Evidence map›Paper›PMID 40738678›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Renal Hemosiderosis Associated with Mitral Regurgitation Detected by Severe Proteinuria Due to Congestion.

Seira Ozawa, Noriko Inoue, Chinatsu Komiyama, Hideomi Fujiwara, Yuki Oba, Hiroki Mizuno, Akinari Sekine, Masayuki Yamanouchi, Kiho Tanaka, Eiko Hasegawa and 6 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Seira OzawaNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Noriko InoueNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Chinatsu KomiyamaDepartment of Cardiology, Toranomon Hospital, Japan.
Hideomi FujiwaraDepartment of Cardiology, Toranomon Hospital, Japan.
Yuki ObaNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Hiroki MizunoNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Akinari SekineNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Masayuki YamanouchiNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Kiho TanakaNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Eiko HasegawaNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Tatsuya SuwabeNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Naoki SawaNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Takehiko WadaNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.
Kei KonoDepartment of Pathology, Toranomon Hospital, Japan.
Kenichi OhashiDepartment of Pathology, Toranomon Hospital, Japan.
Yoshifumi UbaraNephrology Center and the Okinaka Memorial Institute for Medical Research, Toranomon Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 53-year-old woman with an atrioventricular septal defect who had undergone 3 valvuloplasties by 7 years old underwent a kidney biopsy because of lower extremity edema and proteinuria. The glomeruli were intact; however, the proximal tubules showed marked hemosiderin deposition, which was assumed to be related to a fissure in the calcified cardiac patch. The fissure acts as a collateral blood channel from the left ventricle to the left atrium, and the resulting mitral regurgitation and backflow of blood cause turbulent flow phenomena and chronic hemolysis. After hospitalization and dietary guidance on salt reduction, the edema improved, and the proteinuria disappeared.

Indexed as

HemosiderosisKidney DiseasesMitral Valve InsufficiencyProteinuriaFemaleHumansMiddle AgedSeverity of Illness Indexatrioventricular septal defecthemolysismitral regurgitationrenal hemosiderosisrenal patch

Identifiers

PMID40738678
PMCPMC12979798

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.