was read the article
array:20 [ "pii" => "X2013251414054679" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2014.Jun.12580" "estado" => "S300" "fechaPublicacion" => "2014-09-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2014;34:690-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 5274 "formatos" => array:3 [ "EPUB" => 289 "HTML" => 4373 "PDF" => 612 ] ] "Traduccion" => array:1 [ "en" => array:17 [ "pii" => "X0211699514054671" "issn" => "02116995" "doi" => "10.3265/Nefrologia.pre2014.Jun.12580" "estado" => "S300" "fechaPublicacion" => "2014-09-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2014;34:690-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6744 "formatos" => array:3 [ "EPUB" => 304 "HTML" => 5772 "PDF" => 668 ] ] "en" => array:8 [ "idiomaDefecto" => true "titulo" => "An atypical case of anti-GBM antibody disease with renal function deterioration from normal to end stage renal disease" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "690" "paginaFinal" => "692" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Tolga Yildirim, Dilek Ertoy-Baydar, Ercan Turkmen, Rahmi Yilmaz, Yunus Erdem" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Tolga" "apellidos" => "Yildirim" ] 1 => array:2 [ "nombre" => "Dilek" "apellidos" => "Ertoy-Baydar" ] 2 => array:2 [ "nombre" => "Ercan" "apellidos" => "Turkmen" ] 3 => array:2 [ "nombre" => "Rahmi" "apellidos" => "Yilmaz" ] 4 => array:2 [ "nombre" => "Yunus" "apellidos" => "Erdem" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251414054679" "doi" => "10.3265/Nefrologia.pre2014.Jun.12580" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054679?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054671?idApp=UINPBA000064" "url" => "/02116995/0000003400000005/v0_201502091337/X0211699514054671/v0_201502091338/en/main.assets" ] ] "itemAnterior" => array:17 [ "pii" => "X2013251414054421" "issn" => "20132514" "doi" => "10.3265/Nefrologia.pre2014.Jun.12630" "estado" => "S300" "fechaPublicacion" => "2014-09-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2014;34:688-90" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 6000 "formatos" => array:3 [ "EPUB" => 318 "HTML" => 4989 "PDF" => 693 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Efficacy of High Permeability Haemodialysis in Acute Renal Failure due to Vancomycin" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "688" "paginaFinal" => "690" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Eficacia de hemodiálisis de alta permeabilidad en el fracaso renal agudo por vancomicina" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "12630_16025_61480_en_f112630.jpg" "Alto" => 995 "Ancho" => 1377 "Tamanyo" => 225458 ] ] "descripcion" => array:1 [ "en" => "Evolution of vancomycin levels and diuresis." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan A. Martín-Navarro, Vladimir Petkov-Stoyanov, María J. Gutiérrez-Sánchez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Juan A." "apellidos" => "Martín-Navarro" ] 1 => array:2 [ "nombre" => "Vladimir" "apellidos" => "Petkov-Stoyanov" ] 2 => array:2 [ "nombre" => "María J." "apellidos" => "Gutiérrez-Sánchez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699514054424" "doi" => "10.3265/Nefrologia.pre2014.Jun.12630" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699514054424?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054421?idApp=UINPBA000064" "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054421/v0_201502091606/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "titulo" => "An atypical case of anti-GBM antibody disease with renal function deterioration from normal to end stage renal disease" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "690" "paginaFinal" => "692" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Tolga Yildirim, Dilek Ertoy-Baydar, Ercan Turkmen, Rahmi Yilmaz, Yunus Erdem" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Tolga" "apellidos" => "Yildirim" "email" => array:1 [ 0 => "tolga.yildirim@hacettepe.edu.tr" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 