Dietary Potassium (K), Body Mass Index (BMI) and Prevalence of Chronic Kidney Disease (CKD) in Korea and the United States

NKF 2017 Spring Clinical Meetings Abstracts 1528 Steroid Combined Induced CT and Scleroderma Fluoroscopy Renal Guided Crisis Percutaneous Trans269 peritoneal Jaros, Nephrostomy Tube Insertion and Subsequent Antonin Christos Argyropoulos, Kamran Shaffi, DIETARY POTASSIUM (K), BODY MASS INDEX (BMI) AND Nephrolithotomy in a Patient withUniversity Left Ectopic(CKD) Pelvic Kidney Rawan Al-Odat, Edgar Fischer. NewIN Mexico, PREVALENCE OF CHRONIC KIDNEY DISEASEof Albuquerque, IshtiaqAND Ahmed, NM, Ebadur USASTATES Rahman, Tarek Zahrani. Prince KOREA THE UNITED SW Han, I Robinson, BW Gillespie, JL Bragg-Gresham, andBile R Saran. Sultan Military Medical City, Riyadh, Saudi Arabia 154 Acute Renal Failure from Supplement Induced Cast Hanyang Univ, Seoul, Korea; Univ of Michigan, Ann Arbor, MI 10 There Hemorrhagic Shock and Hemoperitoneum as a Fatal ManiSucessfully Treated with Apheresis is evidence that dietary intake of macrominerals, especially festationand ofJohnson, Granulomatosis Polyangiitis potassium sodium, is associated with CKD.Jill We sought to examine Caroline Theresa with Kinard, Adamski, Mira these associations in population samples from US and Korea. Emad Al Jaber, Gaurav Jain, Souheil Saddekni. University Keddis. Mayo Clinic Hospital, Phoenix, AZ, USA Analyses included 5,273 participants fromAL, US (2009-2010) and 4,731 of Alabama Hospital, Birmingham, USA 156 from Non-HCV Cryoglobulinemic with Cold Agglutinin South Korea (2011), aged ≥ 20 MPGN years from the National Health 13 and A Rare Case of ANCA Associated in a Patient – Survey Association or Vasculitis Cause? Hemolytic Anemia Nutrition Examination (NHANES) in each country. with Systemic Sclerosis Modified Poisson regression was used to estimate Ghassan Kabbach, Rahim Dhanani, Israelassociations Kasago, George (prevalence ratios, and toRice, test country interactions and covariates Sadeem Ali, PR) Austin Romualdo Talento, Nauman Soryal, Vivek Bose, Rafia Chaudhry, Mauricio Monrroy, (age, sex, race, BMI, fat intake per day, and protein intake per day). Shahid. East Carolina University and Vidant Medical Foulke L, Hongalgi K. Albany Medical College, Albany, Prevalence of CKD was higher in the US than in Korea (15.2% vs. Center, NC, USA NY, USA 11.1%), as Greenville, was BMI (mean 29.2 vs. 23.8). Mean intake of K was higher KoreaTolerance (3,049 vs. 2,673 mg/day). Higher BMI (PR=1.03 mean as 14 inAtypical Hemolytic Uremic Syndrome Can at Present 159 Zero on Anion Gap K=2,829 mg/day) was associated with higher prevalence of CKD. Malignant Hypertension and Renal Dysfunction Sathish Karmegam, Collazo-Maldonado. Methodist Dietary K was associated Roberto with a strong ‘protective’ effect (PR=0.88 at Shehzad Ali, which Farhang Ebrahimi, Azmir, El Health System, Dallas, USAwithMohammad mean BMI=26.4), was TX, attenuated increasing BMI Saadi. Richmond University Medical Center, Staten Island, p=0.0011; Figure). 160 (interaction Aldosteronism in Polycystic Kidney Disease: Hypertension NY, USA Hiding in Plain Sight 20 An Unusual Cause of Cast Nephropathy Chandrashekar 1Kashyap, James Lynch Bailey, Frederic 2 1 Faisal University, Anwar1, Nada BaderGA, . University Rawan Al-Odat ,Emory Rahbari-Oskoui. Atlanta, USA 2 of New Mexico, Albuquerque, NM, USA; University of 161 Recognition of Reverse Pseudohyperkalemia Missouri, Kansas City, MO, USA Siddhartha Kattamanchi, Joshua L. Rein, Joseph A. 21 Granulomatous Nephrotic Syndrome Secondary to Vassalotti. Icahn School of Medicine at Mount Sinai, New Sarcoidosis York, NY, USA Omer Alrawi, Walid Ibrahim, Nehal Altaie, Nashat Imran, 164 