When do you perform a kidney biopsy in a patient with AKI that is thought to be related to an immune checkpoint inhibitor?
Do you wait to monitor response to empiric corticosteroids before pursuing a kidney biopsy?
Answer from: Medical Oncologist at Community Practice
I would wait for the response to corticosteroid therapy before the renal biopsy.
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Answer from: at Academic Institution
The kidney biopsy offers both diagnostic and prognostic information so I personally pursue the renal biopsy unless there is a compelling reason not to (i.e. coagulopathy). Although ATIN is the most common lesion found on renal bx performed for the evaluation of CPI-AKI, other actionable renal diseas...