In patients with type 2 diabetes silent cerebral infarction (SCI), small areas of brain damage caused by injury to blood vesselssignals small increased risk of progressive renal disease and renal failure, according to a study published in a forthcoming issue of the Journal of the American Society of Nephrology (JASNA). If the SCI is present in the brain could be an indication that the damage to small vessels in the kidneys, and proposes that a new study Takashi U呕U, MD (Shiga University School of Medicine, Otsu, Japan). Gallery comments may be a silent brain infarction, a new marker for patients, the risk of renal impairment should be determined.
The study included 608 patients with type 2 diabetes, all initially empty) with symptoms of stroke, heart or kidney disease (overt proteinuria or renal dysfunction. The magnetic resonance imaging (MRI) of brain, 177 patients (29 percent) had SCIsubtle areas of brain damage caused by disease of blood vessels in the brain, but not strong enough to cause obvious symptoms of a stroke.
The new study shows that diabetic patients detected by MRI of brain damage in a minute tendency to develop severe kidney disease, regardless of microalbuminuria. The evaluation of both SCI and microalbuminuria can be used to determine the risk of progression of diabetic nephropathy in useful, said U呕U.
The study was not a risk of selection bias of patients. Although the majority of patients with irritable bowel syndrome suffered by many small regions were brain damage, the study did not exclude patients with relatively large size of head injury. So not only affects small vessels, but the disease is also relatively large ship could be the development of renal disease in patients affected us, adds U呕U.
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