Chronic renal failure causes: Difference between revisions

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==Causes of Chronic Kidney Disease==
==Causes of Chronic Kidney Disease==
According to the National Kidney Foundation the 2 most important causes of CKD are diabetes and hypertension accounting for more than one third of all cases often indicating early detection strategies. Beyond diabetes and hypertension other causes like glomerulonephritis, inherited disorders, chronic infections, and urinary tract obstruction account for most of  the remaining cases.<ref name="pmid12859163‎">{{cite journal| author=Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW et al.| title=National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. | journal=Ann Intern Med | year= 2003 | volume= 139 | issue= 2 | pages= 137-47 | pmid=12859163‎ | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12859163 }} </ref> Following the 2013 US Renal Data System report, a detailed calculation of the most common etiologies of ESRD in the United States adjusted for age, race and gender is shown below:<ref>U.S. Renal Data System, [http://www.usrds.org/adr.aspx|USRDS 2013 Annual Data Report: Atlas of Chronic Kidney Disease and End-Stage Renal Disease in the United States], National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2013.</ref>
* According to the National Kidney Foundation the 2 most important causes of CKD are [[diabetes]] and [[hypertension]] accounting for more than one third of all cases often indicating early detection strategies.  
 
* Beyond diabetes and hypertension other causes like [[glomerulonephritis]], inherited disorders, chronic [[Infection|infections]], and [[Obstructive uropathy|urinary tract obstruction]] account for most of  the remaining cases.<ref name="pmid12859163‎">{{cite journal| author=Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW et al.| title=National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. | journal=Ann Intern Med | year= 2003 | volume= 139 | issue= 2 | pages= 137-47 | pmid=12859163‎ | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12859163 }} </ref>  
[[Image:CKD_stats.png|600px|center]]


===Common Causes===
===Common Causes===
Line 66: Line 65:


===Causes by Organ System===
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
{| style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
| style="width:25%" bgcolor="LightSteelBlue" ; border="1" |'''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Amyloidosis]],  [[Essential hypertension]],  [[Hypertension]],  [[Hypertensive nephrosclerosis]],  [[Hypotension]],  [[Intraglomerular hypertension]],  [[Malignant hypertension]],  [[Renal artery stenosis]],  [[Renal vein thrombosis]],  [[Scleroderma]],  [[Systemic hypertension]],  [[Thrombotic thrombocytopenic purpura]],  [[Vasculitis]],  [[Wegener's granulomatosis]]
| style="width:75%" bgcolor="Beige" ; border="1" | [[Amyloidosis]],  [[Essential hypertension]],  [[Hypertension]],  [[Hypertensive nephrosclerosis]],  [[Hypotension]],  [[Intraglomerular hypertension]],  [[Malignant hypertension]],  [[Renal artery stenosis]],  [[Renal vein thrombosis]],  [[Scleroderma]],  [[Systemic hypertension]],  [[Thrombotic thrombocytopenic purpura]],  [[Vasculitis]],  [[Wegener's granulomatosis]]
|-
|-
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
| bgcolor="LightSteelBlue" | '''Chemical/Poisoning'''
|bgcolor="Beige"| [[Bismuth]],  [[Carbon tetrachloride]],  [[Lead]],  [[Lithium]],  [[Pamidronate]],  [[Radiocontrast agents]]
| bgcolor="Beige" | [[Bismuth]],  [[Carbon tetrachloride]],  [[Lead]],  [[Lithium]],  [[Pamidronate]],  [[Radiocontrast agents]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Dental'''
| '''Dental'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| [[Scleroderma]]
| bgcolor="Beige" | [[Scleroderma]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Ace inhibitors]],  [[Acetominophen]],  [[Acyclovir]],  [[Allopurinol]],  [[Aminoglycosides]],  [[Amphotericin b]],  [[Angiotensin-converting enzyme inhibitors]],  [[Anticoagulants]],  [[Aspirin]],  [[Bevacizumab]],  [[Carboplatin]],  [[Carmustine]],  [[Cefoxitin ]],  [[Chloroquine]],  [[Cimetidine]],  [[Cisplatin]],  [[Cyclosporine]],  [[Diflunisal]],  [[Erythromycin]],  [[Febuxostat]],  [[Ferumoxytol]],  [[Flucytosine]],  [[Foscarnet]],  [[Furosemide]],  [[Gadopentetate]],  [[Gentamicin]],  [[Hydroxychloroquine]],  [[Ifosfamide]],  [[Infliximab]],  [[Isoniazid]],  [[Laxatives]],  [[Lithium]],  [[Lomustine]],  [[Mesalamine]],  [[Methicillin]],  [[Mitomycin c]],  [[Nitrosourea]],  [[Nsaids]],  [[Penicillin]],  [[Pentamidine]],  [[Phenytoin]],  [[Propylthiouracil]],  [[Protease inhibitors]],  [[Quinine]],  [[Rifampicin]],  [[Saxagliptin]],  [[Sulfa-containing antibiotics]],  [[Sulfonamides]],  [[Sulindac]],  [[Tacrolimus]],  [[Thiazides]],  [[Tizanidine]],  [[Trimethoprim ]],  [[Vancomycin]]
| bgcolor="Beige" | [[Ace inhibitors]],  [[Acetominophen]],  [[Acyclovir]],  [[Allopurinol]],  [[Aminoglycosides]],  [[Amphotericin b]],  [[Angiotensin-converting enzyme inhibitors]],  [[Anticoagulants]],  [[Aspirin]],  [[Bevacizumab]],  [[Carboplatin]],  [[Carmustine]],  [[Cefoxitin ]] ,  [[Chloroquine]],  [[Cimetidine]],  [[Cisplatin]],  [[Cyclosporine]],  [[Diflunisal]],  [[Erythromycin]],  [[Febuxostat]],  [[Ferumoxytol]],  [[Flucytosine]],  [[Foscarnet]],  [[Furosemide]],  [[Gadopentetate]],  [[Gentamicin]],  [[Hydroxychloroquine]],  [[Ifosfamide]],  [[Infliximab]],  [[Isoniazid]],  [[Laxatives]],  [[Lithium]],  [[Lomustine]],  [[Mesalamine]],  [[Methicillin]],  [[Mitomycin c]],  [[Nitrosourea]],  [[Nsaids]],  [[Penicillin]],  [[Pentamidine]],  [[Phenytoin]],  [[Propylthiouracil]],  [[Protease inhibitors]],  [[Quinine]],  [[Rifampicin]],  [[Saxagliptin]],  [[Sulfa-containing antibiotics]],  [[Sulfonamides]],  [[Sulindac]],  [[Tacrolimus]],  [[Thiazides]],  [[Tizanidine]],  [[Trimethoprim ]] ,  [[Vancomycin]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| [[Amyloidosis]],  [[Hyperoxaluria, primary type 1]],  [[Hyperoxaluria, primary type 2]],  [[Hyperoxaluria, primary type 3]],  [[Hyperoxaluria]]
| bgcolor="Beige" | [[Amyloidosis]],  [[Hyperoxaluria, primary type 1]],  [[Hyperoxaluria, primary type 2]],  [[Hyperoxaluria, primary type 3]],  [[Hyperoxaluria]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Glycogenosis type 1b]],  [[Tubulointerstitial disease]]
| bgcolor="Beige" | [[Glycogenosis type 1b]],  [[Tubulointerstitial disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"| [[Acute intermittent porphyria ]],  [[Adenine phosphoribosyltransferase deficiency]],  [[Alport's syndrome]],  [[Alström syndrome]],  [[Barakat syndrome]],  [[Bardet-biedl syndrome]],  [[Dent disease]],  [[Denys-drash syndrome]],  [[Fabry's disease]],  [[Finnish congenital nephrotic syndrome]],  [[Frasier syndrome]],  [[Galloway-mowat syndrome]],  [[Hereditary nephritides]],  [[Hereditary onycho-osteodysplasia]],  [[Interferons]],  [[Jeune thoracic dystrophy syndrome]],  [[Lesch-nyhan syndrome]],  [[Loken senior syndrome]],  [[Lowe syndrome]],  [[Mainzer-saldino disease]],  [[Papillorenal syndrome]],  [[Recurrent hereditary polyserositis]],  [[Sensenbrenner syndrome]],  [[Townes-brocks syndrome]],  [[X-linked hypophosphataemia]],  [[X-linked recessive nephrolithiasis type 1]]
| bgcolor="Beige" | [[Acute intermittent porphyria ]] ,  [[Adenine phosphoribosyltransferase deficiency]],  [[Alport's syndrome]],  [[Alström syndrome]],  [[Barakat syndrome]],  [[Bardet-biedl syndrome]],  [[Dent disease]],  [[Denys-drash syndrome]],  [[Fabry's disease]],  [[Finnish congenital nephrotic syndrome]],  [[Frasier syndrome]],  [[Galloway-mowat syndrome]],  [[Hereditary nephritides]],  [[Hereditary onycho-osteodysplasia]],  [[Interferons]],  [[Jeune thoracic dystrophy syndrome]],  [[Lesch-nyhan syndrome]],  [[Loken senior syndrome]],  [[Lowe syndrome]],  [[Mainzer-saldino disease]],  [[Papillorenal syndrome]],  [[Recurrent hereditary polyserositis]],  [[Sensenbrenner syndrome]],  [[Townes-brocks syndrome]],  [[X-linked hypophosphataemia]],  [[X-linked recessive nephrolithiasis type 1]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| [[Hemolytic uremic syndrome]],  [[Hyperlipidemia]],  [[Hypovolemia]],  [[Interferons]],  [[Light chain disease]],  [[Normocytic normochromic anemia]],  [[Sickle cell disease]]
| bgcolor="Beige" | [[Hemolytic uremic syndrome]],  [[Hyperlipidemia]],  [[Hypovolemia]],  [[Interferons]],  [[Light chain disease]],  [[Normocytic normochromic anemia]],  [[Sickle cell disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Cystinosis]],  [[Dioctophyma renale]],  [[Schistosoma haematobium]],  [[Sepsis]]
| bgcolor="Beige" | [[Cystinosis]],  [[Dioctophyma renale]],  [[Schistosoma haematobium]],  [[Sepsis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Action myoclonus]]
