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Brenner & Rector’s

THE KIDNEY

VOLUME ONE

GLENN M. CHERTOW, MD, MPH

Norman S. Coplon/Satellite Healthcare Professor of Medicine

Department of Medicine

Division of Nephrology

Stanford University School of Medicine Palo Alto, California

VALÉRIE A. LUYCKX, MBBCh, MSc

Affiliate Lecturer

Renal Division

Brigham and Women’s Hospital

Harvard Medical School Boston, Massachusetts; Institute of Biomedical Ethics and the History of Medicine University of Zürich Zürich, Switzerland

PHILIP A. MARSDEN, MD

Professor of Medicine

Elisabeth Hofmann Chair in Translational Research

Oreopoulos-Baxter Division Director of Nephrology University of Toronto Toronto, Ontario, Canada

KARL SKORECKI, MD, FRCP(C), FASN

Dean, Azrieli Faculty of Medicine

Bar-Ilan University Safed, Israel

MAARTEN W. TAAL, MBChB, MMed, MD, FCP(SA), FRCP

Department of Renal Medicine

Royal Derby Hospital Derby, United Kingdom; Centre for Kidney Research and Innovation Division of Medical Sciences and Graduate Entry Medicine School of Medicine University of Nottingham Nottingham, United Kingdom

Special Assistant to the Editors WALTER G. WASSER, MD

Attending Physician, Division of Nephrology

Mayanei HaYeshua Medical Center

Bnei Brak, Israel; Rambam Health Care Campus Haifa, Israel

Elsevier

1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899

BRENNER & RECTOR’S THE KIDNEY, ELEVENTH EDITION

Copyright © 2020 by Elsevier, Inc. All rights reserved.

Set ISBN: 978-0-323-53265-5

Volume 1 ISBN: 978-0-323-75933-5

Volume 2 ISBN: 978-0-323-75934-2

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notice

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 2016, 2012, 2008, 2004, 2000, 1996, 1991, 1986, 1981, and 1976.

Library of Congress Control Number: 2019934877

Senior Content Strategist: Nancy Anastasi Duffy

Senior Content Development Specialist: Joanie Milnes

Publishing Services Manager: Julie Eddy

Senior Project Manager: Rachel E. McMullen

Design Direction: Renee Duenow

Printed in Canada

Last digit is the print number: 9 8 7 6 5 4 3 2 1

Dedicated to

Barry M. Brenner, MD our mentor and role model, whose vision continues to challenge and inspire us and to

Joan Ryan for her patient stewardship of The Kidney through three wonderful editions

Andrew Advani, BSc, MBChB (Hons), PhD, FRCP(UK), FASN

Associate Professor of Medicine University of Toronto; St. Michael’s Hospital Toronto, Ontario, Canada

Todd Alexander, MD, PhD

Pediatric Nephrologist and Professor Department of Paediatrics University of Alberta Edmonton, Alberta, Canada

Michael Allon, MD Professor of Medicine Division of Nephrology

University of Alabama at Birmingham Birmingham, Alabama

Gerald B. Appel, MD Professor of Clinical Medicine Department of Medicine Columbia University Medical Center New York, New York

Suheir Assady, MD, PhD

Director, Department of Nephrology and Hypertension Rambam Health Care Campus Haifa, Israel

Colin Baigent, BMBCh, MA, MSc, FRCP, FFPH

Professor of Epidemiology Nuffield Department of Population Health University of Oxford Oxford, Great Britain

George L. Bakris, MD

Professor and Director American Heart Association Comprehensive Hypertension Center

Department of Medicine

University of Chicago Medicine Chicago, Illinois

Marisa Battistella, PharmD

Associate Professor

University Health Network/Leslie Dan Faculty of Pharmacy

University of Toronto, Toronto, Ontario, Canada

Contributors

Srinivasan Beddhu, MD Professor of Internal Medicine Department of Internal Medicine University of Utah School of Medicine Salt Lake City, Utah

Aminu K. Bello, MD, PhD

Assistant Professor/Nephrologist Department of Medicine University of Alberta Edmonton, Alberta, Canada

Theresa J. Berndt, MD

Assistant Professor of Medicine Division of Nephrology and Hypertension Mayo Clinic College of Medicine Rochester, Minnesota

John F. Bertram, BSc, PhD, DSc Biomedicine Discovery Institute Development and Stem Cells Program Department of Anatomy and Developmental Biology Monash University Clayton, Victoria, Australia

Vivek Bhalla, MD

Assistant Professor Medicine/Nephrology Stanford University School of Medicine Stanford, California

Daniel G. Bichet, MD Professor

Department of Medicine and Physiology University of Montreal; Nephrologist

Department of Medicine

Hôpital du Sacré-Coeur de Montréal Montréal, Québec, Canada

Boris Bikbov, MD, PhD Researcher

Department of Renal Medicine Istituto di Ricerche Farmacologiche Mario Negri IRCCS Ranica, Bergamo, Italy

Detlef Bockenhauer, MD, PhD Professor Department of Renal Medicine

University College London; Doctor Department of Nephrology

Great Ormond Street Hospital for Children London, Great Britain

Alain Bonnardeaux, MD, PhD

Full Professor Department of Medicine Université de Montréal Montréal, Québec, Canada

Josée Bouchard, MD, FRCPC

Associate Professor of Medicine Department of Nephrology

Hôpital du Sacré-Coeur de Montréal University of Montréal Montréal, Québec, Canada

