Utility of Immunofluorescence in the Diagnosis of Glomerulopathies

Abstract

Introduction: Glomerulopathies constitute aheterogeneous group of diseases that are difficult to diagnose and immunofluorescence is currently considered an invaluable technique to establish an adequate diagnosis and a correct therapeutic approach. Objective: To contribute to the updating of the scientific community in relation to the diagnosis of this pathology with the use of immunofluorescence. Methodology: A non-systematic bibliographic review was carried out in the databases available on the Internet such as: Scielo, Elsevier, Cochrane Library, PubMed, Intramed. This search was conducted in both Spanish and English. Results: 55 bibliographic sources were found, of which 30 relevant scientific articles were used and 25 were excluded because they did not meet the selection criteria. Discussion: Glomerulopathies comprise a group of diseases that affect renal function, they can be primary or secondary and have an acute or chronic and progressive course, with high morbidity and mortality worldwide, since they can lead patients to renal failure, Therefore, the use of diagnostic means such as immunofluorescence is an invaluable tool to achieve a specific diagnosis, which will result in an appropriate therapeutic approach for each patient. Conclusion: Immunofluorescence is an invaluable technique in the diagnosis of glomerulopathies that facilitates an adequate therapeutic approach for patients. And it allows to establish the specific type between the different variants of this group of diseases.


Keywords: glomerulopathies, immunofluorescence, renal failure, glomerular filtration, immune complex deposits.


RESUMEN

Introducción: Las glomerulopatías constituyen un grupo heterogéneo de enfermedades de difícil diagnóstico y la inmunofluorescencia es considerada en la actualidad una técnica de inestimable valor para establecer un diagnóstico adecuado y un correcto enfoque terapéutico. Objetivo: Contribuir a la actualización de la comunidad científica en relación al diagnóstico de esta patología con el uso de la inmunofluorescencia. Métodos: Se realizó una revisión bibliográfica no sistemática en las bases de datos disponibles de internet como: Scielo, Elsevier, Biblioteca Cochrane, PubMed, Intramed. Esta búsqueda se realizó tanto en español como en inglés. Resultados: Se encontraron 55 fuentes bibliográficas, de las cuales se utilizaron 30 artículos científicos de relevancia y se excluyeron 25 debido a que no llegaron a cumplir con los criterios de selección. Discusión: Las glomerulopatías comprenden un grupo de enfermedades que afectan la función renal, pueden ser primarias o secundarias y tener un curso agudo o crónico y progresivo, con una alta morbimortalidad a nivel mundial, ya que pueden llevar a los pacientes a la insuficiencia renal, por lo que el uso de los medios diagnósticos como la inmunofluorescencia es de gran utilidad para definir el tipo específico dentro de este grupo heterogéneo de dolencias, lo que redundará en una mayor calidad de la asistencia médica para cada paciente. Conclusiones: La inmunofluorescencia es una técnica de valor inestimable en el diagnóstico de las glomerulopatías que facilita un enfoque terapéutico adecuado para los pacientes. Y permite establecer el tipo específico entre las diferentes variantes de este grupo de enfermedades.


Palabras clave: glomerulopatías, inmunofluorescencia, insuficiencia renal, filtrado glomerular, depósitos de inmunocomplejos.

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