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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 1997  |  Volume : 8  |  Issue : 1  |  Page : 11-15
The Impact of Renal Biopsy in the Clinical Management of Childhood Renal Disease


Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Soud A Al-Rasheed
Department of Pediatrics, College of Medicine, King Khalid University, Riyadh
Saudi Arabia
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PMID: 18417778

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This study was carried out to determine whether renal biopsy altered patient management or expected prognosis among children with renal disease. A retrospective analysis of case records of 106 children with renal disease having adequate renal biopsies was made. The diagnosis was altered in 47.2% and therapeutic approach was changed in 33% of the patients after obtaining the renal biopsy findings. Also, the estimate of prognosis was altered in 31.1% of the cases. These results were greater for patients with steroid resistant and congenital nephrotic syndrome, acute renal failure, asymptomatic urinary abnormalities and mixed nephritic-nephrotic syndrome. Subsequent management and prognosis was least affected by the biopsy results in patients with steroid sensitive nephrotic syndrome and chronic renal failure.


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