Richard M. Breyer, PhD Professor

Division of Nephrology and Hypertension

Vanderbilt University School of Medicine Nashville, Tennessee

Stefan Broer, PhD

Research School of Biology

Australian National University Canberra, Australian Capital Territory, Australia

Carlo Brugnara, MD

Department of Laboratory Medicine

Boston Children’s Hospital Boston, Massachusetts

Catherine R. Butler, MD

Fellow

Department of Medicine, Division of Nephrology University of Washington Seattle, Washington

Héloise Cardinal, MD, PhD

Associate Professor, Division of Nephrology Department of Medicine Université de Montréal Montréal, Québec, Canada

Juan Jesús Carrero, Pharm, PhD Pharm, PhD Med, MBA

Professor

Department of Medical Epidemiology and Biostatistics

Karolinska Institutet Stockholm, Sweden

Daniel C. Cattran, MD Professor of Medicine

Department of Medicine

University Health Network; Senior Scientist

Toronto General Research Institute University Health Network Toronto, Ontario, Canada

Tak Mao Daniel Chan, MBBS, MD

Chief of Nephrology Department of Medicine

University of Hong Kong, Queen Mary Hospital Hong Kong, Hong Kong

Tara I. Chang, MD, MS

Associate Professor of Medicine Division of Nephrology

Stanford University Palo Alto, California

Glenn M. Chertow, MD, MPH

Norman S. Coplon/Satellite Healthcare Professor of Medicine

Department of Medicine Division of Nephrology

Stanford University School of Medicine Palo Alto, California

Andrew A. Chin, MD

Division of Nephrology

Department of Internal Medicine

University of California, Davis School of Medicine Sacramento, California

Yeoungjee Cho, MBBS(hons), FRACP, PhD Consultant Nephrologist Nephrology

Princess Alexandra Hospital; Clinical Trialist Australasian Kidney Trials Network University of Queensland Brisbane, Queensland, Australia

Michel Chonchol, MD Professor of Medicine

Division of Renal Diseases and Hypertension University of Colorado Denver Anschutz Medical Center Aurora, Colorado

Marta Christov, MD, PhD

Assistant Professor of Medicine Westchester Medical Center and New York Medical College Valhalla, New York

William L. Clapp, MD

Professor of Pathology, Director of Renal Pathology Department of Pathology, Immunology and Laboratory Medicine

University of Florida College of Medicine Gainesville, Florida

Rachel Becker Cohen, MD Institute of Pediatric Nephrology Shaare Zedek Medical Center; Hadassah-Hebrew University School of Medicine Jerusalem, Israel

Kelsey Connelly, MD Faculty of Medicine University of Manitoba Winnipeg, Manitoba, Canada

H. Terence Cook, MB BS, FRCPath Professor of Renal Pathology Department of Medicine Imperial College London, Great Britain

Josef Coresh, MD, PhD Professor Epidemiology, Medicine and Biostatistics

Johns Hopkins University; Director

G.W. Comstock Center for Public Health and Prevention Johns Hopkins Bloomberg School of Public Health Baltimore, Maryland

Ricardo Correa-Rotter, MD Head Department of Nephrology and Mineral Metabolism Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City, Mexico

Shawn E. Cowper, MD

Associate Professor of Dermatology and Pathology Department of Dermatology Yale University New Haven, Connecticut

Vivette D. D’Agati, MD Professor of Pathology

Columbia University College of Physicians and Surgeons; Director, Renal Pathology Laboratory Columbia University Medical Center New York, New York

Kevin Damman, MD, PhD Doctor Department of Cardiology University Medical Center Groningen Groningen, The Netherlands

Mogamat Razeen Davids, MBChB, FCP(SA), MMed Professor

Division of Nephrology, Department of Medicine

Stellenbosch University and Tygerberg Hospital Cape Town, South Africa

Sara Davison, BSc, MD, MSc Chief of Nephrology Department of Medicine University of Alberta Edmonton, Alberta, Canada

Aleksander Denic, MD Division of Nephrology and Hypertension Mayo Clinic Rochester, Minnesota

Bradley M. Denker, MD

Associate Professor of Medicine Department of Medicine

Harvard Medical School; Clinical Chief Renal Division

Beth Israel Deaconess Medical Center; Chief of Nephrology

Harvard Vanguard Medical Associates Boston, Massachusetts

Thomas A. Depner, BS, MD Division of Nephrology Department of Internal Medicine

University of California, Davis School of Medicine Sacramento, California

Thomas D. DuBose, Jr., MD Professor Emeritus of Medicine

Wake Forest School of Medicine Winston-Salem, North Carolina

Vinay A. Duddalwar, MD, FRCR Professor of Radiology and Urology Department of Radiology

Keck School of Medicine, University of Southern California Los Angeles, California

Kai-Uwe Eckardt, MD Professor of Medicine Director of the Medical Department, Division of Nephrology and Internal Intensive Care Medicine

Charité–Universitätsmedizin Berlin Berlin, Germany

William J. Elliott, MD, PhD Professor of Preventive Medicine, Internal Medicine and Pharmacology

Pacific Northwest University of Health Sciences; Head, Division of Pharmacology

Pacific Northwest University of Health Sciences Yakima, Washington

David H. Ellison, MD Professor Department of Internal Medicine

Division of Nephrology and Hypertension

Oregon Health & Science University

Portland, Oregon

Ronald J. Falk, MD

Nan and Hugh Cullman Eminent Professor Chair, Department of Medicine Director, UNC Kidney Center Chapel Hill, North Carolina