High Anion Gap Metabolic Acidosis Due to 5- Oxoproline Yahya Osman Malik.Wayne State University, Detroit The withAcetaminophen higher BMI suggests a negation of the benefits withinteraction Low Dose Center, intake Detroit, MI, USA ofMedical dietary potassium at higher BMI. Dietary and other Sobia NmayKhan, Arun Kottarathara,of Opeyemi Oladele, the lower prevalence CKD Synrome in Korea in a 23 differences A Rare Caseunderlie of Spontenous Tumor Lysis Sandeepto the Mallipattu, Nand K Wadhwa. Stony Brook compared United States, and requires further investigation. Patient with Poor-Risk Germ Cell Cancer Medicine, Stony Brook, NY, USA Mohammed Alzubaidi1, Bhavna Bhasin2. 1Medical Univer165 Thrombotic Thrombocytpopenic Purpura in a Patient with sity of South Carolina, Charleston, SC, USA; 2Medical Goodpasture’s Disease: An Uncommon Association 270College of Wisconsin, Milwaukee, WI, USA Aakanksha Khanna, Nicholas Tan, Matthew R D’Costa, SINGLE KIDNEY: ADue CASEtoOF UNEXPLAINED 24 SAVING Type MY B Lactic Acidosis Dialysis-Induced Thiamine Sandra M Herrmann. Clinic, Rochester, MN,1, USA UNCONTROLLED ARTERIALMayo HYPERTENSION: Felix Rodriguez Trace Deficiency inGoraya a Patient with Seminoma 1, Nimrit 2. 1Baylor Heavener Scott and White, Temple, TX, USA; 2Texas 167 An Unusual Case of Proteinuria with Rapidly Progressive Brigani Amante, IsaacTemple, Teitelbaum. A&M Health Science Center, TX, USA University of Colorado Renal Failure Renal artery stenosis (RAS) be defined as any lesion of a renal artery that Hospital, Aurora, CO,canUSA Ravkiran Khurana, Tushar Thakur, Herman, perfusion to the affected kidney with the mostAndrew common pathways 25 reduces Autosomal Dominant Polycystic Kidney Disease Presenting Rupesh Raina, RAS Natthavat Tanphaichitr. Cleveland Clinic being atherosclerotic (ARAS). We present a case which illustrates the as a Spontaneous Acute Bloodof surgically Loss Anemia Hemordifficulties diagnosing, and theOH, benefit treating, and a patient with Akron ofGeneral Akron, USA rhagic Shock ARAS of the left solitary kidney. 171 Prolonged Ketoacidosis Associated with SGLT-2 Inhibition: AAhmad 48 year old lady, status post placement 3 right renal artery leading Anjak, K. Gaitonde, A.of Malhotra, C.V.stents Thakar. A to Cincinnati rightCase sidedReport nephrectomy in distant adult history, chronicOH, kidneyUSA disease VA Medical Center, Cincinnati, stage 3a/A1, Kohli, and hypertension, presented to Hospital the hospitalof forUniversity accelerated of Jatinder Stanley Goldfarb. 29 hypertension Hypoaldosteronism Presenting with Renal Salt of 230's/130's mm Hg. She on hydralazine 50mgWasting oral and Pennsylvania, Philadelphia, PA,was USA Disease and of Hyperkalemic Hypercholremic labetalol 600mg oral Absence three times each per day (tid) at home. Labs revealed 173 Aldosterone An “Atypical” Case of Exit Site Infection in Peritoneal Acidosisand renin levels were elevated with a ratio of 7, indicating Dialysis secondary hyperaldosteronism. Renal Doppler ultrasoundMedical (US) Huda causes Arif, ofDavid Leehey. Loyola University revealed mild left hydronephrosis but no renalChornyy, artery stenosis. The patient Abhilash Koratala, Volodymyr Amir Kazory. Centre, Chicago, IL, USA received nitroglycerin ointment,Gainesville, labetalol, hydralazine, nicardipine continuous University of Florida, FL, USA 32 infusion Hypokalemic Alkalosis and day Hypertension and losartan Metabolic (which was stopped the following after doubling ofin 175 creatinine) Severe Acute Kidney Injury from TURP-Associated Hg. On Blacks , however, the blood pressure (BP) remained >200/100 mmHeme Pigment 8Nephropathy hospital (MRA) 1 was performed and 1 , Huzaifresonance Qaisar1,arteriogram