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What Do The Following Biopsy Test Results Indicate?

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Posted on Fri, 2 Dec 2016
Question: Dear Dr. XXXXXXX
As you have recommended for biopsy, we have received the result, please find attached herewith result for the same for your review and advise.
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
Please start quick treatment under nephrologist

Detailed Answer:
Dear Sir,
Thanks for writing back with an update.

The biopsy report shows there is inflammation in the kidneys due to crescentric glomerulonephritis or rapidly progressive glomerulonephritis.

Recent medical literature says the following and I quote
"The prognosis depends on the timeline of diagnosis and treatment. Although some patients requiring dialysis may recover a good renal function, usually the higher the serum creatinine at presentation the worse the outcome. When treatment is initiated early, most patients obtain a complete or partial remission."

If treatment is given with necessary medicines which might include steroids an specific categories of medicines for this condition then recovery chances are better. Therefore treatment should be started under supervision of a nephrologist at the earliest and this requires regular testing of kidney functions.

Wishing your sister complete recovery.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,
Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
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Follow up: Dr. Vivek Chail (1 hour later)
Thanks doctor we have already started the treatment with nephrologist and have started with some injection course.

What I understand that she can recover with medication and kidneys transportation is not required.

It would be really great if you could tell that how sever the problem is and how long it will take to recover in a lay man language because I couldn't get much through your last statement. I poor to understand the medical terms.

doctor
Answered by Dr. Vivek Chail (22 minutes later)
Brief Answer:
It is a serious condition because creatinine was 11 when diagnosis was made

Detailed Answer:
Dear Sir,
Thanks for writing back with an update.

It is pleasant to know that the treatment has stared and probably they are giving injections of anti inflammation agents and drugs.

In the last query you had mentioned creatinine levels of 11 and this is high. It is important to know the creatinine levels she is having after one round of treatment or the latest value. This will help know how the kidneys are responding to treatment and severity.

The above statement in lay mans terms means that a patient requires close monitoring for 6 months after starting treatment and this includes regular kidney function tests. If the creatinine level is controlled after giving the injections in the few weeks after starting treatment then there is chance for complete recovery. In some patients treatment and dialysis is required to regain complete recovery.

Monitoring for 6 months is very important and after that treatment depends on the response. In this condition survival for 6 months is 73 to 82 percent. Complete duration of treatment is difficult to predict but it can be for months to few years.

Hope your query is answered.
Please do write back if you have any doubts.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Do The Following Biopsy Test Results Indicate?

Brief Answer: Please start quick treatment under nephrologist Detailed Answer: Dear Sir, Thanks for writing back with an update. The biopsy report shows there is inflammation in the kidneys due to crescentric glomerulonephritis or rapidly progressive glomerulonephritis. Recent medical literature says the following and I quote "The prognosis depends on the timeline of diagnosis and treatment. Although some patients requiring dialysis may recover a good renal function, usually the higher the serum creatinine at presentation the worse the outcome. When treatment is initiated early, most patients obtain a complete or partial remission." If treatment is given with necessary medicines which might include steroids an specific categories of medicines for this condition then recovery chances are better. Therefore treatment should be started under supervision of a nephrologist at the earliest and this requires regular testing of kidney functions. Wishing your sister complete recovery. Hope your query is answered. Please do write back if you have any doubts. Regards,