When would you consider a kidney biopsy in a patient with longstanding diabetes and hypertension (baseline creatinine 4-5, 4+ proteinuria) who was recently found to have dsDNA positivity?
Answer from: at Academic Institution
Only if something changed clinically, urine protein abrupt increase, hematuria microscopic, increase in trajectory of creatinine, or symptoms suggestive of SLE.
I feel bad when I biopsy a diabetic only to find diabetic nephropathy, but if you never find diabetic nephropathy, you aren't doing ...
Comments
at Uniformed Services University of the Health Sciences (USUHS) Thanks, @Roger Rodby. In situations such as this, ...
at Baptist Health Hardin Thanks, Dr. @Rodby’s answer and Dr. @Thomas&...
at Rush Medical College Sorry, but that depends 100% on the lesion, Class ...
at Uniformed Services University of the Health Sciences (USUHS) Agree with Dr. @Roger Rodby; however, I can genera...
at Duke University Medical Center Would also add that just given the patient's age (...
Thanks, @Roger Rodby. In situations such as this, ...
Thanks, Dr. @Rodby’s answer and Dr. @Thomas&...
Sorry, but that depends 100% on the lesion, Class ...
Agree with Dr. @Roger Rodby; however, I can genera...
Would also add that just given the patient's age (...