Vikas Singh , Mayur K. Patel , Arif day Asif1magnetic revealed focal left RAS, approximately cm from its origin. On day 9 1 1 Anubhav Kumar, Behdad 2Besharatian, Sidney , Suhsil , Awais Masud1Kobrin, , Loay Indu Sharma percutaneous renal Mehandru angioplasty with stent placement 2 transluminal 1 Matthew Palmer, Jonathan Hogan. University of PennsylSalman Jersey Shore University Medical Center, Seton (PTRAS) was. successfully performed, all anti-hypertensives were stopped as vania, Philadelphia, PA, USA School of Medicine, BPHall-Hackensack-Meridian was controlled. The patient was discharged on amlodipine 5mgNeptune, daily and 2 178 hadNJ, Agoal Rare Case Activating BP control atofherMacrophage 3Medical week follow-up. She Albany, currentlySyndrome isNY, not onUSA anywith antiAlbany College, USA; hypertensivc therapy. Renal Failure 33 Ischemic Monomelic Neuropathy: A Long-Term Follow of As far as diagnostic modalities forWang, detectingRafia RAS, duplex US has Krishna a sensitivity Franklin Lam, Katherine Chaudhry, Patients Without Fistula Ligation of 285% and specificity of 92%,computed tomography angiogram (CTA) 64% 1 Swati Mehta. Albany 1 1 2 Hongalgi, Medical College, Albany, , Vikas Singh , Huzaif , Nina Arif and 92%,Asif and MRA 62% and 84%. The evidenceQuaisar for the benefits and Jube harms ,of 1 1 1 NY, USA PTRAS is not strong, with current class I recommendation for recurrent Mayur K.very Patel , Indu Sharma , Suhsil Mehandru , Awais 2 1 case demonstrates the limitations in current diagnostic 180 pulmonary A Rare1edema. of Fibrillary Glomerulonephritis Presenting , Case LoayThis Salman . Jersey Shore University Medical Masud modalities for ARAS and the need for correct patient selection when with Hemoptysis Center, Seton Hall-Hackensack-Meridian School of Medidetermining the benefit of PTRAS.2 cine, Neptune, USA; Albany Medical College, Swathi Lavudi,NJ, Chris Webster, Saleha Rizwan, JamesAlbany, Reilly, NY, Tina USA Ko. Allegheny Health Network, Pittsburgh, PA, USA

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37 Amyloidosis Treatment of Presenting Intracardiacwith Mycetoma a Post Renal 181 Nephroticin Syndrome and Transplant Patient of Systemic Nocardiosis with the ComVentricular Hypertrophy SPONTANEOUSLY REMITTING PROLIFERATIVE GLOMERULONEPHRITIS bination Imipenem and Trimethoprim-Sulfamethoxazol Le,ofVittal Chundru, Phani Morisetti. WITHTerry MONOCLONAL IMMUNOGLOBULIN DEPOSITS:Louisiana A Rafael State D. University Health Sciences Shreveport, USA Ashraf EbadurAlzubaidi Rahman, Muddassar Prince 1, Attia, 1, Center, Rodriguez Mohammed Juan Carlos Mahboob; Velez2LA, , Bhavna 3.1Medical Sultan Military Riyadh, Saudi Arabia 182 Preeclampsia inMedical Association with Mirror and Bhasin University of SouthCity, Carolina, Charleston, SC,Syndrome USA. 2Ochsner ClinicNonimmune Foundation, New Louisiana, USA. 3Medical College of Hydrops Fetalis 40 Desalination andOrleans, Polyuria Associated with Hypertonic Wisconsin, Wisconsin, USA. SalineMilwaukee, andLeddy, Vasopressin in Govindasamy, 3 HypervolemicJamie Children Julia L. Rajesh A. Green. Proliferative glomerulonephritis with Danville, monoclonal PA, immunoglobulin deposits Geisinger Medical Center, USA John Scott Baird. Columbia University College of Physi(PGNMID) is a rare glomerulopathy characterized by monoclonal cians & Surgeons, New York, NY, USA 190 Pancreatic Adenocarcinoma Mimicking Granulomatous with immunoglobulin deposition within the glomerulus with a membranoproliferative, Polyangitis 43 A Unique Case of Renal Failure in a Patient with Hepatitis endoproliferative or membranous histological pattern. PGNMID carries a poor C Sadichhya Lohani, Iuliana Niculescu, Sami Zarouk.of