Study on Hematological Morphological and Biochemical Changes in Patients with Chronic Kidney Failure

Fatmah Matough (1) , Eman Enahass (1) , Hana Mohammed (1)
(1) Department of Biology, Faculty of Science, Sebha University, Sebha, Libya

Abstract

Chronic kidney failure is a worldwide health problem, affecting millions of people. It is a syndrome characterized by progressive and irreversible deterioration of renal function due to slow destruction of renal parenchyma, eventually terminating in death when sufficient numbers of nephrons have been damaged. This study was carried out to evaluate the hematological, morphological, and biochemical changes in kidney failure patients and compare them with a normal group. 100 samples were collected from Sebha Medical Centre. Complete blood counts and kidney function (urea and creatinine) were measured. The results of this study indicate that there were significantly decreased values of Hg, RBC, PCV, and RDW (p=0.0001) in chronic kidney failure patients when compared with the normal group. On the other hand, there was no significant difference in the values of MCV, MCH, MCHC, WBC, and Plt observed in kidney failure patients when compared to the normal group. In addition, the kidney failure group showed significantly increased levels of urea and creatinine p=0.0001 when compared to the normal group alone. The morphological changes of erythrocytes were observed under a light microscope. The kidney failure group showed morphological changes in the form of echinocytes, target cells, poikilocytosis, and elliptocytes. In conclusion, based on the above finding, these results indicate that the complications of chronic kidney failure may lead to hematological, morphological, and biochemical changes of erythrocytes.

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References

[1]-R.L. Bijlani. Apllied renal physiology. In: Understanding medical physiology. 3th ed . JP Brothers, New Delhi. 2004, pp. 522-23.

[2]-National Kidney Foundation. Clinical practice guidelines for chronic kidney disease-evaluation, classification, and stratification. Am J Kidney Dis 2002, 392(1): S1-266.

[3]-Kallol, B., Dwijen, D., Pranab, R., Amit, K. K., Giridhar, K., Prithwiraj, B., (2015), A Study on Hematological Profile In Patients of Chronic Renal Failure With Special Reference To Serum Iron Profile. Journal of Evidence based Medicine and Healthcare., 46, 8212-8219.

[4]-Jodie, L., Babitt, Herbert, Y., (2012), Mechanisms of Anemia in chronic kidney disease. J Am Soc Nephrol., 23, 1631–1634.

[5]-National Kidney Foundation. Clinical Practice Guidelines and Clinical Practice Recommendations for Anemia in Chronic Kidney Disease. Am J Kidney Dis 2006, 47 [Suppl 3]: S11–S145.

[6]-El Nahas, M., (2005), The global challenge of chronic kidney disease. Kidney International; 68, 2918-2929.

[7]-Eschbach, J.W., Adamson, J.W., (1985), Anemia of end stage renal disease (ESRD). Kidney Int., 28:1.

[8]-Potasman I, Better OS, (1983), The role of secondary hyperparathyroidism in the anemia of chronic renal failure., Nephron; 33, 229.

[9]-Weiss, G., (2002), Pathogenesis and treatment of anemia of chronic disease., Blood Rev., 16: 87.

[10]-Polak J.D., (2013), Morphology changes of erythrocytes of end stage renal disease patients on hemodialysis-3D image reconstruction-Preliminary report. International Conference on Hematological and Blood Disorderes.

[11]-Suresh, M., Mallikarjuna, R.N., Sharan, B., Singh, M., Hari, K.B., Shravya, k. G.,et al, (2012), Hematological changes in chronic renal failure., International Journal of Scientific and Research Publications., 9, 1-4.

[12]-Entedhar, R.S., Nawal, A.M., (2016), Biochemical Changes in Chronic Renal Failure Pre and Post Hemodialysis., Journal of Environmental Science and Engineering., 5,190-195.

[13]-Amin, N., Mahmood, R.T., Asad, M.J., Zafar, M., Raja, A.M., (2014), Evaluating Urea and Creatinine Levels in Chronic Renal Failure Pre and Post Dialysis: A Prospective Study., Journal of Cardiovascular Disease.,2, 1-4.

[14]-Aruna, G., Ambika., Devi, K. (2014), Evaluation of Thyroid Hormone Status in Chronic Renal Failure. International Journal of Pharma and Bio. Sciences5,127-133.

[15]-Jumaa, I., (2013), A Study of Some Biochemical Parameters in Blood Serum of Patients with Chronic Renal Failure., Journal of Basrah Researches392-32.

[16]-Abu-Alpha, A.K., Evaluation and treatment of anemia in chronic kidney diseases. www.turner-white.com2003.

[17]-Michael, R. J., Bertil, G., Acquired nonimmune hemolytic disorders. In: John, P., Greer, John forester, John, N. Lukens, George, M. Rodgers and Frixos Paraskevas. Wintrobe’s clinical hematology. Eleventhedition, 2004, chapter 38: 1239.

[18]-Robert, T. Means, J.r. Anemias secondary to chronic disease and systemic disorders. In: John P. Greer, John forester, John N. Lukens, George M . Rodgers, Frixos Paraskevas and Bertil Glader. Wintrobe’s clinical hematology. Eleventh edition, 2004., chapter 47: 1451-55.

[19]-Arun, S., Venkatraya, P.M., Nithyananda, C.K., Mridula, L.B.,( 2012). Haematological pattern of patients with chronic kidney disease in a tertiary care setup in South India. Journal of clinical and diagnostic research Aug 6,1003-1006.

[20]-Emmanuel, N. Dessypris, Stephen, T.S., (2004), Erythropoiesis. In: John P. Greer, John forester, John N. Lukens, George M. Rodgers, Frixos Paraskevas and Bertil Glader. Wintrobe’s clinical hematology. Eleventh edition, 2004: chapter 07: 208-12.Z.

[21]-Tsukada, K., Sekizuka ,E., Oshio, C., Minimitani, H., (2001), Direct measurement of erythrocyte deformability in diabetes mellitus with a transparent micro-channel capillary model and high-speed video camera system., Microvas Res., 61, 231-9.

Authors

Fatmah Matough
Eman Enahass
Hana Mohammed
Matough, F., Enahass, E., & Mohammed , H. (2018). Study on Hematological Morphological and Biochemical Changes in Patients with Chronic Kidney Failure. Journal of Pure & Applied Sciences , 17(1), 363-367. https://doi.org/10.51984/jopas.v17i1.127

Article Details

How to Cite

Matough, F., Enahass, E., & Mohammed , H. (2018). Study on Hematological Morphological and Biochemical Changes in Patients with Chronic Kidney Failure. Journal of Pure & Applied Sciences , 17(1), 363-367. https://doi.org/10.51984/jopas.v17i1.127

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