Chronic renal failure pathophysiology

Chronic renal failure Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aarti Narayan, M.B.B.S [2]

Pathophysiology

The pathophysiologic mechanisms leading to chronic kidney disease stem from the underlying etiologies responsible for the primary renal damage. However; beyond that initial insult, a form of maladaptive systemic and renal response arises that maintains and perpetuates the existing renal disease. Broadly, 2 main mechanisms exist both related in part to the activation of the renin-angiotensin-aldosterone: hyperfiltration, and inflammation with accelerated fibrosis.