الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work To study the prevalence of hematuria and acanthocyturia in patients with clinically diagnosed diabetic nephropathy to examine whether acanthocyturia occurs with this glomerular lesion or whether it is specific for glomerulonephritis. The finding of acanthocyturia in a diabetic patient might point to non diabetic, potentially treatable glomerulopathy, in which renal biopsy may be indicated. Conclusion 1- Hematuria is a frequent finding in patients with diabetic nephropathy, whereas acanthocyturia is rare in this condition, pointing to a non diabetic renal disease. 2- Microscopy of the urine sediment should be part of the non invasive diagnostic workup of diabetic patients with proteinuria to identify diabetic patients with hematuria who are likely to have a non diabetic glomerulonephritis. 3- Renal biopsy should be considered when a diabetic patient with proteinuria shows acanthocyturia ≥ 5%. Aim of the work To study the prevalence of hematuria and acanthocyturia in patients with clinically diagnosed diabetic nephropathy to examine whether acanthocyturia occurs with this glomerular lesion or whether it is specific for glomerulonephritis. The finding of acanthocyturia in a diabetic patient might point to non diabetic, potentially treatable glomerulopathy, in which renal biopsy may be indicated. Conclusion 1- Hematuria is a frequent finding in patients with diabetic nephropathy, whereas acanthocyturia is rare in this condition, pointing to a non diabetic renal disease. 2- Microscopy of the urine sediment should be part of the non invasive diagnostic workup of diabetic patients with proteinuria to identify diabetic patients with hematuria who are likely to have a non diabetic glomerulonephritis. 3- Renal biopsy should be considered when a diabetic patient with proteinuria shows acanthocyturia ≥ 5%. |