Nephrotic puncture in children with nephrotic syndrome
Mar 12, 2022
Because pediatric nephrotic syndrome is more common with minimal change disease and is hormone-sensitive, hormone therapy can usually be started after the diagnosis of nephrotic syndrome without the need for a kidney biopsy. Interstitial nephritis is suspected only when there is steroid resistance, multiple relapses, steroid dependence, or changes in the disease course. When a crescent is formed, a biopsy of the kidney is required or when there is a slow decline in kidney function.
In addition, secondary kidney diseases caused by systemic diseases, such as lupus nephritis and purpura nephritis, need to know their histological types, and kidney biopsy should also be performed when the treatment plan has been determined.
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