| bgcolor="Beige" | [[Action myoclonus]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| [[Action myoclonus ]],  [[Lesch-nyhan syndrome]]
| bgcolor="Beige" | [[Action myoclonus ]] ,  [[Lesch-nyhan syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| [[Acute intermittent porphyria ]],  [[Adenine phosphoribosyltransferase deficiency]],  [[Diabetes mellitus type 1]],  [[Diabetes mellitus type 2]],  [[Diabetic nephropathy]],  [[Lecithin cholesterol acyltransferase deficiency]],  [[Metabolic acidosis]],  [[Oxalosis]]
| bgcolor="Beige" | [[Acute intermittent porphyria ]] ,  [[Adenine phosphoribosyltransferase deficiency]],  [[Diabetes mellitus type 1]],  [[Diabetes mellitus type 2]],  [[Diabetic nephropathy]],  [[Lecithin cholesterol acyltransferase deficiency]],  [[Metabolic acidosis]],  [[Oxalosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Hereditary onycho-osteodysplasia]],  [[Metastatic prostate cancer]],  [[Multiple myeloma]],  [[Prostate cancer]],  [[Renal cell carcinoma]]
| bgcolor="Beige" | [[Hereditary onycho-osteodysplasia]],  [[Metastatic prostate cancer]],  [[Multiple myeloma]],  [[Prostate cancer]],  [[Renal cell carcinoma]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Ophthalmologic'''
| '''Ophthalmologic'''
|bgcolor="Beige"| [[Lecithin cholesterol acyltransferase deficiency]],  [[Loken senior syndrome]]
| bgcolor="Beige" | [[Lecithin cholesterol acyltransferase deficiency]],  [[Loken senior syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
| '''Overdose/Toxicity'''
|bgcolor="Beige"| [[Cocaine]]
| bgcolor="Beige" | [[Cocaine]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| [[Granulomatosis with polyangiitis]]
| bgcolor="Beige" | [[Granulomatosis with polyangiitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
| '''Renal/Electrolyte'''
|bgcolor="Beige"| [[Alport's syndrome]],  [[Balkan endemic nephropathy]],  [[Barakat syndrome]],  [[Chronic glomerulonephritis]],  [[Chronic pyelonephritis]],  [[Congenital nephrotic syndrome]],  [[Dense deposit disease]],  [[Dent disease]],  [[Denys-drash syndrome]],  [[Diabetic nephropathy]],  [[Dioctophyma renale]],  [[Familial juvenile hyperuricemic nephropathy]],  [[Fibronectin glomerulopathy]],  [[Finnish congenital nephrotic syndrome]],  [[Focal segmental glomerulosclerosis]],  [[Glomerular hypertrophy]],  [[Glomerulocystic kidney disease]],  [[Glomerulonephritis]],  [[Glomerulosclerosis]],  [[Goodpasture’s syndrome]],  [[Granulomatosis with polyangiitis]],  [[Hereditary nephritides]],  [[Hydronephrosis]],  [[Hyperkalemia]],  [[Hyperoxaluria, primary type 1]],  [[Hyperoxaluria, primary type 2]],  [[Hyperoxaluria, primary type 3]],  [[Hyperoxaluria]],  [[Hypertensive nephrosclerosis]],  [[Hyperuricemic nephropathy, familial juvenile type 1]],  [[Hyperuricemic nephropathy, familial juvenile type 2]],  [[Idiopathic membranous nephropathy]],  [[Idiopathic multicentric osteolysis]],  [[Iga nephropathy]],  [[Interstitial nephritis]],  [[Intraglomerular hypertension]],  [[Light chain disease]],  [[Medullary cystic kidney disease]],  [[Medullary cystic renal disease]],  [[Medullary sponge kidney]],  [[Membranoproliferative glomerulonephritis]],  [[Membranous nephritis]],  [[Nephritic syndrome]],  [[Nephrolithiasis]],  [[Nephrosclerosis]],  [[Nephrotic syndrome]],  [[Normocytic normochromic anemia]],  [[Obstructive nephropathy]],  [[Obstructive uropathy]],  [[Oxalosis]],  [[Papillorenal syndrome]],  [[Polycystic kidney disease]],  [[Proteinuria]],  [[Pyelonephritis]],  [[Reflux nephropathy]],  [[Renal artery stenosis]],  [[Renal cell carcinoma]],  [[Renal tubular acidosis]],  [[Renal vein thrombosis]],  [[Systemic sclerosis]],  [[Urinary tract obstruction]],  [[Vesicoureteral reflux]],  [[Xanthogranulomatous pyelonephritis]]
