CKD Diagnosis

To make a clear diagnosis, you may be suggested to do renal biopsy. But in fact, three kinds of kidney disease does not need renal biopsy, and eight kinds of kidney patients can not do renal biopsy. In this article, let’s have a quick look

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Three Kinds of Kidney Disease Does Not Need Renal Biopsy

2018-12-19 06:48

Three Kinds of Kidney Disease Does Not Need Renal BiopsyTo make a clear diagnosis, you may be suggested to do renal biopsy. But in fact, three kinds of kidney disease does not need renal biopsy, and eight kinds of kidney patients can not do renal biopsy. In this article, let’s have a quick look.

First of all, renal biopsy has some disadvantages.

It is invasive, so you may have some risks, such as bleeding and hematoma. And for some patients, they may have massive hemorrhage to threaten life. Besides, it requires hospitalization. Then can renal biopsy be avoided?

Yes. Under these 3 conditions, the causes can be confirmed without renal biopsy.

1. Nephrotic syndrome caused by malignant tumors. After treating tumor, kidney disease will get into remission.

2. Kidney disease cased by years of diabetes. In early stage, there is microalbuminuria. And it gradually progresses into massive proteinuria.

3. Kidney damage caused by years of high blood pressure.

These 3 kinds of etiology are clear, so the doctor can treat it according to experience. In addition, renal biopsy is not suitable for these 8 types of patients:

1. Patients with obvious bleeding tendency.

2. Patients with congenital solitary kidney.

3. Patients whose has severe renal insufficiency in unilateral kidney.

4, Patients who have hematoma, tumor, cyst, abscess or infection, hydronephrosis.

5. Patients with mentally ill or unable to cooperate with operators.

6. Patients with poor blood pressure control.

7. Patients with thin renal cortex.

8. Patients with hypercoagulation and severe anemia

In many cases, renal biopsy is needed to help doctors clarify the pathology or judge the severity of the disease, such as the following 5 cases:

1. Primary nephrotic syndrome. After 8 weeks of steroid treatment, there is no effect. And then renal biopsy is needed.

2. For those with rapid renal function decline, early renal biopsy is needed to determine the pathological type of renal damage.

3. Acute nephritis syndrome. Early renal biopsy can help find the sediment morphology and degree of inflammation and immune complex deposition, which is very helpful for diagnosis and treatment.

4. When hereditary or secondary nephropathy, such as Lupus Nephritis and renal high blood pressure can not be confirmed, renal biopsy should be done, which is significant for treatment and prognosis.

5. Acute kidney failure: it is a severe condition. When clinical and laboratory examinations can not confirm its etiology, renal biopsy is needed.

Now you know when you should do renal biopsy, and when you should avoid it. For more information on kidney disease, please leave a message below or contact online doctor.

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