Robert Andrew Fenton, BSc, MSc, PhD Professor of Molecular Cell Biology Department of Biomedicine Aarhus University Aarhus, Denmark

Alessia Fornoni, MD, PhD Professor of Medicine and Chief Division of Nephrology and Hypertension University of Miami Miller School of Medicine; Director Katz Family Drug Discovery Center Miami, Florida

Benjamin S. Freedman, PhD Assistant Professor Department of Pathology (Adjunct) and Department of Medicine

Division of Nephrology, Kidney Research Institute, and Institute for Stem Cell and Regenerative Medicine University of Washington School of Medicine Seattle, Washington

Yaacov Frishberg, MD

Institute of Pediatric Nephrology

Shaare Zedek Medical Center; Hebrew University Hadassah School of Medicine Jerusalem, Israel

Jørgen Frøkiaer, MD, DMSci Department of Clinical Medicine Aarhus University Aarhus, Denmark

John W. Funder, MD, PhD, FRCP, FRACP Distinguished Scholar Hudson Institute and Monash University Clayton, Victoria, Australia

Amit X. Garg, MD Professor Division of Nephrology Department of Medicine Western University Institute for Clinical Evaluative Sciences London, Ontario, Canada

Marc Ghannoum, MD Associate Professor of Medicine

University of Montreal, Verdun Hospital Montréal, Québec, Canada

Mohammed Benghanem Gharbi, MD

Nephrology Department

Faculty of Medicine and Pharmacy of Casablanca

University Hassan II of Casablanca Casablanca, Morocco

Richard E. Gilbert, MBBS, PhD, FRACP, FACP, FRCPC

Professor

Department of Medicine

University of Toronto;

Head Division of Endocrinology

St. Michael’s Hospital Toronto, Ontario, Canada

Richard J. Glassock, MD

Emeritus Professor

Department of Medicine

Geffen School of Medicine at UCLA Los Angeles, California

Nimrit Goraya, MD

Assistant Professor

Division of Nephrology and Hypertension, Program Director

Nephrology Fellowship Program

Baylor Scott and White Health Temple, Texas

Morgan E. Grams, MD, PhD

Associate Professor

Division of Nephrology

Johns Hopkins University Baltimore, Maryland

Per Henrik Groop, MD, DMSc, FRCPE Professor Clinicum

University of Helsinki; Chief Physician

Abdominal Center Nephrology

Helsinki University Hospital Helsinki, Finland

Steven Habbous, MD

Department of Epidemiology and Biostatistics

Western University London, Ontario, Canada

Yoshio N. Hall, MD, MS

Associate Professor

Department of Medicine/Nephrology

University of Washington; Investigator

Kidney Research Institute | Medicine

University of Washington Seattle, Washington

Mitchell L. Halperin, MD, FRCPC, FRS

Emeritus Professor of Medicine

Department of Medicine/Nephrology

St. Michaels Hospital

University of Toronto Toronto, Ontario, Canada

L. Lee Hamm, MD

Senior Vice President and Dean Tulane University School of Medicine

New Orleans, Louisiana

Peter C. Harris, PhD

Professor of Medicine and Biochemistry and Molecular Biology

Division of Nephrology and Hypertension Mayo Clinic Rochester, Minnesota

Raymond C. Harris, MD

Ann and Roscoe R. Robinson Professor of Medicine Department of Medicine

Vanderbilt University School of Medicine Nashville, Tennessee

Richard Haynes, MB, BCh, MRCP(UK)

Clinical Research Fellow

Nuffield Department of Population Health University of Oxford; Honorary Consultant Nephrologist Oxford Kidney Unit

Oxford University Hospitals NHS Trust Oxford, Great Britain

Marie Josée Hébert, MD

Professor Vice-Rector of Research

Shire Chair in Nephrology, Transplantation and Renal Regeneration

Department of Medicine Université de Montréal Montréal, Québec, Canada

William G. Herrington, MA, MBBS, MD, MRCP

Associate Professor and MRC-Kidney Research UK

Professor David Kerr Clinician Scientist MRC Population Health Research Unit Nuffield Department of Population Health Oxford, Great Britain

Ewout J. Hoorn, MD, PhD

Nephrologist and Associate Professor Department of Internal Medicine, Division of Nephrology & Transplantation

Erasmus Medical Center Rotterdam, The Netherlands

Thomas H. Hostetter, MD

Professor of Medicine and Vice Chairman for Research Case Western Reserve University School of Medicine Cleveland, Ohio

Susie L. Hu, MD

Associate Professor of Medicine Medicine, Division of Kidney Disease and Hypertension

Warren Alpert Medical School of Brown University Providence, Rhode Island

Tobias B. Huber, MD Professor Department of Medicine University Medical Center Hamburg-Eppendorf Hamburg, Germany

Hossein Jadvar, MD

Associate Professor of Radiology Department of Radiology Keck School of Medicine, University of Southern California Los Angeles, California

Edgar A. Jaimes, MD Chief, Renal Service Department of Medicine Memorial Sloan Kettering Cancer Center New York, New York

Sarbjit Vanita Jassal, MD, MB, MRCP(UK), FRCPC Staff Nephrologist and Director, Geriatric Dialysis Program Division of Nephrology University Health Network; Professor of Medicine University of Toronto Toronto, Ontario, Canada

J. Charles Jennette, MD

Kenneth M. Brinkhous Distinguished Professor and Chair Department of Pathology and Laboratory Medicine School of Medicine; Chief of Pathology and Laboratory Medicine Services, UNC Hospitals; Executive Director, UNC Nephropathology Division University of North Carolina at Chapel Hill Chapel Hill, North Carolina