1 => array:3 [ "nombre" => "Dilek" "apellidos" => "Ertoy-Baydar" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] 2 => array:3 [ "nombre" => "Ercan" "apellidos" => "Turkmen" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 3 => array:3 [ "nombre" => "Rahmi" "apellidos" => "Yilmaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] 4 => array:3 [ "nombre" => "Yunus" "apellidos" => "Erdem" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => " Department of Nephrology, Faculty of Medicine. Hacettepe University, Ankara, Turkey, " "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "affa" ] 1 => array:3 [ "entidad" => " Department of Pathology, Faculty of Medicine. Hacettepe University, Ankara, Turkey, " "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "affb" ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "12580_19904_58355_en_12580_f1.jpg" "Alto" => 565 "Ancho" => 570 "Tamanyo" => 448836 ] ] "descripcion" => array:1 [ "en" => "First renal biopsy from the patient." ] ] ] "textoCompleto" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Dear Editor,</span></p><p class="elsevierStylePara">Anti-glomerular basement membrane (GBM) antibody disease accounts for 20% of all rapidly progressive glomerulonephritis.<span class="elsevierStyleSup">1</span> Occasionally it has been diagnosed in patients with normal renal functions and those patients have favorable renal prognosis. Here, we report a patient with anti-GBM antibody disease who presented with nephrotic range proteinuria, normal renal function and lack of pulmonary symptoms. Contrary to the previous data in literature; he developed end stage renal disease (ESRD) within three years despite appropriate treatment.</p><p class="elsevierStylePara">A 23-years-old non-smoker university student male patient presented with minimal bilateral edema in lower extremities that was present for two weeks. He had no gross hematuria, hemoptysis or other pulmonary symptoms. His past medical history was unremarkable. Laboratory evaluation revealed 7200mg/day proteinuria with normal renal functions (serum creatinine: 1mg/dL). Serum albumin level was 4g/dL. Urinalysis showed 3+ proteinuria with microscopic hematuria. Anti-nuclear and anti-double-stranded DNA antibodies, HIV, hepatitis B and hepatitis C serologies were negative. Complement levels were normal. Renal ultrasonography was normal. Renal biopsy was consistent with anti-GBM antibody disease with diffuse linear IgG staining along the GBM, diffuse endocapillary proliferation and cellular/fibrocellular crescent formation in 40% of glomeruli (Figure 1). Numerous glomeruli showed segmental scarring. As soon as the diagnosis was confirmed with positive anti-GBM antibody in serum, plasmapheresis and immunosuppressive treatment was started. Fourteen plasmapheresis sessions were performed until antibodies disappeared. After three days of intravenous pulse methylprednisolone treatment (500mg/day), he was maintained on oral prednisolone (started with 1mg/kg/day and tapered slowly) and monthly intravenous 750mg cyclophosphamide infusions. After twelve intravenous cyclophosphamide treatments, serum creatinine was 1.3mg/dL, albumin was 3.1g/dL and 24-h protein excretion was 4g/day. Thereafter he was maintained on low dose prednisolone (5mg/day) and azathioprine (100mg/day) combination. However under this treatment his renal functions deteriorated and a second biopsy had to be performed after 18 months when creatinine level increased to 2mg/dL and proteinuria to 6g/day. Although serum anti-GBM antibody and ANCA were negative at that time, histomorphologic examination demonstrated ongoing active disease with crescents, linear immunofluorescent staining for IgG on GBM’s and significant chronic injury (Figure 2). Pulse methylprednisolone followed by oral prednisolone, cyclosporine and mycophenolate mofetil could not prevent further deterioration of renal functions. Furthermore he suffered from a herpes-zoster infection and had to struggle with intracranial abscess caused by actinomyces. Immunosuppressive treatment was stopped and regular hemodialysis treatment was started on the 27<span class="elsevierStyleSup">th</span> month after first diagnosis.