Early renal biopsy in acute renal failure - Expect the unexpected
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 3
Abstract
Present study was carried out to determine the contribution of early renal biopsy in diagnosis and management of acute renal failure ARF cases suspected on clinical grounds to be other than acute tubular necrosis non ATNARF Total 37 cases fulfilled the inclusion criteria In 20 out of 37 5405 cases the clinical diagnosis was in concordance with biopsy diagnosis In 13 out of 37 3513 cases the clinical diagnosis was in discordance with biopsy diagnosis which altered the management of the patient Remaining 4 out of 37 1081 cases were not diagnosed clinically and diagnosis of ARF was totally based on renal biopsy So overall management alteration in non ATN ARF patients was 4594 17 out of 37 cases Thus early renal biopsy contributes to specific treatment and therefore the outcome of patients with non ATNARF Keywords Acute Renal failure Acute tubular necrosis Amyloidosis glomerulonephritis Multiple myeloma Vasculitis
Authors and Affiliations
Prashant G Mankar, Sunil Deshpande
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