糖尿病患者肾病的广泛谱系。
The large spectrum of renal disease in diabetic patients.
作者信息
Bermejo Sheila, Pascual Julio, Soler Maria José
机构信息
Department of Nephrology, Hospital del Mar, Barcelona, Spain; Department of Nephrology, Consorci Sanitari del Garraf, Vilanova I la Geltrú, Spain; Department of Nephrology, Fundació Althaia, Manresa, Spain.
Department of Nephrology, Hospital del Mar, Barcelona, Spain; Institut Mar for Medical Research (IMIM), Barcelona, Spain.
出版信息
Clin Kidney J. 2017 Apr;10(2):255-256. doi: 10.1093/ckj/sfw137. Epub 2017 Jan 17.
Abstract
The prevalence of diabetic nephropathy (DN) among diabetic patients seems to be overestimated. Recent studies with renal biopsies show that the incidence of non-diabetic nephropathy (NDN) among diabetic patients is higher than expected. Renal impairment of diabetic patients is frequently attributed to DN without meeting the KDOQI criteria or performing renal biopsy to exclude NDN. In this editorial, we update the spectrum of renal disease in diabetic patients and the impact on diagnosis, prognosis and therapy.
摘要
糖尿病患者中糖尿病肾病（DN）的患病率似乎被高估了。最近的肾活检研究表明，糖尿病患者中非糖尿病肾病（NDN）的发病率高于预期。糖尿病患者的肾功能损害常常在未满足肾脏疾病改善全球结果（KDOQI）标准或未进行肾活检以排除NDN的情况下就被归因于DN。在这篇社论中，我们更新了糖尿病患者肾脏疾病的范围及其对诊断、预后和治疗的影响。
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