Saudi Journal of Kidney Diseases and Transplantation

LETTER TO THE EDITOR
Year
: 1997  |  Volume : 8  |  Issue : 2  |  Page : 157--158

Authors' Reply


PT Subramanian 
 Hemodialysis Section, King Fahd Central Hospital, P.O. Box 204, Gizan, Saudi Arabia

Correspondence Address:
P T Subramanian
Hemodialysis Section, King Fahd Central Hospital, P.O. Box 204, Gizan
Saudi Arabia




How to cite this article:
Subramanian P T. Authors' Reply.Saudi J Kidney Dis Transpl 1997;8:157-158


How to cite this URL:
Subramanian P T. Authors' Reply. Saudi J Kidney Dis Transpl [serial online] 1997 [cited 2020 Jul 12 ];8:157-158
Available from: http://www.sjkdt.org/text.asp?1997/8/2/157/39393


Full Text

I thank Dr. Subramanian for his valuable supplement information regarding the editorial entitled "History of Development of Nephrology". However, I would like to emphasize that the objective of this editorial was to highlight and summarize the different milestones concerning kidney function and its characteristics during the last three centuries, which culminated in the second half of this century with the birth of nephrology as a distinct speciality in modern medicine [1] . These distant historical events could be forgotten by current nephrologists, and are not easily found in the current books and periodical magazines in a concise fashion.

Concerning the developments which were made in the last thirty years, and after the start of clinical practice of nephrology, we noted that they are so immense, and were not mentioned in detail, because one can find them easily in the present books and magazines pertaining to nephrology. It is well known that the therapeutic application of erythropoietin started in the late 1970's [2] , and since this matter was mentioned by Dr. Subramanian, I think that we should underline the other important hormonal therapeutic applications like converting enzyme inhibitor drugs [3],[4] , urokinase [5],[6] , and the active metabolite of vitamin D [7] , all of which started in the late 1970's. The same logic is also applicable to the development of percutaneous catheterization and its application in dialysis fields, as well as the development of vascular access. I entirely agree with Dr. Subramanian about the added important information related to the history of practice of peritoneal dialysis. Concerning renal transplantation, Dr. Subramanian mentioned that "Du Voronoy of Russia (Ukraine) is credited for the first technically successful human renal transplant in April 1933". But in fact this transplanted kidney never worked, and by 1949, Du Voronoy reported a total of six such transplants, though no substantial function had occurred in any [8] . Therefore, I believe that the actual beginning of renal transplantation occurred in the mid 1950's, when two groups simultaneously restarted human kidney transplantation in Paris and Boston. The Paris series included a case reported by Hamburger in 1953 of first live related kidney transplant from a mother to her son, and the Boston activity report of a successful transplant of a kidney from one twin to another in 1954. From then on, a number of such cases were successfully transplanted in USA and Europe [9] .

References

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