Differential Diagnosis of Glomerular Disease: A Systematic and Inclusive Approach

被引：29

作者：

Hebert, Lee A. ^{[1
]}

Parikh, Samir ^{[1
]}

Prosek, Jason ^{[1
]}

Nadasdy, Tibor ^{[2
]}

Rovin, Brad H. ^{[1
]}

机构：

[1] Ohio State Univ, Dept Internal Med, Wexner Med Ctr, Columbus, OH 43210 USA

[2] Ohio State Univ, Dept Pathol, Wexner Med Ctr, Columbus, OH 43210 USA

来源：

AMERICAN JOURNAL OF NEPHROLOGY | 2013年 / 38卷 / 03期

关键词：

Glomerular disease; Proteinuria; Glomerulonephritis; LUPUS-ERYTHEMATOSUS NEPHRITIS; WARFARIN-RELATED NEPHROPATHY; FOCAL SEGMENTAL GLOMERULOSCLEROSIS; TIMED URINE COLLECTIONS; BLOOD-PRESSURE CONTROL; CHRONIC KIDNEY-DISEASE; TERM-FOLLOW-UP; NEPHROTIC SYNDROME; FILTRATION-RATE; RENAL-FUNCTION;

D O I：

10.1159/000354390

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Glomerular disease is a complex and evolving topic. In evaluating a specific case it is not unusual for the clinician to ask: 'Am I missing something? Should I biopsy? When? Should I treat first, then biopsy?' This work, which is both evidence and experience based, is intended to address each of these concerns and many other issues relevant to the differential diagnosis of glomerular disease. Summary: The central approach is the use of diagnostic algorithms that are based on quantitative measures routinely obtained early in the course of the diagnostic evaluation. The algorithms are designed to be easy to navigate, systematic, and inclusive. Also provided is a detailed and prioritized list of recommended diagnostic testing, and the rationale for each test. Key Message: This work is intended to facilitate accurate diagnosis in the individual patient presenting with evidence of glomerular disease. Copyright (C) 2013 S. Karger AG, Basel

引用

页码：253 / 266

页数：14

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