David W. Johnson, MBBS (Hons), PhD, DMed(Res), FRACP, FASN Director of Nephrology Department of Nephrology Princess Alexandra Hospital; Deputy Chair Australasian Kidney Trials Network Brisbane, Queensland, Australia

Kamel S. Kamel, MD, FRCP(C) St. Michael’s Hospital University of Toronto Toronto, Ontario, Canada

S. Ananth Karumanchi, MD Professor of Medicine Director, Renovascular Research Cedars-Sinai Medical Center Los Angeles, California

David Kavanagh, MD, PhD Professor of Complement Therapeutics National Renal Complement Therapeutics Centre Newcastle University Newcastle upon Tyne, Great Britain

Frieder Keller, MD, Prof. Dr. Med.

Internal Medicine

University Hospital

Ulm, Germany

Christine J. Ko, MD

Professor of Dermatology and Pathology

Yale University

New Haven, Connecticut

Harbir Singh Kohli, MD, DM Professor Department of Nephrology

Post Graduate Institute of Medical Education and Research

Chandigarh, Union Territory, India

Jay L. Koyner, MD

Associate Professor of Medicine

Department of Medicine

Section of Nephrology

University of Chicago Chicago, Illinois

Jordan Kreidberg, MD, PhD

Division of Nephrology

Boston Children’s Hospital

Harvard Medical School Boston, Massachusetts

Anoushka Krishnan, MBBS, FRACP

Department of Nephrology

Sir Charles Gairdner Hospital, Perth, Western Australia, Australia

Rajiv Kumar, MD

Ruth and Vernon Taylor Professor of Medicine, Biochemistry and Molecular Biology, Distinguished Medical Investigator, Chair Emeritus

Division of Nephrology and Hypertension

Mayo Clinic College of Medicine Rochester, Minnesota

Gabrielle Lafreniere, MD, FRCPC

Assistant Professor of Medicine

Université Laval; Geriatrician Division of Geriatrics

Centre Hospitalier Universitaire de Québec Québec, Quebec, Canada

Ngan N. Lam, MD, MSc

Doctor

Department of Medicine, Nephrology University of Alberta Edmonton, Alberta, Canada

Martin J. Landray, PhD FRCP

Professor of Medicine and Epidemiology

Clinical Trial Service Unit & Epidemiological Studies Unit

Nuffield Department of Population Health Oxford, Great Britain

Harold E. Layton, PhD Professor

Department of Mathematics

Duke University Durham, North Carolina

Timmy Lee, MD, MSPH

Associate Professor of Medicine

Department of Medicine

University of Alabama at Birmingham Birmingham, Alabama

Colin R. Lenihan, MB BCh BAO, PhD

Clinical Associate Professor

Department of Nephrology

Stanford University Palo Alto, California

Krista L. Lentine, MD, PhD Professor of Medicine

Center for Abdominal Transplantation

Saint Louis University St. Louis, Missouri

Andrew S. Levey, MD

Chief Emeritus

William B. Schwartz Division of Nephrology

Tufts Medical Center; Professor of Medicine

Dr. Gerald J. and Dorothy R. Friedman Professor Emeritus Tufts University School of Medicine Boston, Massachusetts

Adeera Levin, BSc, MD, FRCPC Professor

Department of Medicine ( Nephrology) University of British Columbia; Director

BC Provincial Renal Agency Vancouver, British Columbia, Canada

Christoph Licht, MD

Pediatric Nephrologist

Department of Paediatrics

Senior Associate Scientist

Program in Cell Biology

Research Institute

The Hospital for Sick Children

Professor

Department of Paediatrics

University of Toronto Toronto, Ontario, Canada

Bengt Lindholm, MD, PhD

Adjunct Professor

Divisions of Baxter Novum and Renal Medicine

Karolinska Institutet Stockholm, Sweden

Kathleen Liu, MD, PhD, MAS Assistant Professor

Divisions of Nephrology and Critical Care Medicine, University of California, San Francisco San Francisco, California

Valérie A. Luyckx, MBBCh, MSc

Affiliate Lecturer Renal Division

Brigham and Women’s Hospital Harvard Medical School Boston, Massachusetts; Institute of Biomedical Ethics and the History of Medicine University of Zürich Zürich, Switzerland

David A. Maddox, PhD Professor Department of Internal Medicine

University of South Dakota Sanford School of Medicine; Senior Research Scientist (WOC) Research & Development Sioux Falls VA Health Care System Sioux Falls, South Dakota

Yoshiro Maezawa, MD, PhD

Department of Clinical Cell Biology & Medicine Chiba University Graduate School of Medicine Chiba, Japan

Gary R. Matzke, BS Pharm, PharmD Professor Emeritus Pharmacotherapy and Outcomes Science School of Pharmacy, Virginia Commonwealth University Richmond, Virginia

Ivan D. Maya, MD

Associate Professor Department of Medicine University of Central Florida Orlando, Florida

Sharon E. Maynard, MD Associate Professor Department of Medicine Lehigh Valley Health Network

University of South Florida Morsani College of Medicine Allentown, Pennsylvania

James A. McCormick, MD

Associate Professor Department of Medicine Division of Nephrology and Hypertension Oregon Health and Science University Portland, Oregon

Alicia Ann McDonough, PhD Professor

Integrative Anatomical Sciences

Department of Cell and Neurobiology Keck School of Medicine, University of Southern California Los Angeles, California

