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Nephrol Dial Transplant (1992) 7: 397-399
© 1992 European Renal Association-European Dialysis and Transplant Association

research-article

Increased prevalence of renal biopsy findings other than diabetic glomerulopathy in type II diabetes mellitus

N. T. Richards1,, I. Greaves1, S. J. Lee2, A. J. Howie2, D. Adu1 and J. Michael1

1Department of Nephrology, Queen Elizabeth Hospital Edgbaston, Birmingham, UK 2Department of Pathology, University of Birmingham Birmingham, UK

Correspondence and offprint requests to: Dr N.T. Richards, Department of Nephrology, Queen Elizabeth Hospital, Edgbaston, Birmingham B15 2TH, UK

It is a widely held view that when a patient with type I diabetes mellitus and diabetic retinopathy or neuropathy develops renal impairment the renal lesion will be diabetic glomerulonephropathy. This has been extrapolated to apply to type II diabetes. We have performed a retrospective study of the clinical data of patients with diabetes mellitus who have had a renal biopsy between November 1980 and December 1990. Seventy-one patients were biopsied, data were available on 68. Nineteen of 22 type I diabetics had diabetic glomerulopathy, two had diabetic glomerulopathy in addition to another lesion only one patient did not have diabetic glomerulopathy. Twenty-three of 46 type II diabetics had diabetic glomerulopthy alone 22 having an alternative diagnosis. Eight further patients were identified who were not known to be diabetic at the time of renal biopsy, but whose biopsies revealed diabetic glomerulopathy. These data suggest that patients with type II diabetes and renal impairment should have a renal biopsy as part of their investigation.

Keywords: diabetic glomerulonephropathy; renal biopsy


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