THE CLINICAL VALUE OF RENAL BIOPSY
Authors: R M KARK, R C MUEHRCKE, C L PIRANI, V E POLLAK
Journal: Annals of Internal Medicine (1955)

Article1 October 1955THE CLINICAL VALUE OF RENAL BIOPSYROBERT M. KARK, F.R.C.P., F.A.C.P., ROBERT C. MUEHRCKE, M.D., CONRAD L. PIRANI, M.D., VICTOR E. POLLAK, M.B., M.R.C.P.E.ROBERT M. KARK, F.R.C.P., F.A.C.P., ROBERT C. MUEHRCKE, M.D., CONRAD L. PIRANI, M.D., VICTOR E. POLLAK, M.B., M.R.C.P.E.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-43-4-807 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe Kea parrot kills sheep by pecking at their kidneys with its large, hawklike beak.‡The human counterpart of this bird makes ill-advised stabs with large-bore biopsy needles at the kidneys of patients, and is astounded when he lacerates the organ and endangers the patient's life! Besides laceration of the kidney, other major potential hazards of renal biopsy are retroperitoneal hemorrhage, renal infarct, anuria and dissemination of infection. In the past, biopsy of the kidney was considered too dangerous, but in 1951 Iversen and Brun1showed that, in the right hands and with proper care and technic, the procedure is...Bibliography1. IversenBrun PC: Aspiration biopsy of the kidney, Am. J. Med. 11: 324, 1951. CrossrefMedlineGoogle Scholar2. IversenBjørneboeKrarup PMNB: Biopsy studies of the liver and kidney, Advances in Int. Med. 6: 161, 1954. MedlineGoogle Scholar3. ParrishHowe AEJS: Needle biopsy as an aid in diagnosis of renal disease, J. Lab. and Clin. Med. 42: 152, 1953. MedlineGoogle Scholar4. ParrishHowe AEJS: Personal communication. Google Scholar5. KipnisJacksonDallenbachSchoenberger GPGGFDJA: Renal biopsy in pyelonephritis: correlative study of kidney morphology, bacteriology, and function in patients with chronic urinary tract infections, Arch. Int. Med. 95: 445, 1955. CrossrefGoogle Scholar6. JacksonPoirier GGPA: Personal communication. Google Scholar7. KarkMuehrcke RMRC: Biopsy of kidney in prone position, Lancet 1: 1047, 1954. CrossrefGoogle Scholar8. MuehrckeKarkPirani RCRMCL: Technique of percutaneous kidney biopsy in the prone position, J. Urol., in press. Google Scholar9. MuehrckeKarkPirani RCRMCL: Biopsy of the kidney in the diagnosis and management of renal disease, New England J. Med., in press. Google Scholar10. Alwall N: Aspiration biopsy of the kidney, including report of a case of amyloidosis diagnosed through aspiration biopsy of the kidney in 1944 and investigated at an autopsy in 1950, Acta med. Scandinav. 143: 430, 1952. CrossrefMedlineGoogle Scholar11. PayetPeneCamainGeuazeCalvez MPRAF: La biopsie du rein a l'aiguille, Presse méd. 61: 989, 1953. MedlineGoogle Scholar12. Joske RA: A technique for aspiration biopsy of the kidney, Australasian Ann. Med. 3: 44, 1954. CrossrefMedlineGoogle Scholar13. FiaschiErcoliTorsoli EGA: La biopsia renale mediante agopuntura transcutanea, Minerva med. 2: 1, 1953. Google Scholar14. Torsolidi GaddoRighini AME: Tecnica della biopsia renale, Communicazione al XXXVIII Raduno del Gruppo Tosco-Umbro della Sirm Via reggio, 30, XI, 1952. Google Scholar15. PardoCárdenasMasó VCFC: Biopsia renal par puncion: Communicación de 55 cases, Rev. clín. españ. 49: 379, 1953. MedlineGoogle Scholar16. RelmanRobinson ASCR: Unpublished data referred to in Berger, K. W., and Relman, A. S.: Renal impairment due to sarcoid infiltration of the kidney: report of a case proved by renal biopsies before and after treatment with cortisone, New England J. Med. 252: 44, 1955. CrossrefMedlineGoogle Scholar17. Christian HA: Section on diseases of the kidney, in Oxford medicine, Vol. III, 1949, Oxford University Press, New York, p. 583. Google Scholar18. CastlemanSmithwick BRH: The relation of vascular disease to the hypertensive state based on the study of renal biopsies from 100 hypertensive patients, J. A. M. A. 121: 1256, 1943. CrossrefGoogle Scholar19. Heptinstall RH: Renal biopsies in hypertension, Brit. Heart J. 16: 133, 1954. CrossrefMedlineGoogle Scholar20. BjørneboeBrunGormsenIversenRaaschou MCHPF: The nephrotic syndrome. I. Histologic changes illustrated by means of biopsy of the kidney, Acta med. Scandinav., Suppl. 