William prognosis and recurs in renalChristopher transplants. We describe an interesting case of Krishna Baradhi, Girgis. University OklaBeaumont Hospital, Royal Oak,female MI, patient. USA spontaneously remitting PGNMID in a young homa, Tulsa, OK, USA African American female Pauci presented with lowerCrescentic extremity swelling 193 Irrelevant ANCA Negative Immune GNinina 44A 30-year-old ‘Calcinosis Cutis’: A Marker of Systemic Calcification for 3 a months. medical history wasArthritis significant for hematuria for 9 yrs but she Man Past with Rheumatoid Dialysis Patient had not undergone a renal biopsy. Physical examination was unremarkable. Her Dipesh Mark Bunker, Mary Chester Wasko,ofBarbara KrishnaMaan, Baradhi, Christopher Girgis. University Oklalaboratory evaluation revealed a serum Cr of 0.8 mg/dL, BUN 12 mg/dL, and an Clark. Allegheny Hospital, Pittsburgh, PA, USA homa, Tulsa, OK,General USA albumin 2.2 g/dL. UA showed 32 RBCs/HPF and 24 hr urine collection revealed 199 Hyponatremia in normal with Fungating 45 Spontaneous Renal workup Infarction ina a Patient Middle 3.2 gRefractory of protein. Serological was includingAged serum Female and urineon Metastatic Melanoma Oral Contraceptives (OCs) protein electrophoresis and immunofixation, and C3 and C4. Kidney biopsy showed mild interstitial and tubular atrophy and globally sclerotic of Rui Mao, Thaofibrosis P Tran, Krishna Baradhi. University Khalid Bashir, Chamberlain Obialo, Nnamdi Nwaohiri. glomeruli by LM. IFSchool revealed of mesangial and GBM deposition IgG (2+), C3 Oklahoma, School ofMedicine, Community Medicine, Tulsa, OK, Morehouse Atlanta, GA,ofUSA (3+),USA C1q (3+) and Kappa (3+). EM revealed diffuse podocyte foot process 46 Colorful Surprises: Drug Related Urine Pigmentation in effacement and numerous subendothelial and mesangial electron dense 201 Low on ‘Lytes: A aRare Outpatient Clinic, CaseEtiology Series for Proteinuria deposits. Bone marrow biopsy was negative for plasma cell dyscrasia. On follow Kirea Mazzolini, Elie Saber, Qureshi, Jaime Baynes-Fields, Al Lee,later Poorvanshi Alag, up, proteinuria was noted to decrease toJonathan 1.2 g/d Samaya a month and further Sheryl down Rajeev Baylor ofreceived Medicine, Irfan Ahmed, Sandeep Aggarwal. Drexel University College to 0.4Caberto, g/d three months later.Raghavan. Patient was continued onCollege lisinopril but no Houston, TX,Philadelphia, USA of Medicine, PA, USA immunosuppression. 204 Paradoxical Nephritis in a Patient with Crohn is a disease with poor prognosis significant variability in Disease clinical 48PGNMID Atypical HUSInterstitial in a Patient with and Inflammatory Bowel outcome. Partial or complete recovery is noted only in a minority of patients. This Disease Kelly Beers, Kevin Zarrabi, Yezina Nigatu, Lea Baer, caseChaitanya illustrates thatMishra, spontaneous remission may be a Dominick possibility in patients with Maria Santoriello, Wilfred Lieberthal. StonyJ. Thomas, Brook Medical Center, Stony normal kidney function Lawrence and minimal renal scarring at presentation. and Ron S. Weisberg. Cooper ACE-I University Brook,Zanger, NY, USA watchful waiting may be a reasonable first approach for treatment. Hospital, Camden, NJ, USA 49 P-ANCA Positive Immune Complex Glomerulonephritis 209 Role of Dialysis in Acute Toxic Associated with Levamisole UseEncephalopathy Secondary to Hyperammonemia 272 Kelly Beers, Arun Kottarathara, Wilfred Lieberthal, Rajeev Gayatri Rebecca Sevag Demirjian. The Rohatgi. Nair, Northport VA Blonsky, Medical Center, Northport, NY, UNFLAVORED SMOKELESS TOBACCO: INAPPARENT Cleveland Clinic Foundation, Cleveland, OH, USA USA CAUSE OF APPARENT MINERALOCORTICOID EXCESS 212 Massive Pneumoperitoneumasina