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Must renal biopsy be performed in patients with nephrotic syndrome?

Renal biopsy is the abbreviation of renal biopsy. It is an important means to obtain pathological specimen of kidney, and is an important basis for the diagnosis of kidney disease, selection of treatment options and prognosis. So, must rena...

Must renal biopsy be performed in patients with nephrotic syndrome?

Oct 24, 2017 by Kidney Disease Expert

Renal biopsy is the abbreviation of renal biopsy. It is an important means to obtain pathological specimen of kidney, and is an important basis for the diagnosis of kidney disease, selection of treatment options and prognosis. So, must renal biopsy be performed in patients with nephrotic syndrome? Not really. Some can do renal biopsy, and some can't do renal biopsy. Here's a detailed introduction.
As long as there is no contraindication (such as obvious bleeding tendency, severe hypertension, psychosis or not fit, solitary kidney or small kidney), the patients with nephrotic syndrome are suitable for renal biopsy. But children patients, 80% pathological type is MCNS, hormone therapy is sensitive, clinically often directly by hormone treatment, and most can be cured, as these patients can not do renal biopsy. However, if children are not sensitive to the hormone or atypical or frequent relapse of the clinical symptoms, renal biopsy is required before starting treatment with cyclophosphamide or cyclosporine. For adults, primary nephrotic syndrome requires renal biopsy. However, for definite secondary causes, renal biopsy is not available.
Must renal biopsy be performed in patients with nephrotic syndrome? Through the introduction of the above content, I believe that you all have a certain understanding. Patients with nephrotic syndrome do not have to have renal biopsy, and patients should determine renal biopsy according to their own conditions.

Must renal biopsy be performed in patients with nephrotic syndrome
Must renal biopsy be performed in patients with nephrotic syndrome

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