Hypertensive nephropathy other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Renal biopsy is the gold standard of diagnosis [[hypertensive nephropathy]], but it is rarely used in hypertensive patients. | Renal biopsy is the gold standard of diagnosis [[hypertensive nephropathy]], but it is rarely used in hypertensive patients.<ref name="pmid12728683">{{cite journal| author=Tylicki L, Rutkowski B| title=[Hypertensive nephropathy: pathogenesis, diagnosis and treatment]. | journal=Pol Merkur Lekarski | year= 2003 | volume= 14 | issue= 80 | pages= 168-73 | pmid=12728683 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12728683 }} </ref> | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
*Renal biopsy is helpful in the diagnosis of [[hypertensive nephropathy]]. Findings suggestive of [[hypertensive nephropathy]] include: | *Renal biopsy is helpful in the diagnosis of [[hypertensive nephropathy]] <ref name="pmid12728683">{{cite journal| author=Tylicki L, Rutkowski B| title=[Hypertensive nephropathy: pathogenesis, diagnosis and treatment]. | journal=Pol Merkur Lekarski | year= 2003 | volume= 14 | issue= 80 | pages= 168-73 | pmid=12728683 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12728683 }} </ref>. Findings suggestive of [[hypertensive nephropathy]] include<ref name="SecciaCaroccia2017">{{cite journal|last1=Seccia|first1=Teresa M.|last2=Caroccia|first2=Brasilina|last3=Calò|first3=Lorenzo A.|title=Hypertensive nephropathy. Moving from classic to emerging pathogenetic mechanisms|journal=Journal of Hypertension|volume=35|issue=2|year=2017|pages=205–212|issn=0263-6352|doi=10.1097/HJH.0000000000001170}}</ref>: | ||
**Intimal thickening of arterioles | **Intimal thickening of arterioles | ||
**[[Hyaline arteriosclerosis]] | **[[Hyaline arteriosclerosis]] | ||
Revision as of 23:29, 18 June 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Nasrin Nikravangolsefid, MD-MPH [2]
Overview
Renal biopsy is the gold standard of diagnosis hypertensive nephropathy, but it is rarely used in hypertensive patients.[1]
Other Diagnostic Studies
- Renal biopsy is helpful in the diagnosis of hypertensive nephropathy [1]. Findings suggestive of hypertensive nephropathy include[2]:
- Intimal thickening of arterioles
- Hyaline arteriosclerosis
- Arteriolar narrowing
- Glomerular tuft destruction
- Global Glomerulosclerosis
- Focal segmental glomerulosclerosis (FSGS)
- Tubulointerstitial fibrosis
Figure 1. Fibrous intimal thickening in hypertensive nephropathy
Figure 2. Global glomerular collapse and filling of Bowman’s space with a lightly staining collagenous material
References
- ↑ 1.0 1.1 Tylicki L, Rutkowski B (2003). "[Hypertensive nephropathy: pathogenesis, diagnosis and treatment]". Pol Merkur Lekarski. 14 (80): 168–73. PMID 12728683.
- ↑ Seccia, Teresa M.; Caroccia, Brasilina; Calò, Lorenzo A. (2017). "Hypertensive nephropathy. Moving from classic to emerging pathogenetic mechanisms". Journal of Hypertension. 35 (2): 205–212. doi:10.1097/HJH.0000000000001170. ISSN 0263-6352.