</p><p class="elsevierStylePara">This patient with anti-GBM antibody disease presented with nephrotic range proteinuria with normal renal functions. In spite of normal renal function at presentation, ESRD could not be prevented with intensive treatment.</p><p class="elsevierStylePara">The first interesting point about the patient is the clinical and laboratory data at the time of diagnosis. He had an unusual presentation with normal renal function and absence of pulmonary symptoms, and the indication of the renal biopsy was nephrotic range proteinuria. Isolated nephrotic syndrome is not a classical feature of anti-GBM antibody disease although it may occasionally accompany disturbed renal function. The cause of nephrotic syndrome in these patients may be a co-existing glomerulopathy which is membranous glomerulonephritis in most of the cases.<span class="elsevierStyleSup">2</span> Minimal change disease,<span class="elsevierStyleSup">3</span> IgA nephropathy<span class="elsevierStyleSup">4</span> or membranoproliferative glomerulonephritis<span class="elsevierStyleSup">5</span> may also be associated with anti-GBM antibody disease. There was no accompanying glomerular pathology in this patient based on light microscopic and immunofluorescence studies. Although electron microscopy could not be performed, unresponsiveness of the proteinuria to the steroid and cyclophosphamide decreases the possibility of accompanying minimal change disease.</p><p class="elsevierStylePara">Another interesting point of this case is the progressive course of the disease despite normal renal function at the beginning. It is known that prognosis of this disease is intimately dependent on the initial creatinine level.<span class="elsevierStyleSup">6</span> Patients with anti-GBM antibody disease with normal renal function at presentation uniformly showed good renal prognosis.<span class="elsevierStyleSup">7</span> This patient had progressive deterioration in renal functions despite intensive immunosuppressive treatment.</p><p class="elsevierStylePara">Unusual presentation and course in this patient is difficult to explain. Several hypotheses have been proposed for atypical presentations in anti-GBM antibody disease. The disease is classically characterized by circulating autoantibodies against non-collageneous domain of alpha-3 chain of type-IV collagen.<span class="elsevierStyleSup">8</span> It has been suggested that presence of antibodies against non-collagenous domains of alpha-1 and alpha-4 chains of type-IV collagen may result in differing presentations of anti-GBM antibody disease.<span class="elsevierStyleSup">9</span> Another possible mechanism to explain the atypical presentation of anti-GBM antibody disease is involvement by the different IgG subclasses. It was shown that anti-GBM antibody is most likely IgG1 or IgG4, and only IgG1 can activate complement.<span class="elsevierStyleSup">10</span></p><p class="elsevierStylePara">In conclusion anti-GBM antibody disease may present with normal renal functions and nephrotic range proteinuria and appropriate treatment may not prevent ESRD in these patients.</p><p class="elsevierStylePara"> </p><p class="elsevierStylePara"><span class="elsevierStyleBold">Conflict of interest</span></p><p class="elsevierStylePara"> </p><p class="elsevierStylePara">The authors declare that they have no conflicts of interest related to the contents of this article.</p><p class="elsevierStylePara"><a href="grande/12580_19904_58355_en_12580_f1.jpg" class="elsevierStyleCrossRefs"><img src="12580_19904_58355_en_12580_f1.jpg" alt="First renal biopsy from the patient."></img></a></p><p class="elsevierStylePara">Figure 1. First renal biopsy from the patient.</p><p class="elsevierStylePara"><a href="grande/12580_19904_58356_en_12580_f2.jpg" class="elsevierStyleCrossRefs"><img src="12580_19904_58356_en_12580_f2.jpg" alt="Second kidney biopsy from the patient."