John J.V. McMurray, BSc(Hons), MB ChB(Hons), MD, FESC, FACC, FAHA

British Heart Foundation Cardiovascular Research Centre University of Glasgow Glasgow, Scotland, Great Britain

Rajnish Mehrotra, MBBS, MD, MS

Section Head, Nephrology

Harborview Medical Center; Division of Nephrology University of Washington Seattle, Washington

Timothy W. Meyer, MD Professor

Department of Medicine

Stanford University Stanford, California; Staff Physician Department of Medicine

VA Palo Alto HCS Palo Alto, California

Catherine Meyer-Schwesinger, MD Professor

Institute of Cellular and Integrative Physiology University Medical Center Hamburg-Eppendorf Hamburg, Germany

Orson W. Moe, MD Professor

Department of Internal Medicine Division of Nephrology UT Southwestern Medical Center; Director

Charles and Jane Pak Center for Mineral Metabolism and Clinical Research UT Southwestern Medical Center Dallas, Texas

Karen M. Moritz, BSc, MSc, PhD

Child Health Research Centre and School of Biomedical Sciences

The University of Queensland St. Lucia, Australia

Alvin H. Moss, MD

Director

Center for Health Ethics and Law

West Virginia University; Professor of Medicine

Department of Medicine

Section of Geriatrics, Palliative Medicine and Hospice West Virginia University

Morgantown, West Virginia

David B. Mount, MD

Clinical Chief

Renal Division

Brigham and Women’s Hospital Boston, Massachusetts

Karen A. Munger, PhD

Chief, Research and Development

Sioux Falls VA Health Care System; Associate Professor of Medicine Department of Internal Medicine University of South Dakota Sioux Falls, South Dakota

Behzad Najafian, MD Associate Professor Department of Pathology University of Washington Seattle, Washington

Luis Gabriel Navar, PhD Professor and Chairman Department of Physiology

Tulane University

New Orleans, Louisiana

Robert G. Nelson, MD, PhD

Senior Investigator

Chief, Chronic Kidney Disease Section Phoenix Epidemiology and Clinical Research Branch National Institute of Diabetes and Digestive and Kidney Diseases Phoenix, Arizona

Lindsay E. Nicolle, MD Professor Emeritus

Department of Internal Medicine University of Manitoba Winnipeg, Manitoba, Canada

Sanjay K. Nigam, MD

Nancy Kaehr Chair in Research Pediatrics, Medicine and Cellular Molecular Medicine University of California, San Diego La Jolla, California

Mark Douglas Okusa, MD

Professor of Medicine, Chief, Division of Nephrology Department of Medicine University of Virginia Charlottesville, Virginia

Paul M. Palevsky, MD

Chief, Renal Section VA Pittsburgh Healthcare System; Professor of Medicine and Clinical & Translational Science

Renal-Electrolyte Division Department of Medicine University of Pittsburgh Pittsburgh, Pennsylvania

Suetonia C. Palmer, MB ChB, PhD, FRACP Doctor Department of Medicine University of Otago Christchurch Christchurch, New Zealand

Suzanne L. Palmer, MD Professor of Radiology Department of Radiology Keck School of Medicine, University of Southern California Los Angeles, California

Chirag R. Parikh, MD, PhD Director, Division of Nephrology

Ronald Peterson Professor of Medicine

Johns Hopkins School of Medicine Baltimore, Maryland

David Pearce, MD Professor Department of Medicine Division of Nephrology Department of Cellular and Molecular Pharmacology University of California San Francisco San Francisco, California

Aldo J. Peixoto, MD Professor of Medicine

Department of Internal Medicine (Nephrology)

Yale University School of Medicine; Clinical Chief, Section of Nephrology Department of Internal Medicine

Yale University School of Medicine

New Haven, Connecticut

William F. Pendergraft III, MD, PhD Assistant Professor of Medicine Division of Nephrology and Hypertension Department of Medicine University of North Carolina School of Medicine Cambridge, Massachusetts

Mark A. Perazella, MD, MS Professor of Medicine

Section of Nephrology

Yale University School of Medicine; Director, Acute Dialysis Services Yale-New Haven Hospital New Haven, Connecticut

Norberto Perico, MD

Istituto di Ricerche Farmacologiche Mario Negri IRCCS Bergamo, Italy

Martin R. Pollak, MD Division of Nephrology

Beth Israel Deaconess Medical Center Harvard Medical School Boston, Massachusetts

Didier Portilla, MD Professor Department of Medicine University of Virginia Charlottesville, Virginia

Susan E. Quaggin, MD Doctor

Feinberg Cardiovascular Research Institute Northwestern University Chicago, Illinois

Jai Radhakrishnan, MD, MS Professor of Medicine at Columbia University Medical Center

Division of Nephrology, Department of Medicine

Columbia University Medical Center; Clinical Chief Division of Nephrology

New York Presbyterian Hospital New York, New York

Rawi Ramadan, MD

Director, Medical Transplantation Unit Department of Nephrology and Hypertension Rambam Health Care Campus Haifa, Israel

Heather N. Reich, MD, CM, PhD, FRCPC Nephrologist, Clinician Scientist Department of Nephrology University Health Network; Associate Professor Gabor Zellerman Chair in Nephrology Research Department of Medicine University of Toronto Toronto, Ontario, Canada

