Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome
Renal biopsy is one of the pivotal diagnostic tools used in the field of nephrology. A morphological analysis of the kidney may also be of value for the overall management of patients with diabetic nephropathy. However, the indications for renal biopsy differ considerably among nephrologists, and no...
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Online Access: | https://doi.org/10.4137/CCRep.S16312 |
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doaj-1ea09eec321d45edaca1948600839fde2020-11-25T03:16:57ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762014-01-01710.4137/CCRep.S16312Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic SyndromeTetsu Akimoto0Naoko Otani1Eri Takeshima2Osamu Saito3Eiji Kusano4Daisuke Nagata5Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.Division of Nephrology, Department of Internal Medicine, Jichi Medical University, Tochigi, Japan.Renal biopsy is one of the pivotal diagnostic tools used in the field of nephrology. A morphological analysis of the kidney may also be of value for the overall management of patients with diabetic nephropathy. However, the indications for renal biopsy differ considerably among nephrologists, and no global consensus regarding performing this procedure among diabetic patients with various renal manifestations has yet been achieved. In this report, we would like to describe our serendipitous experience with a male type 2 diabetic patient presenting with nephrotic syndrome complicated by concurrent gastric carcinoma. We also discuss several conundrums that arose in the current case, which had an impact on our diagnostic and therapeutic decisions.https://doi.org/10.4137/CCRep.S16312 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tetsu Akimoto Naoko Otani Eri Takeshima Osamu Saito Eiji Kusano Daisuke Nagata |
spellingShingle |
Tetsu Akimoto Naoko Otani Eri Takeshima Osamu Saito Eiji Kusano Daisuke Nagata Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome Clinical Medicine Insights: Case Reports |
author_facet |
Tetsu Akimoto Naoko Otani Eri Takeshima Osamu Saito Eiji Kusano Daisuke Nagata |
author_sort |
Tetsu Akimoto |
title |
Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome |
title_short |
Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome |
title_full |
Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome |
title_fullStr |
Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome |
title_full_unstemmed |
Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome |
title_sort |
do we have to perform a renal biopsy? clinical dilemmas in a case with nephrotic syndrome |
publisher |
SAGE Publishing |
series |
Clinical Medicine Insights: Case Reports |
issn |
1179-5476 |
publishDate |
2014-01-01 |
description |
Renal biopsy is one of the pivotal diagnostic tools used in the field of nephrology. A morphological analysis of the kidney may also be of value for the overall management of patients with diabetic nephropathy. However, the indications for renal biopsy differ considerably among nephrologists, and no global consensus regarding performing this procedure among diabetic patients with various renal manifestations has yet been achieved. In this report, we would like to describe our serendipitous experience with a male type 2 diabetic patient presenting with nephrotic syndrome complicated by concurrent gastric carcinoma. We also discuss several conundrums that arose in the current case, which had an impact on our diagnostic and therapeutic decisions. |
url |
https://doi.org/10.4137/CCRep.S16312 |
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