Volume 35, Issue 8 (November 2024)                   Studies in Medical Sciences 2024, 35(8): 695-705 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Esmaeilzadeh A, Pourjabali M, Noroozinia F, Mokhtarzadehazar P. EVALUATION OF HISTOPATHOLOGIC FINDINGS OF KIDNEY BIOPSIES SPECIMEN REFERRED TO PATHOLOGY DEPARTMENT OF URMIA IMAM KHOMEINI HOSPITAL. Studies in Medical Sciences 2024; 35 (8) :695-705
URL: http://umj.umsu.ac.ir/article-1-6122-en.html
Department of Pathology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran , Drpeyman.pm@gmail.com
Abstract:   (98 Views)
Background & Aims: Renal glomerular disease is the most common cause of chronic renal failure and end-stage renal disease in humans, and it is also one of the most significant causes of mortality and morbidity. A kidney biopsy is performed to diagnose kidney diseases. A renal biopsy can be helpful in reaching a diagnosis based on histopathological findings and can also provide valuable information about clinical symptoms and outcomes. The aim of this study was to evaluate the prevalence of various kidney diseases based on histopathological findings in kidney biopsies referred to the Pathology Department of Urmia Imam Khomeini Hospital.
Materials & Methods: In this descriptive-analytical study, 969 kidney biopsy specimens from patients with various kidney diseases and a history of kidney transplantation, collected from March 2013 to March 2018, were reviewed and included in the study. Information on demographic variables was extracted from all reports. The chi-square test (or Fisher's exact test if necessary) was used to compare the frequency of histopathological findings by gender or age groups. Data analysis was performed using SPSS 17 software, and a significance level of less than 0.05 was considered statistically significant.
Results: The results showed that glomerular diseases, with 523 patients (54%), and then transplant complications, with 171 patients (17.6%), had the highest frequency among histopathological findings. Among the clinical and paraclinical findings from the patients' history, rising creatinine levels had the highest prevalence, with 340 patients (35.1%), followed by proteinuria in 256 patients (26.4%). The results also showed that glomerular diseases had the highest frequency in all four age groups.
Conclusion: Glomerular diseases are the most common diagnosis among kidney diseases. A rise in creatinine levels is the most common condition among the underlying issues of kidney diseases. The spectrum of kidney diseases varies with patients' age and gender.
 
Full-Text [PDF 569 kb]   (42 Downloads)    
Type of Study: Research | Subject: پاتولوژی

