Epidemiology of Renal Disease in Thrissur - A Biopsy Audit

The audit has thrown light into the prevalence of various kidney diseases occurring in population of Thrissur district. The younger age group needed biopsy the most. Primary glomerular diseases are the most common renal diseases in our setting. Among the primary glomerular diseases it is nephrotic syndrome which is the most commonly biopsied. FSGS is the most common cause of nephrotic syndrome. IgA nephropathy is the most common primary glomerular disease. Lupus nephritis is the most common cause for secondary glomerular disease. The proportion of males among the patients with lupus nephritis is slightly higher than usual. Crescentic Glomerulonephritis is an important cause of acute renal failure, while diabetes mellitus is the most common situation where biopsy is done for chronic renal disease. The elderly population has a greater incidence of post infectious proliferative Glomerulonephritis while compared to data from developed countries.