aRare Patient On CCPD,ofTreated 52 Granulomatous Presentation John Rosales, JorgeProstatitis Lamarche, Alfredo Peguero, Craig Granwith CT Guided Needle Aspiration ulomatosis with Polyangiitis Courville, Taha Mohamed, Marina Antar-Shultz, James 1 1 1 Charles Neustein, Patricia Kachur, Izuchukwu Nwakoby. , Rafia Chaudhry , Richard Blinkhorn , Loay AnumVAH Bilal A. Haley and University of South Florida, Tampa, 1 1,2 1 Ocala Health, Ocala, FL, USA FL, Salman USA , Elvira Gosmanova . Albany Medical College, 2 213 Relapse of y/o IgA Nephropathy Following an Episode of Albany, NY, USA; Albany Stratton VA Medical Center, Patient is a 45 male with history of HTN who Rhabdomyolysis Albany,to NY, presented theUSA hospital with a serum K+ of 2.3 meq/L andThu-Cuc a CO2 of 29 Despite rigorous potassium Nguyen, Nwakoby. University of 53 Skin Rash: Ameq/L. Rare Izuchukwu Presentation of Post-Transplant Lymreplacement, hypokalemia persisted. Central Florida/Ocala Health, Ocala,Further FL, USAlaboratory phoproloferative Disorder evaluation revealed high urinary K+, low 214 Fibrillary Glomerulopathy and Renal Cellplasma Cancerrenin inSungeun a Situs Anum Bilal, Llewellyn Foulke, Suzanne Homan, andInversus low aldosterone levels in conjunction with Totalis Patient Kim, David Conti, Loay Salman, Rafia Chaudhry. Albany metabolic A diagnosis of apparent Medicalalkalosis. Center, Albany, NY, USA Dmitri Nikolaenko, Mony Fraer. University of Iowa mineralocorticoid excess (AME) was made. andThe Clinics, Iowa USA AME may 54 Hospital It Runs in Family: A City, Case IA, of Hyperkalemic Periodic occur from entities including Liddle’s syndrome, ACTH Paralysis – An Unfriendly 215 Staphylococcus Pseudintermedius producing tumor, and glycirrhizic acid (GA) Companion Rebecca Blonsky, Georges Nakhoul. The Cleveland Clinic consumption. Licorice is present in a variety of Foundation, Cleveland OH,excessive USA Dmitri Shaun Fernandes, Dilekleads Ince, to M. Lee products. ItNikolaenko, contains GA and intake Sanders. University of an Iowa, Iowa– in City, IA,Peritonitis: USA Related First 55 Peritoneal Dialysis Petadditive BITE AME. Licorice is used and as flavored Reportedtobacco Case of(FST) Rhizobium 218 Minimal Change Disease in chronic a Radiobacter Patientuse with Systemic from Lupusa smokeless and ofInfection FST Cat Bite Erythematosus: A Case Report been described. The resulting in AME have previously Benjamin Bluen, Lukasz Kiljanek, Hans Schlecht, Michelle patient consumed high amounts of unflavored Odianosen Obadan, Rula Abdulrahman, Jose Pace, Rajbir Fuentes,tobacco Kyle Krevolin, Larry University smokeless (UST)Episcopal but notKrevolin. FST thus Drexel tobacco as Chopra. Saint John’s Hospital, Far Rockaway, College ofofMedicine, PA, USA the NY, etiology AME wasPhiladelphia, initially discarded. However USA after a trial periodControl off the After UST, the patient’s HTN and K+in a 56 Anti-Thymocyte Globulin Induced Acute Injury 220 Blood Pressure Removal of Kidney Reninin Secreting normalized without antihypertensives and K Patient with Aplastic Anemia Atrophied Kidney supplements. The UST company was contacted and Univerit Chandrashekar Verma, Bassil. Eshetu Obole, Bohra, Robin Sean Shah, JasonClaude Prosek. Ohio State wasUniversity confirmed that their product contains 2% GA sity of South Florida, Tampa, FL, USA Wexner Medical Center, Columbus, OH, USA although not indicated in the ingredient label. Thus UST 57 Immune Complex Glomerulonephritis with Persistently – A Case 221 but Nonfatal Case Hypermagnesemia canA beSevere an inapparent cause of of AME. Negative ANA Assay Report

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Am J Kidney Dis. 2017;69(4):A1-A105