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Indication for Biopsy: Nephrotic Syndrome

  • Alexander J. Howie

摘要

The nephrotic syndromeSyndromenephrotic syndrome always indicates a glomerular disorderRecurrent glomerular disorder. ExtentTubular damageacute tubular damage of tubular damageTublar damageacute tubular damage in allograft should be assessedTubular damageacute tubular damage in the nephrotic syndrome inThrombosisrenal vein thrombosis theNecrosisacute tubular damage in the nephrotic syndrome nephrotic syndrome. Severe acute tubular damageAcute tubular damagein the nephrotic syndrome mayDamageacute tubular damage beRenal allograftsevere acute vascular rejection a signRenal vein thrombosis ofSevere acute vascular rejection renal vein thrombosisRenal allograftvenous thrombosis. In adults with the nephrotic syndrome, membranous nephropathyNephropathymembranous nephropathy, segmental sclerosing disorders, and minimal change nephropathyNephropathyminimal change nephropathy are usually the commonest findings. Diabetic glomerulopathyGlomerulopathydiabetic, lupus nephritisMembranoproliferative glomerulonephritisin lupus nephritis, andNephritisnephritis, lupus amyloid often account for nearly all other biopsy specimens in adults with the nephrotic syndrome. Acute post infective glomerulonephritisGlomerulonephritisacute post infective glomerulonephritis andPost infective glomerulonephritis, acute membranoproliferative glomerulonephritisMesangiocapillary/membranoproliferative glomerulonephritis may be found, especially in developing countriesDeveloping country. In those children with the nephrotic syndrome who have a biopsy, most have either minimal change nephropathyNephropathyminimal change nephropathy or a segmental sclerosing disorder.