Hypertensive nephropathy other diagnostic studies
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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
Figure 3.Light micrograph of glomerulus showing secondary segmental sclerosis of hypertensive nephropathy
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.