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CASE REPORT
Year : 2016  |  Volume : 16  |  Issue : 4  |  Page : 144-148

Nondiabetic renal disease: a conclusive renal biopsy can overcome diagnosis delay


1 Nephrology and Hemodialysis Division, Department of Medicine, Benghazi Medical Center; Department of Medicine, Faculty of Medicine, Benghazi University, Benghazi, Libya
2 Nephrology and Hemodialysis Division, Department of Medicine, Benghazi Medical Center, Benghazi, Libya

Correspondence Address:
Mohamed O Ezwaie
Nephrology and Hemodialysis Division, Benghazi Medical Center, Benghazi University, Benghazi
Libya
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-9165.200352

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Diabetic patients are at risk of developing renal dysfunction as part of microvascular complications of diabetes mellitus, but they could develop renal dysfunction because of nondiabetic renal diseases as a result of glomerulopathy, either in primary or secondary forms (glomerulonephritis or vasculitis), or as part of tubulointerstitial involvement because of paraproteinemia. Here, we report on two diabetic patients who had different clinical profiles in terms of their diabetes type, clinical presentation, and decrease in renal dysfunction from the time of diagnosis of diabetes mellitus. A clinical scenario resulted in a delay in diagnosis and management, until a conclusive renal biopsy reported a definitive diagnosis, with implementation of therapeutic protocols and satisfactory outcomes in both patients.


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