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Renal Glomerular Diseases (Paperback, Softcover reprint of the original 1st ed. 1981)
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Renal Glomerular Diseases (Paperback, Softcover reprint of the original 1st ed. 1981)
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The cause of end-stage renal failure in one-third of patients
treated by regular haemodialysis or kidney transplantation is some
variety of glomerular disease. Less serious glomerular dis orders
are more common and often cause inappropriate conster nation to the
patients and, sometimes, to their doctors. Similar clinical
features can be produced by pathological lesions ranging from the
trivial to the life-threatening, and renal biopsy is often
necessary to establish the diagnosis. However, its widespread use
during the past 20 years has enabled clinicopathological
correlations to be made and the natural history of many
'glomerulopathies' to be established, though large areas of uncer
tainty remain. In contrast to symptomatic measures, such as the
management of uraemia or the nephrottc syndrome, the use of
treatment in arresting the progress of the glomerular lesion itself
is controver sial and is based on anecdotal evidence rather than
controlled trials. Knowledge of the renal pathology will, at least,
enable conditions in which immunosuppressive therapy is appropriate
to be distinguished from those which are benign or self-limiting.
In this book symptomatic management of the clinical syn dromes is
detailed, but classification is firmly based on renal histological
appearances. The relevance of immunofluorescent microscopy,
ultrathin section examination and electron micros copy to our
understanding of pathogenesis is described, as well as the uses of
these techniques for morphological discrimination."
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