| bgcolor="Beige" | [[Alport's syndrome]],  [[Balkan endemic nephropathy]],  [[Barakat syndrome]],  [[Chronic glomerulonephritis]],  [[Chronic pyelonephritis]],  [[Congenital nephrotic syndrome]],  [[Dense deposit disease]],  [[Dent disease]],  [[Denys-drash syndrome]],  [[Diabetic nephropathy]],  [[Dioctophyma renale]],  [[Familial juvenile hyperuricemic nephropathy]],  [[Fibronectin glomerulopathy]],  [[Finnish congenital nephrotic syndrome]],  [[Focal segmental glomerulosclerosis]],  [[Glomerular hypertrophy]],  [[Glomerulocystic kidney disease]],  [[Glomerulonephritis]],  [[Glomerulosclerosis]],  [[Goodpasture’s syndrome]],  [[Granulomatosis with polyangiitis]],  [[Hereditary nephritides]],  [[Hydronephrosis]],  [[Hyperkalemia]],  [[Hyperoxaluria, primary type 1]],  [[Hyperoxaluria, primary type 2]],  [[Hyperoxaluria, primary type 3]],  [[Hyperoxaluria]],  [[Hypertensive nephrosclerosis]],  [[Hyperuricemic nephropathy, familial juvenile type 1]],  [[Hyperuricemic nephropathy, familial juvenile type 2]],  [[Idiopathic membranous nephropathy]],  [[Idiopathic multicentric osteolysis]],  [[Iga nephropathy]],  [[Interstitial nephritis]],  [[Intraglomerular hypertension]],  [[Light chain disease]],  [[Medullary cystic kidney disease]],  [[Medullary cystic renal disease]],  [[Medullary sponge kidney]],  [[Membranoproliferative glomerulonephritis]],  [[Membranous nephritis]],  [[Nephritic syndrome]],  [[Nephrolithiasis]],  [[Nephrosclerosis]],  [[Nephrotic syndrome]],  [[Normocytic normochromic anemia]],  [[Obstructive nephropathy]],  [[Obstructive uropathy]],  [[Oxalosis]],  [[Papillorenal syndrome]],  [[Polycystic kidney disease]],  [[Proteinuria]],  [[Pyelonephritis]],  [[Reflux nephropathy]],  [[Renal artery stenosis]],  [[Renal cell carcinoma]],  [[Renal tubular acidosis]],  [[Renal vein thrombosis]],  [[Systemic sclerosis]],  [[Urinary tract obstruction]],  [[Vesicoureteral reflux]],  [[Xanthogranulomatous pyelonephritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[Amyloidosis]],  [[Goodpasture’s syndrome]],  [[Gout]],  [[Granulomatosis with polyangiitis]],  [[Lupus nephritis]],  [[Lupus]],  [[Rheumatoid arthritis]]
| bgcolor="Beige" | [[Amyloidosis]],  [[Goodpasture’s syndrome]],  [[Gout]],  [[Granulomatosis with polyangiitis]],  [[Lupus nephritis]],  [[Lupus]],  [[Rheumatoid arthritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Sexual'''
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Urologic'''
| '''Urologic'''
|bgcolor="Beige"| [[Benign prostatic hyperplasia]],  [[Dent disease]],  [[Familial juvenile hyperuricemic nephropathy]],  [[Frasier syndrome]],  [[Hemolytic uremic syndrome]]
| bgcolor="Beige" | [[Benign prostatic hyperplasia]],  [[Dent disease]],  [[Familial juvenile hyperuricemic nephropathy]],  [[Frasier syndrome]],  [[Hemolytic uremic syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
| bgcolor="Beige" | No underlying causes
|-
|-
|}
|}

