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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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Detalles Bibliográficos
Autores principales: Akimoto, Tetsu, Otani, Naoko, Takeshima, Eri, Saito, Osamu, Kusano, Eiji, Nagata, Daisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4125421/
https://www.ncbi.nlm.nih.gov/pubmed/25125989
http://dx.doi.org/10.4137/CCRep.S16312
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author Akimoto, Tetsu
Otani, Naoko
Takeshima, Eri
Saito, Osamu
Kusano, Eiji
Nagata, Daisuke
author_facet Akimoto, Tetsu
Otani, Naoko
Takeshima, Eri
Saito, Osamu
Kusano, Eiji
Nagata, Daisuke
author_sort Akimoto, Tetsu
collection PubMed
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.
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spelling pubmed-41254212014-08-14 Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome Akimoto, Tetsu Otani, Naoko Takeshima, Eri Saito, Osamu Kusano, Eiji Nagata, Daisuke Clin Med Insights Case Rep Case Report 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. Libertas Academica 2014-07-29 /pmc/articles/PMC4125421/ /pubmed/25125989 http://dx.doi.org/10.4137/CCRep.S16312 Text en © 2014 the author(s), publisher and licensee Libertas Academica Ltd. This is an open access article published under the Creative Commons CC-BY-NC 3.0 License.
spellingShingle Case Report
Akimoto, Tetsu
Otani, Naoko
Takeshima, Eri
Saito, Osamu
Kusano, Eiji
Nagata, Daisuke
Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome
title 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_short 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4125421/
https://www.ncbi.nlm.nih.gov/pubmed/25125989
http://dx.doi.org/10.4137/CCRep.S16312
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