Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome

Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome

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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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Main Authors: Tetsu Akimoto, Naoko Otani, Eri Takeshima, Osamu Saito, Eiji Kusano, Daisuke Nagata
Format: Article
Language:English
Published: SAGE Publishing 2014-01-01
Series:Clinical Medicine Insights: Case Reports
Online Access:https://doi.org/10.4137/CCRep.S16312
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spelling 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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