Is a renal function panel abnormal in glomerulonephritis (Glomerular Nephritis)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 14, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Yes, a renal function panel is typically abnormal in glomerulonephritis (Glomerular Nephritis).

Key Findings

  • Glomerulonephritis is a disease that damages the renal parenchyma, leading to abnormalities in kidney function and/or structure, which can be detected through a renal function panel 1.
  • The renal function panel assesses various parameters, including serum creatinine, blood urea nitrogen, and urine output, to evaluate kidney function 1.
  • Glomerulonephritis can cause a decline in glomerular filtration rate (GFR), leading to elevated serum creatinine levels and other abnormalities in the renal function panel 1.
  • The KDIGO guidelines define kidney disease as functional and/or structural abnormalities of the kidneys with implications for health, and glomerulonephritis is a classic example of a disease that meets this definition 1.

Diagnostic Criteria

  • A renal function panel is essential in diagnosing and monitoring glomerulonephritis, as it helps to assess the severity of kidney damage and guide treatment decisions 1.
  • The panel may also include other tests, such as urinalysis, albuminuria, and biomarkers, to evaluate kidney damage and disease activity 1.
  • Renal biopsy may be indicated in some cases to differentiate between nephritic and nephrotic syndromes and to guide treatment decisions 1.

Clinical Implications

  • Abnormalities in the renal function panel can indicate the presence of glomerulonephritis and guide treatment decisions, such as the use of immunosuppressive therapies or other supportive measures 1.
  • Early detection and treatment of glomerulonephritis are crucial to prevent progression to chronic kidney disease (CKD) or end-stage renal disease (ESRD) 1.

From the Research

Renal Function Panel Abnormalities in Glomerulonephritis

  • A renal function panel can be abnormal in glomerulonephritis, as the disease is characterized by inflammatory glomerular processes that can lead to a deterioration of renal function 2, 3.
  • Patients with nephritic syndrome tend to be hypertensive with dipstick-positive or visible haematuria, and may have rapidly progressive renal dysfunction and a fall in eGFR, indicating abnormal renal function 2.
  • In contrast, patients with nephrotic syndrome typically present with peripheral oedema, massive urinary protein loss, and associated low serum albumin levels, but usually have normal blood pressure and renal function initially 2.
  • The degree of renal insufficiency can vary, and some patients may present with asymptomatic haematuria and proteinuria with or without reduced kidney function 4.
  • Urinalysis can show abnormalities in the early phases of glomerulonephritis, including proteinuria and haematuria, and is an important diagnostic tool 3, 5.

Diagnostic Tools and Treatment Options

  • Renal biopsy is necessary to establish the final diagnosis in most cases of glomerulonephritis, as it can provide information on the underlying cause and extent of glomerular injury 6, 4.
  • The diagnosis of glomerulonephritis can be narrowed by the findings on urine sediment, amount of proteinuria, degree of renal insufficiency, and serological findings 6.
  • Treatment options for glomerulonephritis depend on the underlying cause and severity of the disease, and may include immunomodulating treatment, complement inhibition, and management of hypertension and proteinuria 5.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

[Glomerulonephritis].

Deutsche medizinische Wochenschrift (1946), 2016

Research

Acute glomerulonephritis.

Lancet (London, England), 2022

Research

Complement dysregulation in glomerulonephritis.

Seminars in immunology, 2019

Research

[Diagnostics of glomerulonephritis].

Zeitschrift fur Rheumatologie, 2009

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.