Andrea Remuzzi, MD

Istituto di Ricerche Farmacologicke Mario Negri IRCCS Bergamo, Italy

Giuseppe Remuzzi, MD, FRCP

Istituto di Ricerche Farmacologicke Mario Negri IRCCS Bergamo, Italy; L. Sacco

Department of Biomedical and Clinical Sciences University of Milan Milan, Italy

Leonardo V. Riella, MD, PhD

Associate Physician

Brigham and Women’s Hospital; Assistant Professor of Medicine

Department of Medicine

Harvard Medical School Boston, Massachusetts

Miquel C. Riella, MD, PhD Professor of Medicine Department of Medicine

Catholic University of Parana, Brazil; Professor of Medicine Department of Medicine Evangelic School of Medicine Curitiba, Brazil

Choni Rinat III, MD Institute of Pediatric Nephrology Shaare Zedek Medical Center; Hadassah-Hebrew University School of Medicine Jerusalem, Israel

Darren M. Roberts, BPharm, MBBS, PhD, FRACP Visiting Medical Officer NSW Poisons Information Centre

Sydney Children’s Hospital Network; Staff Specialist Renal Medicine and Clinical Pharmacology and Toxicology

St Vincent’s Hospital; Conjoint Associate Professor University of New South Wales Sydney, New South Wales, Australia

Norman D. Rosenblum, MD Paediatric Nephrologist Department of Paediatrics The Hospital for Sick Children; Senior Scientist Program in Developmental and Stem Cell Biology The Hospital for Sick Children; Professor Department of Paediatrics University of Toronto Toronto, Ontario, Canada

Mitchell H. Rosner, MD Professor of Medicine Chair, Department of Medicine University of Virginia Health System Charlottesville, Virginia

Andrew D. Rule, MD Division of Nephrology and Hypertension Mayo Clinic Rochester, Minnesota

Ernesto Sabath, MD Department of Natural Sciences Universidad Autonoma de Queretaro Queretaro, Mexico

Manish K. Saha, MD

Assistant Professor of Medicine Division of Nephrology and Hypertension Department of Medicine

UNC Kidney Center

University of North Carolina, Chapel Hill Chapel Hill, North Carolina

Khashayar Sakhaee, MD

Laura Kim Pak Professor in Mineral Metabolism Research BeautiControl Cosmetics Inc.; Professor in Mineral Metabolism and Osteoporosis Chief, Division of Mineral Metabolism University of Texas, Southwestern Medical Center Dallas, Texas

Vinay Sakhuja, MD

Director of Nephrology and Transplant Medicine

Max Hospital

Mohali, Punjab, India

Alan D. Salama, MBBS, PhD, FRCP UCL Centre for Nephrology

Royal Free Hospital London, United Kingdom

Jeff M. Sands, MD

Juha P. Kokko Professor of Medicine and Physiology Medicine—Renal Division

Emory University Atlanta, Georgia

Anjali Bhatt Saxena, MD

Director of Peritoneal Dialysis Department of Internal Medicine Division of Nephrology

Santa Clara Valley Medical Center San Jose, California; Clinical Assistant Professor of Medicine Department of Internal Medicine Stanford University Stanford, California

Johannes Schlöndorff, MD Division of Nephrology

Beth Israel Deaconess Medical Center

Harvard Medical School Boston, Massachusetts

Rizaldy Paz Scott, MS, PhD

Research Assistant Professor Feinberg School of Medicine Northwestern University Chicago, Illinois

Neil Sheerin, BSc, MBBS, PhD, FRCP Professor of Nephrology Institute of Cellular Medicine

National Renal Complement Therapeutics Centre

Newcastle University

Newcastle upon Tyne, Great Britain

Prableen Singh, MD

Associate Professor of Medicine Division of Nephrology and Hypertension University of California San Diego & VA San Diego Healthcare System

San Diego, California

Karl Skorecki, MD, FRCP(C), FASN

Dean, Azrieli Faculty of Medicine

Bar-Ilan University

Safed, Israel

Itzchak N. Slotki, MD Director Division of Adult Nephrology

Shaare Zedek Medical Center; Associate Professor of Medicine

Hadassah Hebrew University of Jerusalem Jerusalem, Israel

Miroslaw J. Smogorzewski, MD, PhD

Associate Professor of Medicine Division of Nephrology Department of Medicine

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CHEMINS DE FER DE PARIS-LYON-MÉDITERRANÉE

Billets d’aller et retour collectifs

DÉLIVRÉS POUR LES

VILLES D’EAUX

DESSERVIES PAR LE RÉSEAU

P.-L.-M.

Il est délivré du 15 Mai au 15 Septembre, dans toutes les gares du réseau P.-L.-M., sous condition d’effectuer un parcours simple minimum de 150 kilomètres, aux familles d’au moins quatre personnes payant place entière et voyageant ensemble, des billets d’aller et retour collectifs de 1re , 2e et 3e classes, valables 33 jours pour les stations thermales suivantes: Aix (Aix-en-Provence), Aix-les-Bains (Aix-les-Bains, Marlioz), Baume-lesDames (Guillon), Besançon, Bollène-la-Croisière (Condorcet), BourbonLancy, Carpentras (Montbrun), Celle (Balaruc), Chambéry (Challes), Charbonnières, Clermont-Ferrand (Royat), Coudes (Saint-Neclaire), Digne, Divoune, Euzet-les-Bains, Evian-les-Bains, Genève (Champel), Grenoble (Uriage), Groisy-le-Plot-la-Caille, La Bastide-Saint-Laurent-les-Bains, Le Fayet-Saint-Gervais (Saint-Gervais-les-Bains), Lépin-Lac-d’Aiguebelette (La Bauche), Le Vigan (Cauvalat-lès-Vigan), Lons-le-Saunier, Manosque (Gréoulx), Menthon (Lac d’Annecy), Montélimar (Bondonneau), Montpellier (Brides), Pontcharra-sur-Bréda (Allevard), Pougues-les-Eaux, Rémilly (Saint-Honoré-les-Bains), Riom (Châtelguyon, Châteauneuf), Roanne (Saint-Alban), Sail-sous-Couzan, Saint-Georges-de-Commiers (La Motte), Saint-Julien-de-Cassagnas (Les Fumades), Saint-Martin-Sail-les-Bains (Sailles-Bains), Salins (Jura), Santenay, Sarrians-Montmirail, Sauve (Fonsangeles-Bains), Thonon-les-Bains, Vals-les-Bains-Labégude, Vandenesse-SaintHonoré-les-Bains, Vichy, Villefort (Bagnols).