Revision as of 15:56, 26 July 2018

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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] Luke Rusowicz-Orazem, B.S.

Overview

Common causes of chronic renal failure include diabetic nephropathy, hypertension, and glomerulonephritis. The commonest cause of stage 5 CKD in the U.S. is diabetes and is characterized by proteinuria and bilaterally enlarged kidneys. Hypertension is the second most common cause of Stage 5 CKD in the US, and often co-exists in diabetic patients.

Causes of Chronic Kidney Disease

  • According to the National Kidney Foundation the 2 most important causes of CKD are diabetes and hypertension accounting for more than one third of all cases often indicating early detection strategies.
  • Beyond diabetes and hypertension other causes like glomerulonephritis, inherited disorders, chronic infections, and urinary tract obstruction account for most of the remaining cases.[1]

Common Causes

Causes by Organ System

Cardiovascular Amyloidosis, Essential hypertension, Hypertension, Hypertensive nephrosclerosis, Hypotension, Intraglomerular hypertension, Malignant hypertension, Renal artery stenosis, Renal vein thrombosis, Scleroderma, Systemic hypertension, Thrombotic thrombocytopenic purpura, Vasculitis, Wegener's granulomatosis
Chemical/Poisoning Bismuth, Carbon tetrachloride, Lead, Lithium, Pamidronate, Radiocontrast agents
Dental No underlying causes
Dermatologic Scleroderma
Drug Side Effect Ace inhibitors, Acetominophen, Acyclovir, Allopurinol, Aminoglycosides, Amphotericin b, Angiotensin-converting enzyme inhibitors, Anticoagulants, Aspirin, Bevacizumab, Carboplatin, Carmustine, Cefoxitin , Chloroquine, Cimetidine, Cisplatin, Cyclosporine, Diflunisal, Erythromycin, Febuxostat, Ferumoxytol, Flucytosine, Foscarnet, Furosemide, Gadopentetate, Gentamicin, Hydroxychloroquine, Ifosfamide, Infliximab, Isoniazid, Laxatives, Lithium, Lomustine, Mesalamine, Methicillin, Mitomycin c, Nitrosourea, Nsaids, Penicillin, Pentamidine, Phenytoin, Propylthiouracil, Protease inhibitors, Quinine, Rifampicin, Saxagliptin, Sulfa-containing antibiotics, Sulfonamides, Sulindac, Tacrolimus, Thiazides, Tizanidine, Trimethoprim  , Vancomycin
Ear Nose Throat No underlying causes
Endocrine Amyloidosis, Hyperoxaluria, primary type 1, Hyperoxaluria, primary type 2, Hyperoxaluria, primary type 3, Hyperoxaluria
Environmental No underlying causes
Gastroenterologic Glycogenosis type 1b, Tubulointerstitial disease
Genetic Acute intermittent porphyria  , Adenine phosphoribosyltransferase deficiency, Alport's syndrome, Alström syndrome, Barakat syndrome, Bardet-biedl syndrome, Dent disease, Denys-drash syndrome, Fabry's disease, Finnish congenital nephrotic syndrome, Frasier syndrome, Galloway-mowat syndrome, Hereditary nephritides, Hereditary onycho-osteodysplasia, Interferons, Jeune thoracic dystrophy syndrome, Lesch-nyhan syndrome, Loken senior syndrome, Lowe syndrome, Mainzer-saldino disease, Papillorenal syndrome, Recurrent hereditary polyserositis, Sensenbrenner syndrome, Townes-brocks syndrome, X-linked hypophosphataemia, X-linked recessive nephrolithiasis type 1
Hematologic Hemolytic uremic syndrome, Hyperlipidemia, Hypovolemia, Interferons, Light chain disease, Normocytic normochromic anemia, Sickle cell disease
Iatrogenic No underlying causes
Infectious Disease Cystinosis, Dioctophyma renale, Schistosoma haematobium, Sepsis
Musculoskeletal/Orthopedic Action myoclonus
Neurologic Action myoclonus , Lesch-nyhan syndrome
Nutritional/Metabolic Acute intermittent porphyria  , Adenine phosphoribosyltransferase deficiency, Diabetes mellitus type 1, Diabetes mellitus type 2, Diabetic nephropathy, Lecithin cholesterol acyltransferase deficiency, Metabolic acidosis, Oxalosis
Obstetric/Gynecologic No underlying causes
Oncologic Hereditary onycho-osteodysplasia, Metastatic prostate cancer, Multiple myeloma, Prostate cancer, Renal cell carcinoma
Ophthalmologic Lecithin cholesterol acyltransferase deficiency, Loken senior syndrome
Overdose/Toxicity Cocaine
Psychiatric No underlying causes
Pulmonary Granulomatosis with polyangiitis
Renal/Electrolyte Alport's syndrome, Balkan endemic nephropathy, Barakat syndrome, Chronic glomerulonephritis, Chronic pyelonephritis, Congenital nephrotic syndrome, Dense deposit disease, Dent disease, Denys-drash syndrome, Diabetic nephropathy, Dioctophyma renale, Familial juvenile hyperuricemic nephropathy, Fibronectin glomerulopathy, Finnish congenital nephrotic syndrome, Focal segmental glomerulosclerosis, Glomerular hypertrophy, Glomerulocystic kidney disease, Glomerulonephritis, Glomerulosclerosis, Goodpasture’s syndrome, Granulomatosis with polyangiitis, Hereditary nephritides, Hydronephrosis, Hyperkalemia, Hyperoxaluria, primary type 1, Hyperoxaluria, primary type 2, Hyperoxaluria, primary type 3, Hyperoxaluria, Hypertensive nephrosclerosis, Hyperuricemic nephropathy, familial juvenile type 1, Hyperuricemic nephropathy, familial juvenile type 2, Idiopathic membranous nephropathy, Idiopathic multicentric osteolysis, Iga nephropathy, Interstitial nephritis, Intraglomerular hypertension, Light chain disease, Medullary cystic kidney disease, Medullary cystic renal disease, Medullary sponge kidney, Membranoproliferative glomerulonephritis, Membranous nephritis, Nephritic syndrome, Nephrolithiasis, Nephrosclerosis, Nephrotic syndrome, Normocytic normochromic anemia, Obstructive nephropathy, Obstructive uropathy, Oxalosis, Papillorenal syndrome, Polycystic kidney disease, Proteinuria, Pyelonephritis, Reflux nephropathy, Renal artery stenosis, Renal cell carcinoma, Renal tubular acidosis, Renal vein thrombosis, Systemic sclerosis, Urinary tract obstruction, Vesicoureteral reflux, Xanthogranulomatous pyelonephritis
Rheumatology/Immunology/Allergy Amyloidosis, Goodpasture’s syndrome, Gout, Granulomatosis with polyangiitis, Lupus nephritis, Lupus, Rheumatoid arthritis
Sexual No underlying causes
Trauma No underlying causes
Urologic Benign prostatic hyperplasia, Dent disease, Familial juvenile hyperuricemic nephropathy, Frasier syndrome, Hemolytic uremic syndrome
Miscellaneous No underlying causes

Causes in Alphabetical Order

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3

References

  1. ↑ Levey AS, Coresh J, Balk E, Kausz AT, Levin A, Steffes MW; et al. (2003). "National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification". Ann Intern Med. 139 (2): 137–47. PMID 12859163‎ Check |pmid= value (help).

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