How to detect toxic kidney damage
Systemic toxicity: kidneys, primary target organs

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FIC1175 V1 Practical sheet

How to detect toxic kidney damage


Systemic toxicity: kidneys, primary target organs

Author : Alain LOMBARD

Publication date: May 10, 2025 | Lire en français

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4. How to detect toxic kidney damage

Markers of renal toxicity are :

  • increase in serum creatinine;

  • glomerular damage, characterized by the presence of high molecular weight proteins (greater than 68,000 daltons) in the urine; albumin is a marker of high molecular weight proteinuria (albuminuria);

  • Severe glomerular disease, characterized by the presence of red blood cells in the urine; blood in the urine (hematuria) is a marker of severe disease;

  • proximal tubal damage is characterized by the presence of low-molecular-weight proteins (less than 68,000 daltons) in the urine; retino transport protein (RBP) is a marker of low-molecular-weight proteinuria;

  • distal tubular disease, characterized by excessive uromodulin (Tamm Horsfall protein) in the...

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