73 m2) were excluded. Histopathological findings in renal biopsies specimen, including global glomerulosclerosis (GGS), segmental glomerulosclerosis (SGS), CG, interstitial fibrosis / tubular atrophy (IF/TA), intimal thickening of arteries, arteriolar hyalinosis, glomerular density (GD; glomerular number per renal cortical area)
and mean glomerular volume (GV), were evaluated. These histopathological finding in HNS patients with mild (<1 g/day) and overt (≥1 g/day) proteinuria were compared with those in the biopsy specimens from kidney transplant donors (KTD) as healthy controls. Results: The GD of HNS patients with mild and overt proteinuria was significantly lower than that from KTD. Of note, the GD of HNS Temsirolimus patients with overt proteinuria was significantly lower than those of HNS patients with mild proteinuria. These differences remained significant when GGS were included in the calculation of the GD. Other histopathological parameters, including the severity of GGS, SGS, CS, IF/TA, artery and arteriole lesions did not differ between these HNS groups. Both of the GV in HNS patients with mild proteinuria and those with overt proteinuria were significantly larger than that of KTD. Conclusions: These results suggest that a low GD
is a renal histological feature of HNS patients with overt proteinuria. SJA’BANI MOCHAMMAD1,2,3,4, IRIJANTO FREDIE1, PRASANTO HERU1, BAWAZIER LUCKY AZIZA2, ZULAELA ZULAELA3, HARSOYO SAPTO1, TOMINO YASUHIKO4 1Internal
Medicine, Erastin order Faculty of Medicine, Gadjah EPZ 6438 Mada University; 2Internal Medicine, University of Indonesia, Jakarta; 3Mathematics and Natural Sciences, Gadjah Mada University; 4Juntendo University, Division of Nephrology, Faculty of Medicine, Tokyo Introduction: Soursop (guanabana /Annona muricata L.) is an exotic fruit prized for its very pleasant, sub-acid, aromatic and juicy flesh. Soursop fruit tissue is known for its acidic pH and high level of polysaccharides, polyphenolic, citric acid, secondary metabolites, with anti-inflamation, vasodilatation. The result of a case study reported that soursop juice consumption could reduce uric acid serum. This study is to determine the efficacy of soursop consumption twice 100 g/day in decreasing uric acid, urea, creatinine in sera, and blood pressure. Method: Pre and Stage 1 hypertension Kidney disease patients with high serum uric acid (≥7.9 mg/dl were asked to consume a 100 gram supplement of soursop juice a day for eight weeks, conducted before and after study design and without changing the anti-hypertensive drug. The study was followed by an evaluation of the uric acid, creatinine, urea in sera and blood pressure level every two weeks. Result: Seventeen out of twenty patients followed this study for eight weeks. The baseline serum uric acid level was 8.41 ± 0.87 mg/dl to 7.48 ± 0.50 mg/dl in eight weeks with p value <0.05. The serum Creatinine level was decreased from 1.82 ± 1.