Le prix s’obtient en ajoutant au prix de six billets simples (pour les trois premières personnes) le prix d’un billet simple pour la quatrième personne, la moitié de ce prix pour la cinquième et chacune des suivantes.

Arrêts facultatifs: Faire la demande de billets 4 jours à l’avance.

Voyages circulaires à coupons combinables

Sur le réseau P.-L.-M.

Il est délivré toute l’année, dans toutes les gares du réseau P.-L.-M., des carnets individuels ou de famille pour effectuer sur ce réseau en 1re , 2e et 3e classes, des voyages circulaires à itinéraire tracé par les voyageurs eux-mêmes, avec parcours d’au moins 300 kilomètres. Les prix de ces carnets comportent des réductions très importantes qui atteignent, pour les carnets de famille, 50 0/0 du Tarif général.

La validité de ces carnets est de 30 jours jusqu’à 1,500 kilomètres; 45 jours de 1,501 à 3,000 kilomètres; 60 jours pour plus de 3,000 kilomètres.

Faculté de prolongation, à deux reprises, de 15, 23 ou 30 jours suivant le cas, moyennant le paiement d’un supplément égal au 10 0/0 du prix total du carnet, pour chaque prolongation.

Arrêts facultatifs à toutes les gares situées sur l’itinéraire: Le délai de demande est réduit à 2 jours (dimanches et fêtes non compris) pour certaines grandes gares.

EXCURSIONS EN DAUPHINÉ

La Compagnie P.-L.-M., offre aux touristes et aux familles qui désirent se rendre dans le Dauphiné vers lequel les voyageurs se portent de plus en plus nombreux chaque année, diverses combinaisons de voyages circulaires à itinéraires fixes ou facultatifs permettant de visiter à des prix réduits, les parties les plus intéressantes de cette admirable région: La Grande Chartreuse, Les Gorges de la Bourne, Les Grands-Goulets,

Les Massifs d’Allevard et des Sept-Laux, la Route de Briançon, Les Massifs du Pelvoux, etc.

La nomenclature de ces voyages, avec prix et conditions, figure dans le Livret-Guide-Officiel P.-L.-M., qui est mis en vente au prix de 50 cent., dans les gares du réseau, ou envoyé contre 0 fr. 85 cent., en timbres-poste adressés au Service Central de l’Exploitation (Publicité), 20, boulevard Diderot, Paris (12e arr.)

C L U B C E V E

N O L

FondéàFlorac,le18Septembre1894

NOUVEAUX STATUTS

ADOPTÉS PAR L’ASSEMBLÉE GÉNÉRALE DU 13 SEPTEMBRE 1897

ET APPROUVÉS PAR ARRÊTÉ DU MINISTRE DE L’INTÉRIEUR DU 14 MAI 1898

I.—Objet de la Société—Siège Social

ARTICLE PREMIER.—Une société dite Club Cévenol est fondée entre les personnes qui adhèrent aux présents statuts. Elle a pour but de recueillir et de centraliser les renseignements sur la région des Cévennes et des Causses, d’explorer les Grottes ou Avens encore inconnus et de publier le résultat de ses recherches. Elle se propose également d’attirer l’attention des compagnies de chemins de fer, des agences de voyages et des touristes sur les sites merveilleux de la région et d’en faciliter l’accès et le séjour.

Le siège social de la Société est à Paris, 5, rue Las Cases, Hôtel du Musée Social.

II.—Composition de la Société—Ressources

ART. 2.—La société se compose:

1o De membres donateurs ayant versé une fois pour toutes une somme d’au moins deux cents francs ou payant chaque année une cotisation de dix francs au minimum;

2o De Membresàvieayant racheté leurs cotisations par un versement une fois fait de cent francs;

3o De Membreshonorairespayant une cotisation de cinq francs par an;

4o De Membres actifs, rattachés à un groupe local et payant une cotisation de deux francs par an;

5o De Membres correspondants isolés de tout groupe local et payant une cotisation annuelle de deux francs.

Les sociétaires appartenant à l’une des catégories ci-dessus et qui ont soldé la cotisation de 1894 sont considérés comme Membresfondateurs.

ART. 3.—Pour entrer dans la société, il suffit de se rattacher à un groupe local à titre de membre actif ou d’y être admis par le Comité Central à l’un des titres énumérés par l’article 2. Il faut de plus avoir versé ses cotisations dans les délais réglementaires.

Nul ne peut assister aux réunions s’il n’a été reçu membre du Club dans la forme prévue par les statuts.

