allergy and immunology

1991 Volume 9, Issue 1, Page(s) 31–37

Abstract: By the indirect immunofluorescent technique, sera from patients with Alport's syndrome showed a reaction with the basement membrane of the capillary wall of glomeruli and peritubular vessels and nearby interstitial tissue of normal monkey and mouse ... ...

Abstract	By the indirect immunofluorescent technique, sera from patients with Alport's syndrome showed a reaction with the basement membrane of the capillary wall of glomeruli and peritubular vessels and nearby interstitial tissue of normal monkey and mouse kidney as a substrate. It also revealed bright staining to the matrix surrounding the clusters of EHS tumor cells and stromal tissues. These reactions were caused by autoantibodies present in these sera. These findings were supported by the detection of antilaminin, nidogen and anti collagen type VI in the sera by ELISA method. These evidences suggest that the Alport's patients developed stage of autoimmunity. The exact causes were not so clear, but seemed to be due to multiple factors.
MeSH term(s)	Autoantibodies/analysis ; Basement Membrane/immunology ; Basement Membrane/pathology ; Basement Membrane/ultrastructure ; Fibrosis ; Fluorescent Antibody Technique ; Humans ; Kidney Glomerulus/pathology ; Kidney Glomerulus/ultrastructure ; Microscopy, Electron ; Nephritis, Hereditary/immunology ; Nephritis, Hereditary/pathology
Chemical Substances	Autoantibodies
Language	English
Publishing date	1991-06
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	605782-2
ISSN	2228-8694 ; 0125-877X
ISSN (online)	2228-8694
ISSN	0125-877X
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Zs.A 1966: Show issues

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Article: An immunofluorescence study of cerebral malaria. A correlation with histopathology.

Boonpucknavig, V / Boonpucknavig, S / Udomsangpetch, R / Nitiyanant, P

Archives of pathology & laboratory medicine

1990 Volume 114, Issue 10, Page(s) 1028–1034

Abstract: Histopathologic and immunopathologic features of cerebral malaria have been defined in a study of six autopsy cases with severe Plasmodium falciparum infection. In five cases, immunofluorescent studies demonstrated intense deposition of P falciparum ... ...

Abstract	Histopathologic and immunopathologic features of cerebral malaria have been defined in a study of six autopsy cases with severe Plasmodium falciparum infection. In five cases, immunofluorescent studies demonstrated intense deposition of P falciparum antigen, IgG, and fibrin in cerebral vessels associated with the histopathologic finding of hemorrhage in the white matter of cerebrum and cerebellum regardless of the presence of parasitized erythrocytes in the cerebral vessels. Immunofluorescent study also demonstrated the extravascular deposits of P falciparum granular antigen associated with acute inflammatory lesion in cerebral tissue in one case. These findings suggested that the immunopathogenic mechanism may in some way play a role in the pathogenesis of cerebral malaria.
MeSH term(s)	Adult ; Animals ; Antibodies, Monoclonal ; Antigens, Protozoan/analysis ; Brain Diseases/parasitology ; Brain Diseases/pathology ; Child ; Female ; Fluoroimmunoassay ; Humans ; Malaria/parasitology ; Malaria/pathology ; Male ; Middle Aged ; Plasmodium falciparum/immunology ; Plasmodium falciparum/isolation & purification
Chemical Substances	Antibodies, Monoclonal ; Antigens, Protozoan
Language	English
Publishing date	1990-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	194119-7
ISSN	1543-2165 ; 0003-9985 ; 0363-0153 ; 0096-8528
ISSN (online)	1543-2165
ISSN	0003-9985 ; 0363-0153 ; 0096-8528
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Article: Rapidly progressive glomerulonephritis in Thai children.

Tapaneya-Olarn, W / Tapaneya-Olarn, C / Boonpucknavig, V / Boonpucknavig, S

Journal of the Medical Association of Thailand = Chotmaihet thangphaet

1992 Volume 75 Suppl 1, Page(s) 32–37

Abstract: Sixteen children with extensive crescentic glomerulonephritis and rapid renal deterioration were selected from 476 patients with glomerulopathy for study. The patients (1-14 yr, M:F = 5:11) presented with edema, oligoanuria, hypertension, gross hematuria ...

Abstract	Sixteen children with extensive crescentic glomerulonephritis and rapid renal deterioration were selected from 476 patients with glomerulopathy for study. The patients (1-14 yr, M:F = 5:11) presented with edema, oligoanuria, hypertension, gross hematuria and uremic symptoms in 81, 62, 62, 56 and 50 per cent, respectively. The mean Scr was 804 (+/- 436) micromole/L and BUN 38 (+/- 13.4) mmole/L. Anemia was found in 100 per cent, hematuria in 100 per cent, heavy proteinuria 75 per cent, hypoalbuminemia 40 per cent, hypercholesterolemia 38 per cent and low C3 40 per cent. The underlying causes of RPGN included idiopathic 9, PSAGN 6 and LE 1. Eight patients recovered with normal or slightly elevated Scr while the diseases progressed to ESRD in 8 patients. Idiopathic RPGN and extensive (greater than 80%) crescentic glomerulonephritis correlated with a poor prognosis.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Cyclophosphamide/therapeutic use ; Drug Therapy, Combination ; Female ; Glomerular Filtration Rate ; Glomerulonephritis/diagnosis ; Glomerulonephritis/epidemiology ; Glomerulonephritis/therapy ; Hospitals, University ; Humans ; Infant ; Kidney Failure, Chronic/epidemiology ; Kidney Failure, Chronic/etiology ; Male ; Prednisolone/therapeutic use ; Prognosis ; Retrospective Studies ; Thailand/epidemiology ; Treatment Outcome
Chemical Substances	Cyclophosphamide (8N3DW7272P) ; Prednisolone (9PHQ9Y1OLM)
Language	English
Publishing date	1992-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	801630-6
ISSN	0125-2208 ; 0025-7036
ISSN	0125-2208 ; 0025-7036
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