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| ORIGINAL ARTICLE |
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| Year : 2019 |
Volume
: 30 | Issue : 3 | Page
: 628-633 |
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Pattern of renal diseases and the need for establishment of renal biopsy registry in Saudi Arabia
Mohammed Al-Homrany1, Saeed Alghamdi2, Abdullah Al-Hwiesh3, Dujanah Mousa4, Jamal Alwakeel5, Ahmad Mitwalli5, Khalid Alsaad6, Ali Alharbi7, Jameela Kari8
1 Department of Medicine, Nephrology Division, Aseer Central Hospital, Abha, Saudi Arabia
2 Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia
3 Department of Medicine, King Fahad University Hospital, Dammam, Saudi Arabia
4 Department of Nephrology, Armed Forces Hospital, Riyadh, Saudi Arabia
5 Department of Nephrology, King Khalid University Hospital, Riyadh, Saudi Arabia
6 Department of Pathology, National Guard Hospital, Riyadh, Saudi Arabia
7 Department of Medicine, Nephrology Division, Security Forces Hospital, Riyadh, Saudi Arabia
8 Department of Pediatric, King Abdulaziz Hospital, Jeddah, Saudi Arabia
Correspondence Address:
Mohammed Al-Homrany
Department of Medicine, Nephrology Division, Aseer Central Hospital, Abha
Saudi Arabia
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DOI: 10.4103/1319-2442.261335 PMID: 31249226 
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Renal disease is a common medical problem in Saudi Arabia. Varieties of renal lesions if not treated properly or not discovered early will lead to a chronic kidney disease. Identifying the types of renal lesions can help in identifying the high-risk patients and appropriate treatment can be provided. Glomerulonephritis (GN) is considered one of the leading causes of end-stage renal disease in Saudi Arabia. The prevalence of different renal lesions were identified by different reports; however, these reports showed inconsistency. One important reason for such differences is related to the lack of unified methods in diagnosing and processing renal tissues and to the fact that different reports were reported by different pathologists. In addition, the differences in the reported results may reflect patient selection biases for renal biopsy or to the different policies and protocols adopted by different nephrologists. This is a prospective, multicenter study that involves different patients from different institutes and from different regions in Saudi Arabia to delineate the pattern of renal diseases based on renal biopsies. Four hundred and five cases were selected and studied over two years. This preliminary report shows that the most common primary renal lesion in Saudi Arabia is focal segmental glomerulosclerosis in 24.1%, followed by IgA nephropathy (15.2%), mesangioproliferative non-IgA, (13.2%), and membranoproliferative GN (12.4%). Lupus nephritis was the most common cause of secondary GN in 66% of the secondary causes.
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