Spectrum of renal diseases in the elderly, above age 50
Indian J Pathol Microbiol
;
2022 Mar; 65(1): 59-64
Artigo
| IMSEAR
| ID: sea-223172
ABSTRACT
Background:
The spectrum of kidney diseases varies in the elderly population with frequent inconsistencies between clinical presentation and histopathological diagnosis. The immunofluorescence (IF) may provide additional information in such situations.Aims:
The purpose was to study the spectrum of kidney diseases in patients above 50 years undergoing renal biopsy and utility of light chain (LC) IF in the diagnosis. Settings andDesign:
This was a retrospective, crosssectional, singlecenter-based study. Material andMethods:
The clinical details, histopathological findings, and LC IF pattern in native renal biopsy of patients above 50 years were noted. StatisticalAnalysis:
Continuous variables were presented as mean ± standard deviation (SD). Categorical variables were expressed as frequencies and percentages.Results:
A total of 205 patients were included in the study. The most common clinical presentation was acute kidney injury/rapidly progressive glomerulonephritis (AKI/RPGN) (49%). Glomerular diseases (72%) were more common. Crescentic glomerulonephritis (21%) and membranous nephropathy (MN) (19%) were the most common glomerulopathy. LC restriction was observed in LC cast nephropathy (LCCN), primary amyloidosis, and LC also helped in classifying the cases of MPGN-type morphology.Conclusions:
AKI/RPGN was the most common indication for renal biopsy in patients above 50 years. Crescentic GN and MN were the frequent glomerular pathology. LC IF is a useful adjunctive tool to classify various renal diseases.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Revista:
Indian J Pathol Microbiol
Ano de publicação:
2022
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS