<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2413-4341</journal-id>
<journal-title><![CDATA[Revista Paraguaya de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. parag. reumatol.]]></abbrev-journal-title>
<issn>2413-4341</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2413-43412022000200062</article-id>
<article-id pub-id-type="doi">10.18004/rpr/2022.08.02.62</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Glomerulopatías primarias como causa de enfermedades inmunológicas no sistémicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Primary glomerulonephritis as a cause of non-systemic immunological diseases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez]]></surname>
<given-names><![CDATA[Milciades]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brítez González]]></surname>
<given-names><![CDATA[Lilian Michele]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Jiménez]]></surname>
<given-names><![CDATA[Lourdes Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios Gini]]></surname>
<given-names><![CDATA[Marcelo Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez Molinas]]></surname>
<given-names><![CDATA[Lilian Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ponte]]></surname>
<given-names><![CDATA[Fernando da]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Stanley]]></surname>
<given-names><![CDATA[Idalina de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas, Departamento de Nefrología]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>62</fpage>
<lpage>66</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2413-43412022000200062&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2413-43412022000200062&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2413-43412022000200062&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Introducción: Las glomerulopatías primarias son enfermedades restringidas al riñón, de base inmunológica, son diagnosticadas, clasificadas y tratadas gracias a la punción biopsia renal. Es necesario reconocer a las mismas como diagnóstico diferencial de las glomerulopatías secundarias. Objetivo General: Conocer los tipos de glomerulopatías primarias más frecuentes diagnósticas en el Departamento de Nefrología del Hospital de Clínicas de la Universidad Nacional de Asunción. Objetivos específicos: Evaluar la forma de presentación clínica y la correlación clínico-patológica de las glomerulopatías primarias en el Hospital de Clínicas y determinar las indicaciones más frecuentes de la punción biopsia renal y la frecuencia de complicaciones de este procedimiento. Pacientes y métodos: Estudio retrospectivo, descriptivo de corte trasversal, se revisaron 38 historias de biopsias renales efectuadas en el Hospital de Clínicas en mayores de dieciséis años, desde octubre 2014 a agosto del 2015. Se registró la edad, el sexo, el motivo de realización de la biopsia y las complicaciones. Además, se registró la creatinina, el clearance de creatinina y los hallazgos anatomopatológicos. Resultados: Las glomerulonefritis primarias representan el 42% del total de biopsias realizadas. El valor de la media de la edad fue de 35,3 ± 14,6 años, 62% fueron de sexo femenino. Presentaron hipertensión arterial el 75%, el valor de la media de la creatinina fue de 2,1 mg/dL(rango de 0,6 a 3,5) y del clearance fue de 80,6± 34,6 mL/min. La indicación más frecuente para realizar la punción biopsia renal fue la de síndrome nefrótico en un 69% de los pacientes. El 75 % de los pacientes no presentó complicaciones. El diagnóstico más frecuente fue el de glomerulonefritis membrano-proliferativa en un 37% de los pacientes seguido por la nefropatía membranosa en un 25 %. Conclusión: El síndrome nefrótico fue la presentación e indicación clínica para realizar la punción biopsia renal más frecuente. Los tipos de glomerulopatías primarias más encontradas fueron la glomerulonefritis membranoproliferativa (37%) y la glomerulonefritis membranosa (25%). La punción biopsia renal fue un método seguro de diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Introduction: Primary glomerulonephritis is restricted to the kidney, with an immunological basis, they are diagnosed, classified, and treated thanks to renal puncture biopsy, it is necessary to establish them as a differential diagnosis of secondary glomerulonephritis. Objectives: To know the most frequent types of primary glomerulonephritis at the Hospital de Clínicas. To evaluate the form of clinical presentation and the clinical-pathological correlation of primary glomerulonephritis at the Hospital de Clínicas and to determine the more common biopsy indications, and the frequency and type of complications of kidney biopsy puncture. Patients and methods: Retrospective, descriptive cross-sectional study, 38 records of renal biopsies performed at the Hospital de Clínicas in patients over sixteen years of age were reviewed, from October 2014 to August 2015. The following were evaluated: age, sex, the indication for the biopsy, and complications. In addition: creatinine, creatinine clearance, and anatomopathological determination. Results: Primary glomerulonephritis represents 42% of all biopsies performed. 38 were primary glomerulonephritis. The patient&#8217;s mean age was 35.3 ± 14.6 years, and 62% were female. 75% had arterial hypertension, mean creatinine was 2.1 mg/dL, and clearance was 80.6±34.6 mL/min (median: 89.5 mL/min; range: 5-130 mL/min). The more common indica tion was nephrotic syndrome (NS) 69%. 75% did not present complications, the most frequent diagnosis was membranous-proliferative glomerulonephritis (MPGN) 37% followed by membranous nephropathy (GNM) 25%. Conclusion: Nephrotic syndrome was the most frequent presentation and clinical indication for PBR. The most common types of primary glomerulonephritis were membranoprolife- rative glomerulonephritis (37%) and membranous glomerulonephritis (25%). PBR is a safe diagnostic method.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[glomerulopatías primarias]]></kwd>
<kwd lng="es"><![CDATA[síndrome nefrótico]]></kwd>
<kwd lng="es"><![CDATA[punción biopsia renal]]></kwd>
<kwd lng="en"><![CDATA[primary glomerulo-pathies]]></kwd>
<kwd lng="en"><![CDATA[nephrotic syndrome]]></kwd>
<kwd lng="en"><![CDATA[renal biopsy puncture]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Najafian]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Lusco]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Alpers]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Fogo]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Approach to Kidney Biopsy: Core Curriculum 2022]]></article-title>
<source><![CDATA[Am J Kidney Dis Off J Natl Kidney Found]]></source>
<year>2022</year>
<volume>80</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>119-31</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rastaldi]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Fervenza]]></surname>
<given-names><![CDATA[FC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Histologic classification of glomerular diseases: clinicopathologic correlations, limitations ex posed by validation studies, and suggestions for modification]]></article-title>
<source><![CDATA[Kidney Int]]></source>
<year>2014</year>
<volume>85</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>779-93</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Feehally]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Floege]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
<name>
<surname><![CDATA[Tonelli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Comprehensive Clinical Nephrology]]></source>
<year>2018</year>
<publisher-name><![CDATA[US Elsevier Health]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nachman]]></surname>
<given-names><![CDATA[PH]]></given-names>
</name>
<name>
<surname><![CDATA[Jennette]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Falk]]></surname>
<given-names><![CDATA[RJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Primary Glomerular Disease - Brenner and Rector&#8217;s The Kidney]]></source>
<year>2018</year>
<edition>8th ed</edition>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kasamatsu]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Morán]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Centurión]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Campos de Alvarenga]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Glomerulopatías en el Paraguay. Reporte del Registro de Biopsias Renales en 1072 casos]]></article-title>
<source><![CDATA[Mem Inst Investig En Cienc Salud.]]></source>
<year>2005</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>51-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rovin]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
<name>
<surname><![CDATA[Adler]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Barratt]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bridoux]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Burdge]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[KDIGO 2021 Clinical Practice Guideline for the Management of Glomerular Diseases]]></article-title>
<source><![CDATA[Kidney Int]]></source>
<year>2021</year>
<volume>100</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>S1-276</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Escudero]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Stromquist]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Urcia]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hurtado]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Gretch]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Distinct patterns of glomerular disease in Lima, Peru]]></article-title>
<source><![CDATA[Clin Nephrol]]></source>
<year>2000</year>
<volume>53</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>325-32</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mazzuchi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Caorsi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Schwedt]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Di Martino]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Mautone]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frequency of diagnosis and clinic presentation of glomerulopathies in Uruguay]]></article-title>
<source><![CDATA[Nefrol Publicacion Of Soc EspanolaNefrol]]></source>
<year>2005</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>113-20</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mazzarolo Cruz]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Saldanha]]></surname>
<given-names><![CDATA[LB]]></given-names>
</name>
<name>
<surname><![CDATA[de Oliveira Penna]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalence of adult primary glomerular diseases: retrospective analysis of 206 kidney biopsies (1990-1993)]]></article-title>
<source><![CDATA[Rev Hosp Clin]]></source>
<year>1996</year>
<volume>51</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[ZH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiologic data of renal diseases from a single unit in China: analysis based on 13,519 renal biopsies]]></article-title>
<source><![CDATA[Kidney Int]]></source>
<year>2004</year>
<volume>66</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>920-3</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Gómez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Registro de glomerulonefritis de la Sociedad Española de Nefrología en 2019: pasado, presente y nuevos retos]]></article-title>
<source><![CDATA[Nefrología]]></source>
<year>2020</year>
<volume>40</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>371-83</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[FDS]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
<name>
<surname><![CDATA[Fujii]]></surname>
<given-names><![CDATA[CDC]]></given-names>
</name>
<name>
<surname><![CDATA[Rabelo-Silva]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Lucena A de]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of percutaneous renal biopsy complications based on outcomes and indicators of the Nursing Outcomes Classification]]></article-title>
<source><![CDATA[Rev Lat Am Enfermagem]]></source>
<year>2021</year>
<volume>29</volume>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="">
<collab>iopsia Renal</collab>
<source><![CDATA[Nefrología al día]]></source>
<year>2022</year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
