Does nephritis require a renal puncture needle?

In general, renal biopsy is generally not required for well-diagnosed acute glomerulonephritis. Because acute glomerulonephritis tends to heal itself.

As for nephrotic syndrome, the etiology is more complex, especially adult nephrotic syndrome. Due to the variety of pathological types, in order to avoid the side effects caused by the blind use of hormones and immunosuppressive drugs, or because long-term treatment is ineffective, or in patients with recurrent nephritis, it is recommended to perform renal biopsy as soon as possible to clarify the pathological type. Type, targeted treatment, can play a multiplier effect.

For children with nephrotic syndrome, most advocates can start hormone therapy for eight weeks, and if the effect is not obvious, consider renal puncture.

For patients with occult nephritis, the duration of proteinuria is longer, and the urine protein is greater than one gram per day in 24 hours. Another type of persistent microscopic hematuria, or recurrent hematuria, for which the cause cannot be identified after various examinations, renal biopsy is recommended. Other lupus nephritis, purpuric nephritis, due to the different speed of disease progression and prognosis of patients, these patients should also be performed renal puncture.

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