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Is A Diagnosis Of IgA Nephropathy Indicative Of Kidney Damage?

Posted on Thu, 3 Aug 2023

Question: Dear Dr XXXXXXX
As we had earlier discussion about my IGA nephropathy and you have advised about steroid therapy
I have done repeat renal biopsy before starting steroid
Please review this biopsy report and point about steroid therapy whether it will benefit me
My previous discussion with you are in my Inbox

Answered by Dr. Ravi Bansal (31 hours later)

Brief Answer:

there is no report attached

Detailed Answer:

Hello,

I am not able to see any attached biopsy report.

The decision of steroid is also based on serum creatinine and urine spot protein creatinine ratio

Please resend biopsy report.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ravi Bansal, Nephrologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ravi Bansal (2 hours later)

Hi
Dr XXXXXXX
please find biopsy report attached in upload reports section
please review it and opine about steroid therapy.
regards
Dr XXXXXXX XXXXXXX

Answered by Dr. Ravi Bansal (34 hours later)

Brief Answer:

Seen biopsy reports

Detailed Answer:

Hi,

The biopsy report confirms the diagnosis as IgA Nephropathy. It shows Chronic changes. That means already there is some damage to the kidneys up to 30 to 50%.

But still, treatment can be given. Now the decision that steroid has to be given or not depends on the amount of urine protein/creatinine ratio test.

Also, better control BP and use or ace-inhibitors or ARBs medicines should be done.

Hope I have answered your query.

Take care

Regards,
Dr Ravi Bansal, Nephrologist

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Nagamani Ng