Biopsy of small kidneys : a safe and a useful guide to potentially treatable kidney disease
Joint Authors
al-Badr, Dalal
Madda, John
al-Rashid, Wail
al-Rashid, Kamil
Salam, Husam al-Din Tawfiq
Varro, Jozsef
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 28, Issue 2 (30 Apr. 2017), pp.298-306, 9 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2017-04-30
Country of Publication
Saudi Arabia
No. of Pages
9
Main Subjects
Topics
Abstract EN
Over the past four years, all patients with unexplained rapid progression of their renal disease were subjected to kidney biopsy, despite their small size (≤9 cm), to define its etiology.
Children, pregnant women, morbidly obese patients, and those with an unstable cardiovascular state, septicemia, bleeding diathesis as well as those kidney size with size ≤6 cm were excluded from the study.
Doppler ultrasound was used to exclude renovascular/ischemic nephropathy.
The procedure was performed by an interventional radiologist using a biopsy gun technique and under ultrasound guidance.
The actual diagnosis was established in 29 cases while seven had advanced sclerosing glomerulonephritis.
Eleven cases had evidence of vasculitis, of which two were due to polyarteritis nodosa and two were due to crescentic immunoglobulin A disease.
The remaining patients had a secondary form of focal segmental glomerulosclerosis (n = 4), interstitial nephritis (n = 4), malignant nephro-angiosclerosis (n = 2), and single patient with primary hyperoxaluria, light chain cast nephropathy, amyloidosis, and thrombotic microangiopathy.
All, except eight with advanced glomerulosclerosis, had improved or became stable with specific treatment.
Our study shows that biopsy of small-sized kidneys, in patients with unexplained renal deterioration, is safe, and its diagnostic value can improve their morbidity and even mortality.
American Psychological Association (APA)
al-Rashid, Kamil& al-Rashid, Wail& al-Badr, Dalal& Varro, Jozsef& Madda, John& Salam, Husam al-Din Tawfiq. 2017. Biopsy of small kidneys : a safe and a useful guide to potentially treatable kidney disease. Saudi Journal of Kidney Diseases and Transplantation،Vol. 28, no. 2, pp.298-306.
https://search.emarefa.net/detail/BIM-761844
Modern Language Association (MLA)
al-Rashid, Kamil…[et al.]. Biopsy of small kidneys : a safe and a useful guide to potentially treatable kidney disease. Saudi Journal of Kidney Diseases and Transplantation Vol. 28, no. 2 (Mar. / Apr. 2017), pp.298-306.
https://search.emarefa.net/detail/BIM-761844
American Medical Association (AMA)
al-Rashid, Kamil& al-Rashid, Wail& al-Badr, Dalal& Varro, Jozsef& Madda, John& Salam, Husam al-Din Tawfiq. Biopsy of small kidneys : a safe and a useful guide to potentially treatable kidney disease. Saudi Journal of Kidney Diseases and Transplantation. 2017. Vol. 28, no. 2, pp.298-306.
https://search.emarefa.net/detail/BIM-761844
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 305-306
Record ID
BIM-761844