References
1. Kumar V, Abbas AK, Aster JC, editors. Robbins basic pathology. CHAPTER 14  Kidney and Its Collecting System .10th ed. Philadelphia (United states of America): Elsevier Saunders; c2018. [URL:]
2. Andreoli, Thomas E., Charles C. J. Carpenter, and Russell L. Cecil. Andreoli and Carpenter's Cecil Essentials of Medicine. Philadelphia: Saunders, 2016. [URL:]
3. Singh S, Marwah N, Sen R, Sangwan M, Verma R, Ralli M. Profile of renal biopsies in a tertiary care hospital. Int J Healthc Biomed Res 2014: 53-9. [google scholar]
4. Pasquariello A, Innocenti M, Batini V, Rindi S, Moriconi L. Routine immunofluorescence and light microscopy processing with a single renal biopsy specimen: 18 years' experience in a single centre. J Nephrol 2000;13(2): 116-9. [PMID: 10858973]
5. Wirta O, Mustonen J, Helin H, Pasternack A. Incidence of biopsy-proven glomerulonephritis. Nephrol Dial Transplant 2008;23(1): 193-200. [DOI:10.1093/ndt/gfm564] [PMID]
6. Malafronte P, Mastroianni-Kirsztajn G, Betonico GN, Romao JE, Alves MA, Carvalho MF, et al. Paulista Registry of glomerulonephritis: 5-year data report. Nephrol Dial Transplant 2006;21(11): 3098-105. [DOI:10.1093/ndt/gfl237] [PMID]
7. Rathi M, Bhagat RL, Mukhopadhyay P, Kohli HS, Jha V, Gupta KL, et al. Changing histologic spectrum of adult nephrotic syndrome over five decades in north India: A single center experience. Indian J Nephrol 2014;24(2): 86-91. [DOI:10.4103/0971-4065.127892] [PMID] []
8. Bahiense-Oliveira M, Saldanha LB, Mota EL, Penna DO, Barros RT, Romao-Junior JE. Primary glomerular diseases in Brazil (1979-1999): is the frequency of focal and segmental glomerulosclerosis increasing Clin Nephrol 2004;61(2): 90-7. [DOI:10.5414/CNP61090] [PMID]
9. Kumar S, Kumari A, Agrawal SC. Pattern of kidney diseases in Northern India: an overview through histopathological findings in biopsy-proven cases. Egypt J Intern Med 2020 Dec;32(1): 1-5. [DOI:10.1186/s43162-020-00021-0]
10. Mardanpour K, Rahbar M. Histopathologic patterns of adult renal disease in Kermanshah, Iran: A 6-year review of two referral centers. Caspian J Intern Med 2013;4(3): 717-21. [PMID: 24009967] [PMCID: PMC3755843]
11. Absar A, Asif N, Khan Q, Kashif W. Experience of percutaneus kidney biopsy from a tertiary care center of Pakistan. Open J Nephrol 2015; 5: 61-6. [DOI:10.4236/ojneph.2015.52010]
12. Kanodia KV, Vanikar AV, Nigam LK, Patel RD, Suthar KS, Gera DN, et al. Pediatric Renal Biopsies in India: A Single-Centre Experience of Six Years. Nephrourol Mon 2015;7(4): e25473. [DOI:10.5812/numonthly.25473] [PMID] []
13. Sabir S, Mubarak M, Ul-Haq I, Bibi A. Pattern of biopsy proven renal diseases at PNS SHIFA, Karachi: A cross-sectional survey. J Renal Inj Prev 2013;2(4): 133-7. [PMID: 25340152] [PMCID: PMC4206030]
14. Lee S, Kim M, Kim S, Lee D, Clinical and Pathological Findings of Renal Biopsy in Children: Outcomes from a Single Center Over 27 Years. Child Kidney Dis 2017;21: 8-14. [DOI:10.3339/jkspn.2017.21.1.8]
15. Sunita S, Nisha M, Rajeev S, Monika S, Renuka V, Megha R. Profile of renal biopsies in a tertiary care hospital. Int J Healthc Biomed Res 2014;2: 53-9. [google scholar]
16. Wang YT, Zhou CY, Zhu TC, Yang J, Zhang Y, Xu QY, et al. Analysis of kidney biopsy data from a single center in the midland rural area of china, 1996-2010. Curr Ther Res Clin Exp 2013;74: 22-5. [DOI:10.1016/j.curtheres.2012.12.005] [PMID] []
17. Arias LF, Henao J, Giraldo RD, Carvajal N, Rodelo J, Arbeláez M. Glomerular diseases in a Hispanic population: review of a regional renal biopsy database. Sao Paulo Med J 2009;127(3): 140-4. [DOI:10.1590/S1516-31802009000300006] [PMID] []
18. Brenner BM, Levine SA. Brenner and Rector's The kidney. 7th ed. Boston, Massachusetts: Saunders; 2004. [google scholar]
19. Jalalah SM. Patterns of primary glomerular diseases among adults in the western region of Saudi Arabia. Saudi J Kidney Dis Transpl 2009;20(2): 295-. [PMID: 19237826]
20. Urrestarazú A, Otatti G, Silvariño R, Garau M, Coitiño R, Alvarez A, et al. Lupus Nephritis in Males: Clinical Features, Course, and Prognostic Factors for End-Stage Renal Disease. Kidney Int Rep 2017;2(5): 905-12. [DOI:10.1016/j.ekir.2017.05.011] [PMID] []
21. Hashmi AA, Ali J, Rahman M, Taseer AR, Kumar J, Irfan M. Spectrum of Morphologic Features of Lupus Nephritis According to Nephrology/Renal Pathology Society (ISN/RPS) Classification. Cureus 2020 Sep 18;12(9): e10520. [DOI:10.7759/cureus.10520]
22. Jalal A, Hosseini SM, Zamani Z, Khodadadi S, Moradi M, Nasri H. Etiology and Frequency Distribution of Crescentic Glomerulonephritis in Renal Biopsy (A Single-Center Study). J Isfahan Med Sch 2016;34(387): 692-700. [google scholar]
23. Vivarelli M, Massella L, Ruggiero B, Emma F. Minimal Change Disease. Clin J Am Soc Nephrol 2017 02 7;12(2): 332-45. [DOI:10.2215/CJN.05000516] [PMID] []
24. Ali AA, Al-Mudhaffer AJ, Al-Taee Q, Al-Windawi S. Allograft biopsy in kidney transplant recipients in the medical city of Baghdad. Saudi J Kidney Dis Transpl 2013 Sep;24(5): 1039-43. [DOI:10.4103/1319-2442.118090] [PMID]
25. Stojan G, Petri M. Epidemiology of systemic lupus erythematosus: an update. Curr Opin Rheumatol 2018 03;30(2): 144-50. [DOI:10.1097/BOR.0000000000000480] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Studies in Medical Sciences

Designed & Developed by : Yektaweb