[Clinico-pathological correlation-Lebanese experience]

ABSTRACT

This is a retrospective and descriptive study done at an academic hospital center. It collects data about 143 patients admitted during 10 years at the hospital, between January 1989 and December 2000, to have renal biopsy for suspicion of glomerulopathy. The glomerulonephritides most frequently present were mesangial proliferative glomerulonephritis [15%], membrano-proliferative glomerulonephritis [13%], chronic glomerulonephritis [13%], membranous glomerulonephritis [8%], proliferative focal and segmental glomerulonephritis [8%] and scleronodular focal glomerulonephritis [8%]. Pa-tients with arterial hypertension represented 89% of patients with chronic glomerulonephritis and 54% of patients with scleronodular focal glomerulonephritis. Those with heavy proteinuria represented 82? of patients with primarily membranous glomerulonephritis, 66% of patients with minimal change disease and 44% of patients with membrano-proliferalive glomerulonephritis. Those with active urinary sediment have had mostly membrano-proliferative glomerulonephritis, rapidly progressive glomerulonephritis, postinfectious glomerulonephritis and proliferative mesangial glomerulonephritis. High rates of evolution to end-stage renal disease, renal transplantation or dialysis were mostly depicted between patients with scleronodular focal glomerulonephritis [91% of cases], chronic [89% of cases] and ntembrano-proliferative [72% of cases] glomerulonephritis