Une personne mineure ne pourra entrer dans la société sans le consentement de ses parents.

ART. 4.—Toutes les cotisations sont payables d’avance en un seul versement au 1er Janvier et avant le 1er Mai de chaque année. Le produit en est intégralement remis au Comité Central qui l’emploie aux dépenses d’intérêt général: achat de matériel nécessaire aux explorations, aménagement de grottes, frais de correspondances, publications, etc.

Toutefois la moitié du versement des Membres à vie et des cotisations des Membres honoraires pourra être attribuée, sur la demande écrite de ces membres, à la caisse particulière d’un groupe.

ART. 5.—Les discussions politiques et religieuses sont interdites dans les réunions des membres du Club Cévenol.

La société devra se pourvoir d’une autorisation spéciale, pour chaque fête organisée par ses soins.

III.—Groupes locaux—Délégués des Groupes

ART. 6.—Le nombre de membres nécessaires à la fondation d’un groupe local est fixé a cinq. Tout groupe peut prendre le nom de la région dont il est chargé de défendre les intérêts.

ART 7.—Les groupes sont autonomes, mais ils doivent se conformer aux statuts et aux règlements de la Société ainsi qu’aux décisions prises par le Comité Central.

ART. 8.—Le bureau de chaque groupe se compose au moins d’un Président, d’un Secrétaire et d’un Trésorier.

Les membres de chaque groupe élisent un délégué par cinq membres pour l’élection du Comité Central.

Le bureau et les délégués sont élus tous les ans au mois de décembre.

Ils sont rééligibles.

Nul ne peut être élu membre du bureau s’il n’est Français, majeur et ne jouit de ses droits civils, civiques et politiques.

ART. 9.—Le secrétaire du groupe fait part dans la huitaine au secrétaire général des délibérations du groupe.

ART. 10.—Le trésorier du groupe réunit les sommes dues au Comité Central et les fait parvenir au trésorier général. Il remet un récépissé aux sociétaires et en adresse un double au trésorier général.

ART. 11.—Le Comité Central consulte les délégués des groupes toutes les fois qu’il le juge nécessaire.

IV.—Administration de la Société—Comité Central

ART. 12.—La direction et l’administration de la Société sont confiées à un Comité Central composé de douze membres nommés par la réunion plénière des délégués et renouvelables par tiers chaque année. Ces membres sont immédiatement rééligibles.

Ce Comité élit un Président, un Vice-Président, un Secrétaire général, deux Secrétaires et un Trésorier général. Il choisit parmi les membres du groupe de Florac un Conservateur du musée et un Conservateur du matériel.

Les Présidents de groupe font partie de droit du Comité Central: ils y sont représentés par un délégué choisi par le groupe parmi les membres du groupe de Paris; mais les délégués n’ont voix délibérative au sein du Comité Central que pour les questions qui intéressent particulièrement leur groupe.

ART. 13.—Le Comité Central institue autant de Commissions spéciales qu’il le juge nécessaire à la prospérité de la société: publications, excursions, musée, photographie et topographie, etc.

Toutes les fonctions sont gratuites.

ART. 14.—Un BulletinduClubCévenolsera envoyé gratuitement à tous les membres de la Société qui auront soldé leur cotisation.

V.—Assemblée générale—Réunion plénière des délégués

ART. 15.—Une assemblée générale sera convoquée chaque année en août ou septembre dans l’une des localités où fonctionne un groupe local. A cette assemblée, il sera donné lecture des rapports du Secrétaire général et du Trésorier général.

ART. 16.—Une réunion plénière des délégués est convoquée à cette occasion. Elle procède au renouvellement du Comité Central et prend toutes les décisions qu’exige l’intérêt social du Club Cévenol.

Le Président fera connaître à l’autorité compétente tous les changements survenus dans la composition du bureau, et chaque année lui adressera un compte-rendu sur la situation morale et financière de la société.

ART. 17.—En cas de dissolution, une assemblée générale sera convoquée au siège du Comité Central et décidera de l’emploi de l’actif social à la majorité absolue des membres votants.

Toutefois le Musée de la Société reviendra à la ville de Florac pour servir à former un Musée lui appartenant.

ART. 18.—En cas de modifications aux statuts, la société devra demander de nouveau l’autorisation prescrite par l’article 291 du Code pénal.

MÉMOIRES DU CLUB CÉVENOL

No 1 BARRE & SA SEIGNEURIE; par M. LOUIS JOURDAN, député de la Lozère; prix: 1 fr. 50.

No 2 LA SALINDRINQUE; prix: 3 fr.

No 3 VOYAGE A TRAVERS LES CÉVENNES avec un âne, par STEVENSON.

Adaptation française par M. A. MOULHARAC; prix 1 fr. 50.

Adresser les demandes à M. F. VIALA, Sociétaire du Club Cévenol, à Lasalle (Gard).

N. B. D’autres Mémoires seront bientôt mis en souscription.

CAHORS ET LE VIGAN IMP A COUESLANT —LE VIGAN

TABLE DES MATIÈRES.

Au lecteur

Cette version numérisée reproduit dans son intégralité la version originale. Les erreurs manifestes de typographie ont été corrigées.

La ponctuation a pu faire l’objet de quelques corrections mineures.

Veuillez noter que les pages du «Club Cévenol» ont été regroupées à la fin du livre.

La couverture est illustrée par un dessin de Ch. Bidard. Elle appartient au domaine public.

*** END

OF

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CÉVENNES AVEC UN ÂNE ***

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