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.