Do We Have to Perform a Renal Biopsy? Clinical Dilemmas in a Case with Nephrotic Syndrome

Overview

Journal Clin Med Insights Case Rep

Publisher Sage Publications

Specialty General Medicine

Date 2014 Aug 16

PMID 25125989

Citations 4

Authors

Tetsu Akimoto

Naoko Otani

Eri Takeshima

Osamu Saito

Eiji Kusano

Daisuke Nagata

Affiliations

Soon will be listed here.

Abstract

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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