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Diagnosis

Should renal biopsies be performed in the very elderly?

As the population ages, more elderly people are developing kidney disease. Nephrologists are often reluctant to perform renal biopsy in elderly patients, but in many cases, the diagnostic benefits of this procedure outweigh the risks.

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Figure 1: Glomerulus showing segmental necrosis with destruction of some capillary basement membranes and prominent cellular crescent formation.

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Correspondence to J. Ashley Jefferson.

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Jefferson, J., Alpers, C. Should renal biopsies be performed in the very elderly?. Nat Rev Nephrol 5, 561–562 (2009). https://doi.org/10.1038/nrneph.2009.145

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