></img></a></p><p class="elsevierStylePara">Figure 2. Second kidney biopsy from the patient.</p>" "pdfFichero" => "P1-E574-S4714-A12580-EN.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig1" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "12580_19904_58355_en_12580_f1.jpg" "Alto" => 565 "Ancho" => 570 "Tamanyo" => 448836 ] ] "descripcion" => array:1 [ "en" => "First renal biopsy from the patient." ] ] 1 => array:8 [ "identificador" => "fig2" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "copyright" => "Elsevier España" "figura" => array:1 [ 0 => array:4 [ "imagen" => "12580_19904_58356_en_12580_f2.jpg" "Alto" => 588 "Ancho" => 568 "Tamanyo" => 547893 ] ] "descripcion" => array:1 [ "en" => "Second kidney biopsy from the patient." ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliography" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "McLeish KR, Yum MN, Luft FC. Rapidly progressive glomerulonephritis in adults: clinical and histologic correlations. Clin Nephrol 1978;10(2):43-50. <a href="http://www.ncbi.nlm.nih.gov/pubmed/699399" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Troxell ML, Saxena AB, Kambham N. Concurrent anti-glomerular basement membrane disease and membranous glomerulonephritis: a case report and literature review. Clin Nephrol 2006;66(2):120-7. <a href="http://www.ncbi.nlm.nih.gov/pubmed/16939068" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Okafor CC, Balogun RA, Bourne DT, Alhussain TO, Abdel-Rahman EM. An unusual case of anti-glomerular basement membrane disease presenting with nephrotic syndrome. Int Urol Nephrol 2011;43(4):1249-53. <a href="http://www.ncbi.nlm.nih.gov/pubmed/21086042" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Trpkov K, Abdulkareem F, Jim K, Solez K. Recurrence of anti-GBM antibody disease twelve years after transplantation associated with de novo IgA nephropathy. Clin Nephrol 1998;49(2):124-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/9524784" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Deodhar HA, Marshall RJ, Sivathondan Y, Barnes JN. Recurrence of Goodpasture's syndrome associated with mesangiocapillary glomerulonephritis. Nephrol Dial Transplant 1994;9(1):72-5. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8177481" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Levy JB, Turner AN, Rees AJ, Pusey CD. Long-term outcome of anti-glomerular basement membrane antibody disease treated with plasma exchange and immunosuppression. Ann Intern Med 2001;134(11):1033-42. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11388816" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Ang C, Savige J, Dawborn J, Miach P, Heale W, Clarke B, et al. Anti-glomerular basement membrane (GBM)-antibody-mediated disease with normal renal function. Nephrol Dial Transplant 1998;13(4):935-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/9568853" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Kalluri R, Wilson CB, Weber M, Gunwar S, Chonko AM, Neilson EG, et al. Identification of the alpha 3 chain of type IV collagen as the common autoantigen in antibasement membrane disease and Goodpasture syndrome. J Am Soc Nephrol 1995;6(4):1178-85. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8589284" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Hellmark T, Segelmark M, Unger C, Burkhardt H, Saus J, Wieslander J. Identification of a clinically relevant immunodominant region of collagen IV in Goodpasture disease. Kidney Int 1999;55(3):936-44. <a href="http://www.ncbi.nlm.nih.gov/pubmed/10027930" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => null ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:3 [ "referenciaCompleta" => "Hellmark T, Brunmark C, Trojnar J, Wieslander J. Epitope mapping of anti-glomerular basement membrane (GBM) antibodies with synthetic peptides. Clin Exp Immunol 1996;105(3):504-10. <a href="http://www.ncbi.nlm.nih.gov/pubmed/8809141" target="_blank">[Pubmed]</a>" "contribucion" => array:1 [ 0 => null ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:1 [ "itemHostRev" => array:3 [ "pii" => "S1525861013001424" "estado" => "S300" "issn" => "15258610" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000003400000005/v0_201502091605/X2013251414054679/v0_201502091606/en/main.assets" "Apartado" => array:4 [ "identificador" => "35437" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor - Brief Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/20132514/0000003400000005/v0_201502091605/X2013251414054679/v0_201502091606/en/P1-E574-S4714-A12580-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251414054679?idApp=UINPBA000064" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 4 | 0 | 4 |
2024 October | 59 | 24 | 83 |
2024 September | 57 | 22 | 79 |
2024 August | 75 | 43 | 118 |
2024 July | 56 | 30 | 86 |
2024 June | 71 | 47 | 118 |
2024 May | 85 | 34 | 119 |
2024 April | 50 | 40 | 90 |
2024 March | 48 | 19 | 67 |
2024 February | 41 | 38 | 79 |
2024 January | 33 | 30 | 63 |
2023 December | 31 | 23 | 54 |
2023 November | 47 | 30 | 77 |
2023 October | 59 | 32 | 91 |
2023 September | 83 | 22 | 105 |
2023 August | 60 | 22 | 82 |
2023 July | 54 | 26 | 80 |
2023 June | 56 | 29 | 85 |
2023 May | 57 | 31 | 88 |
2023 April | 30 | 16 | 46 |
2023 March | 46 | 18 | 64 |
2023 February | 27 | 18 | 45 |
2023 January | 52 | 27 | 79 |
2022 December | 45 | 19 | 64 |
2022 November | 43 | 31 | 74 |
2022 October | 47 | 43 | 90 |
2022 September | 38 | 32 | 70 |
2022 August | 43 | 34 | 77 |
2022 July | 29 | 37 | 66 |
2022 June | 38 | 27 | 65 |
2022 May | 42 | 26 | 68 |
2022 April | 34 | 51 | 85 |
2022 March | 46 | 44 | 90 |
2022 February | 48 | 40 | 88 |
2022 January | 55 | 29 | 84 |
2021 December | 67 | 31 | 98 |
2021 November | 52 | 48 | 100 |
2021 October | 74 | 32 | 106 |
2021 September | 53 | 47 | 100 |
2021 August | 67 | 59 | 126 |
2021 July | 49 | 47 | 96 |
2021 June | 57 | 21 | 78 |
2021 May | 79 | 41 | 120 |
2021 April | 129 | 53 | 182 |
2021 March | 92 | 32 | 124 |
2021 February | 93 | 16 | 109 |
2021 January | 61 | 14 | 75 |
2020 December | 55 | 10 | 65 |
2020 November | 37 | 11 | 48 |
2020 October | 35 | 8 | 43 |
2020 September | 46 | 11 | 57 |
2020 August | 56 | 11 | 67 |
2020 July | 84 | 11 | 95 |
2020 June | 64 | 9 | 73 |
2020 May | 65 | 15 | 80 |
2020 April | 57 | 14 | 71 |
2020 March | 89 | 15 | 104 |
2020 February | 77 | 17 | 94 |
2020 January | 70 | 17 | 87 |
2019 December | 90 | 16 | 106 |
2019 November | 89 | 28 | 117 |
2019 October | 76 | 18 | 94 |
2019 September | 107 | 20 | 127 |
2019 August | 71 | 14 | 85 |
2019 July | 61 | 21 | 82 |
2019 June | 44 | 19 | 63 |
2019 May | 40 | 14 | 54 |
2019 April | 76 | 27 | 103 |
2019 March | 42 | 23 | 65 |
2019 February | 35 | 18 | 53 |
2019 January | 56 | 18 | 74 |
2018 December | 90 | 30 | 120 |
2018 November | 110 | 20 | 130 |
2018 October | 103 | 12 | 115 |
2018 September | 83 | 9 | 92 |
2018 August | 85 | 13 | 98 |
2018 July | 45 | 15 | 60 |
2018 June | 68 | 16 | 84 |
2018 May | 55 | 12 | 67 |
2018 April | 67 | 5 | 72 |
2018 March | 60 | 10 | 70 |
2018 February | 40 | 5 | 45 |
2018 January | 57 | 8 | 65 |
2017 December | 50 | 8 | 58 |
2017 November | 51 | 8 | 59 |
2017 October | 50 | 8 | 58 |
2017 September | 53 | 4 | 57 |
2017 August | 49 | 10 | 59 |
2017 July | 38 | 12 | 50 |
2017 June | 43 | 4 | 47 |
2017 May | 47 | 8 | 55 |
2017 April | 52 | 7 | 59 |
2017 March | 34 | 50 | 84 |
2017 February | 40 | 6 | 46 |
2017 January | 50 | 5 | 55 |
2016 December | 78 | 9 | 87 |
2016 November | 81 | 5 | 86 |
2016 October | 93 | 28 | 121 |
2016 September | 107 | 7 | 114 |
2016 August | 174 | 6 | 180 |
2016 July | 179 | 8 | 187 |
2016 June | 139 | 0 | 139 |
2016 May | 119 | 0 | 119 |
2016 April | 116 | 0 | 116 |
2016 March | 97 | 0 | 97 |
2016 February | 111 | 0 | 111 |
2016 January | 94 | 0 | 94 |
2015 December | 101 | 0 | 101 |
2015 November | 97 | 0 | 97 |
2015 October | 104 | 0 | 104 |
2015 September | 77 | 0 | 77 |
2015 August | 89 | 0 | 89 |
2015 July | 97 | 0 | 97 |
2015 June | 39 | 0 | 39 |
2015 May | 53 | 0 | 53 |
2015 April | 10 | 0 | 10 |