266: 233, 1952. Google Scholar21. KipnisJackson GPGG: Personal communication. Google Scholar22. BrunGormsenHildenIversenRaaschou CHTPF: Diabetic nephropathy: kidney biopsy and renal function tests, Am. J. Med. 15: 187, 1953. CrossrefMedlineGoogle Scholar23. TaftFinckhJoske HPESRA: A biopsy study of the kidney in diabetes mellitus, Australasian Ann. Med. 3: 189, 1954. CrossrefMedlineGoogle Scholar24. KarkMuehrckePollakPiraniBernstein RMRCVECLA: Unpublished data. Google Scholar25. SchwartzMcMahon WBHE: Personal communication. Google Scholar26. MuehrckeKarkPiraniSchoenberger RCRMCLJA: Serial kidney biopsy studies in patients with the nephrotic syndrome, J. Lab. and Clin. Med. 44: 901, 1954. Google Scholar27. MuehrckeKarkPiraniPollak RCRMCLVE: The histological evolution of lupus nephritis, to be published. Google Scholar28. MuehrckeKarkPiraniPollak RCRMCLVE: The natural history of "lupus nephritis," Clin. Res. Proc. 3: 139, 1955. Google Scholar29. MuehrckePollakPiraniKark RCVECLRM: Primary renal amyloidosis with the nephrotic syndrome: studied by serial renal biopsies, Guy's Hosp. Rep., to be published. Google Scholar30. PollakMuehrckeKarkPiraniNettlesFreda VERCRMCLJBVC: Unpublished observations. Google Scholar31. PollakFreundMuehrckeKarkPiraniKushner VEGRCRMCLD: Unpublished observations. Google Scholar32. Cazal P: La ponction-biopsie du foie: technique, interprétation, application à l'hepatologie. Généralités sur les ponctions-biopsies d'autres organes, 1949, Vigot Frères, Paris. Google Scholar33. Longcope WT: Chronic bilateral pyelonephritis: its origin and its association with hypertension, Ann. Int. Med. 11: 149, 1937. LinkGoogle Scholar34. WeissParker SF: Pyelonephritis: its relation to vascular lesions and to arterial hypertension, Medicine 18: 221, 1939. CrossrefGoogle Scholar35. AvendañoPlaza de los ReyesOrozco OMR: Pielonefritis e hipertension arterial: III. Estudio clinico general, pronostico y tratamiento, Rev. méd. de Chile 81: 74, 1953. MedlineGoogle Scholar36. Brun C: Acute anuria, 1954, Munksgaard, Copenhagen. CrossrefGoogle Scholar37. BjørneboeBrunGormsenIversenRaaschou MCHPF: The nephrotic syndrome. II. The effect of corticotrophin (ACTH), Acta med. Scandinav., Supp. 266: 249, 1952. MedlineGoogle Scholar38. MuehrckeKarkPirani RCRMCL: Bacterial nephritis, Guy's Hosp. Rep. to be published. Google Scholar39. LibmanFriedberg ECK: Subacute bacterial endocarditis, Oxford Medicine II, 1949, Oxford University Press, New York, p. 346. Google Scholar40. TeilumEngbaerHarboeSimonsen GHCHM: Effects of cortisone on experimental glomerulonephritis, J. Clin. Path. 4: 301, 1951. CrossrefMedlineGoogle Scholar41. LowryRobertsLeinerWuFarr OHNRKYMAL: The quantitative histochemistry of brain. I. Chemical methods, J. Biol. Chem. 207: 1, 1954. CrossrefMedlineGoogle Scholar42. LowryRobertsWuHixonCrawford OHNRMWSEJ: The quantitative histochemistry of brain. II. Enzyme measurements, J. Biol. Chem. 207: 19, 1954. CrossrefMedlineGoogle Scholar43. PiraniMuehrckeKarkPollak CLRCRMVE: The histology and pathology of the kidney: studies on tissue removed by renal biopsy, to be published. Google Scholar44. MaximowBloom AAW: A textbook of histology, 6th Ed., 1952, W. B. Saunders Co., Philadelphia, p. 444. Google Scholar45. Hall CV: Studies of normal glomerular structure by electron microscopy, Proceedings of Fifth Annual Conference on the Nephrotic Syndrome, 1953, National Nephrosis Foundation, Inc., New York, p. 1. Google Scholar46. SjøstrandRhodin FSJ: The ultrastructure of the proximal convoluted tubules of the mouse kidney as revealed by high resolution electron microscopy, Exp. Cell. Res. 4: 426, 1953. CrossrefGoogle Scholar47. PappenheimerRenkinBonero JREMLM: Filtration, diffusion and molecular sieving through peripheral capillary membranes: a contribution to the pore theory of capillary permeability, Am. J. Physiol. 167: 13, 1951. CrossrefMedlineGoogle Scholar48. Pappenheimer JR: Passage of molecules through capillary walls, Physiol. Rev. 33: 387, 1953. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Chicago, Illinois*Presented at the Thirty-sixth Annual Session of the American College of Physicians, Philadelphia, Pennsylvania, April 25, 1955.From the Departments of Medicine, Presbyterian Hospital, Research and Educational Hospitals, and Cook County Hospital, Chicago, and the Department of Pathology of the University of Illinois College of Medicine.†Supported in part by grants from the United States Public Health Service, National Institutes of Health, Bethesda, Maryland (H-1029), and from Eli Lilly & Company.‡The olive green, handsome Kea parrot (Nestor notabilis) is confined to the South Island of New Zealand. Originally it fed on carrion, grubs, fruit and seeds, but in 1840 the white settlers introduced sheep and other mammals into New Zealand. It was not long before the Kea, in its search for food, learned to relish the offal around the slaughterhouses of sheep farms. This taste for flesh led it to acquire a macabre and grisly habit. Becoming particularly fond of perirenal fat, it used its large, hawklike beak to obtain this delicacy by pecking its way through the back of living sheep. In doing this it injured the kidneys of the animals, who bled to death. Whether it learned this habit through pecking at ticks or at scabs on the backs of sheep is not known, but the Kea has been hunted remorselessly by the shepherds and is in danger of extinction. (Oliver, W. R. B.: New Zealand birds, Wellington, 1940.) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Renal Biopsy in Chronic Kidney DiseaseComplications of the Percutaneous Kidney BiopsyPercutaneous Renal Biopsy in PyelonephritisAcute renal failure after surgical operation and head injuryThe early introduction of percutaneous renal biopsy in ItalyWhen Should Renal Biopsy be Done?Nephrotisches Syndrom einschließlich renal bedingter ÖdemeDas nephrotische Syndrom im KindesalterPyelonephritis und chronische interstitielle NephritisKlinische Methoden der morphologischen und funktionellen NierendiagnostikWhen Should Renal Biopsy be Done?A modified technique for percutaneous needle biopsy of the kidneyTécnica de la biopsia renal percutánea en la embarazadaPERSISTENT NEPHROTIC SYNDROME : A RENAL BIOPSY STUDYThe value of percutaneous renal biopsy in the hypertensive subjectChronic PyelonephritisTHE CLINICAL VALUE OF RENAL BIOPSY: EXPERIENCE IN 300 CASESOpen Rekal BiopsyCHRONIC PYELONEPHRITISRECURRENT FOCAL NEPHRITISFactors Relevant to Chronic and Recurrent Infections of the Urinary SystemKidney Biopsy in the Study of Renal DiseaseVergleichende pathologisch-anatomische und klinische Untersuchungen an 100 F�llen von diffuser GlomerulonephritisA preliminary report on kidney biopsy in renal diseases in childrenClinical Use of the Percutaneous Renal BiopsyTHE CLINICAL VALUE OF RENAL BIOPSYIndikation und Technik der percutanen NierenbiopsieEin erbliches Nierenleiden mit dem Leitsymptom der H�maturieRenal BiopsyA Comparison of Bacterial Counts of the Urine Obtained by Needle Aspiration of the Bladder, Catheterization and Midstream-Voided MethodsELECTRONMICROSCOPIC STUDIES OF REVERSIBLE GLOMERULAR LESIONS IN THE ADULT NEPHROTIC SYNDROME*GIUSEPPE FOLLI, M.D., VICTOR E. POLLAK, M.B., M.R.C.P.E., Ross T. W. REID, M.D., CONRAD L. PIRANI, M.D., ROBERT M. KARK, F.A.C.P., F.R.C.P.Kidney biopsiesKidney biopsies in multiparous patients with vascular renal disease in pregnancyNeedle Biopsy of the KidneyTHE NEPHROTOXIC LESION OF ETHYLENE GLYCOL*LEONARD B. BERMAN, M.D., GEORGE E. SCHREINER, M.D., JEAN FEYS, M.D.Natural history of glomerulonephritisThe significance and potential value of renal biopsy in Bright's diseaseThe nephrotic syndromeManagement of PyelonephritisNeedle Biopsy of the Kidney 1 October 1955Volume 43, Issue 4Page: 807-847KeywordsBiopsyGlomerulonephritisHabitsHospital medicineHypertensionKidneysProteinuriaPyelonephritisTasteTicks ePublished: 1 December 2008 Issue Published: 1 October 1955 PDF downloadLoading ...