Jamal Eddine NAJI, Hicham RAFIK, Mohamed Reda ELFAROUKI, Imane ELABOUDY, Mohamed HASSANI
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 2
Issue: 2
Date of Publication: 2025/02/08
Introduction: Renal biopsy is an essential part of nephrological practice. It provides histological evidence for diagnosis, prognosis and treatment.
Materials and Methods : In this retrospective and descriptive study, we reviewed medical records to study the epidemiological, clinical and histological parameters and complications of 105 renal biopsies performed between January 2018 and December 2022.
Results: In our series, the mean age was 45 ± 17 years, with extremes of 14 and 88 years. The sex ratio was 1.1. Diabetes was present in (13.3%) patients, followed by arterial hypertension (10.4%) and lupus (5.7%). Kidney disease was revealed by an edematous syndrome in 73 cases (69.5%), arterial hypertension in 37 (35.2%), microscopic hematuria in 79 (75.2%) and oliguria in 4 patients (3.8%). Indications were dominated by nephrotic syndrome in 51 cases (48.5%), renal failure 34 (32.3%), lupus with renal involvement 6 (5.7%), nephritic syndrome 4 (3.8%), relapse of nephrotic syndrome 4 (3.8%), rapidly progressive glomerulonephritis syndrome 3 (2.85%) and finally 2 cases of resistance to initial treatment (1.9%). Glomerular nephropathy accounts for 78% of kidney disease diagnoses. They are primary in 44.7% of patients, and secondary in 31.4%. Tubulointerstitial nephropathy (6.6%) and vascular nephropathy (2.85%) are less common. The most frequent complications of the procedure were pain at the biopsy site in (14.2%) of cases, macroscopic hematuria (5.7%), and perirenal hematoma (0.95%).
Conclusion: This series presents an epidemiological contribution to studies carried out in other regions of Morocco, highlighting the importance of establishing a national renal biopsy registry.
Indications, Histology, Complications, Renal Biopsy
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