Renal Biopsy: Current Views and Controversies

Gault, M. H.; Muehrcke, Robert C.

doi:10.1159/000182974

Cited by 74 publications

(37 citation statements)

References 128 publications

(203 reference statements)

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“…eventually, a spe cific treatment. On the other part, the benefits obtained by a patient with small, atrophic kidneys from histologic diagnosis are doubtful, except for cases of suspected sys temic disease mainly expressed at renal level [25,26].…”

Section: Discussionmentioning

confidence: 99%

“…Candidates for a renal transplant should also probably have a primary diagnosis, given the variable rates of recurrence of primary glomerulopathies in the graft [25], Finally, patients with only moderately shrunken kidneys may profit from the diagnosis of a potentially treatable primary disease, if renal sclerosis is not massive, since partial recovery of MHT lesions has been often docu mented in the past [27][28][29],…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic IgA Nephropathy Presenting as Malignant Hypertension

et al. 1986

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Three cases are reported of idiopathic IgA nephropathy (Berger’s disease) presenting as malignant hypertension, with no data suggesting the underlying glomerulopathy, which was uncovered only after renal biopsy was performed. Comments are made on the validity of the pathological diagnosis, the possible pathogenetic sequence of the association, and on the eventual risks and benefits derived from performing renal biopsy in such patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Idiopathic IgA Nephropathy Presenting as Malignant Hypertension

et al. 1986

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“…RPGN is a usually fatal disease, the prompt and correct diagnosis of which is predicated upon a renal biopsy [28], Its management by hemodialysis, pulse methylprednisolone therapy, and plasmapheresis is essential if the patient is to have a chance of survival [29][30][31][32], If the disease develops in a patient receiving penicillamine, the drug should be with drawn promptly.…”

Section: Discussionmentioning

confidence: 99%

Rapidly Progressive Glomerulonephritis in a Patient with Rheumatoid Arthritis during Treatment with High-Dosage <i>D</i>-Penicillamine

et al. 1985

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A patient with advanced rheumatoid arthritis and severe clinical manifestations of rheumatoid vasculitis died of acute renal failure after 30 months of treatment with high-dosage D-penicillamine. She had had no signs of adverse drug reactions until the terminal illness. Although streptococcal pharyngitis was diagnosed late in her disease, penicillamine-induced immune complex glomerular damage is considered more likely than poststreptococcal glomerulonephritis, because her microscopic hematuria preceded diagnosis of pharyngitis. Postmortem examination disclosed findings suggestive of rapidly progressive glomerulonephritis of immune complex pathogenesis. The short period of microscopic hematuria and the rapidity of development of renal failure before death emphasize the need for frequent monitoring of renal function and prompt discontinuation of D-penicillamine treatment upon detection of otherwise unexplained hematuria. There is urgent need for early immunological evaluation, renal biopsy, and vigorous therapeutic measures.

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“…About 5 to 20% of percutaneous renal biopsy cases were yielded inadequate tissue for histopathology diagnosis (Wickre & Golper, 1982). Relative contraindication to percutaneous renal biopsy included previous failed attempts at percutaneous biopsy, presence of a renal aneurysm, obese or uncooperative patients, coagulopathy and kidneys that are ectopic, small or solitary (Gault & Muehrcke, 1983). In the past, the patients have undergone open renal biopsy with the associated risk for significant postoperative morbidity.…”

Section: Introductionmentioning

confidence: 99%

Gasless Laparoscopic Anatomy and Renal Biopsy of the Kidney in the Standing Mare

et al. 2014

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SUMMARY:The current study aimed to provide the topography and renal biopsy of the standing mare kidneys by laparoscopy w ithout CO 2 insufflation and to compare between the use of biopsy needle and forceps. Five clinically healthy adult nonpregnant mares weighing 250-300 Kg and aging 7-9 years were used in the current work. The gasless laparoscopic renal biopsy appeared simple, safe, reliable, minimal invasive, timesaving and economical technique. The parallel biopsy portals provided easy and accessible biopsy procedure than dorsal or ventral portals. The biopsies taken from the lateral surface were less hemorrhagic than those taken from the caudal pole. This study recommended the laparoscopic forceps because the biopsy forceps provided satisfactory and representative specimens with minimal hemorrhage than Tru-cut needle.

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Renal Biopsy: Current Views and Controversies

Cited by 74 publications

References 128 publications

Idiopathic IgA Nephropathy Presenting as Malignant Hypertension

Idiopathic IgA Nephropathy Presenting as Malignant Hypertension

Rapidly Progressive Glomerulonephritis in a Patient with Rheumatoid Arthritis during Treatment with High-Dosage <i>D</i>-Penicillamine

Gasless Laparoscopic Anatomy and Renal Biopsy of the Kidney in the Standing Mare

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