Anatomo-Clinical and Etiological Profile of Biopsied Nephropathies Key Findings from Thies Regional Hospital

Key Findings and Analysis:

  • Study Overview: The study analyzed 75 renal biopsies conducted between April 2020 and October 2022, focusing on sociodemographic, clinical, biological, and histological parameters.
  • Demographics: The mean patient age was 33.3 years, with a male predominance (65.3%).
  • Primary Indications for Biopsy:
    • Nephrotic syndrome (50.67%)
    • Glomerular disease (32%)
    • Acute renal failure (8%)
  • Histological Findings:
    • Focal segmental glomerulosclerosis (FSGS) was the most common lesion (34.7%).
    • Membranous nephropathy (MN) (17.3%) and minimal change disease (MCD) (10.67%) were also prevalent.
    • Thrombotic microangiopathy (TMA) (9.3%) and lupus nephritis (3.9%) were among other significant findings.
  • Etiology Breakdown:
    • Primary nephropathies: 48%
    • Secondary nephropathies: 28%
    • Undetermined cases: 24%
  • Associated Factors:
    • Systolic blood pressure, hemoglobin levels, glomerular filtration rate (GFR), and the type of kidney disease were significantly correlated with nephropathy etiology.

External Perspectives on Nephropathy Trends: The National Kidney Foundation emphasizes that early detection and classification of renal diseases through biopsy significantly improve patient outcomes. In sub-Saharan Africa, studies indicate that primary glomerular diseases are predominant, whereas secondary nephropathies like lupus nephritis are increasing due to improved diagnostic capabilities.

Strategic Links and Additional Resources:

Conclusion & Call-to-Action: This study underscores the importance of renal biopsy in identifying and managing nephropathies, particularly in resource-limited settings. By understanding the key histological and etiological profiles, healthcare providers can develop better treatment strategies.

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