Zusammenfassung
Chronische Nierenerkrankungen nehmen weltweit kontinuierlich zu. Vaskuläre Nierenerkrankungen infolge eines Diabetes mellitus, einer arteriellen Hypertonie oder arteriosklerotischer Gefäßerkrankungen machen den größten Anteil aus. Eine weitere zahlenmäßig bedeutsame Ursache stellen entzündliche Glomerulopathien dar (Glomerulonephritiden). Sie werden nach ihrer Verlaufsform in akute, subakute und chronische Glomerulonephritiden unterteilt. Die postinfektiösen Glomerulonephritiden sind häufig für Begutachtungsfragen relevant. Auch die interstitiellen Nephritiden mit ihrem breiten Ursachenspektrum geben nicht selten Anlass, Zusammenhangsfragen gutachterlich zu klären. Auch toxische Nierenschäden sowohl durch organische als auch anorganische Substanzen sind in der Gutachtenmedizin wichtig. Die chronische Niereninsuffizienz bis hin zur dialysepflichtigen Niereninsuffizienz ist hinsichtlich der Begutachtung von besonderer Bedeutung, ebenso die Nierentransplantation.
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Zidek, W. (2023). Erkrankungen der Nieren – Begutachtung. In: Breuer, J., Fritze, J., Popa, A., Scholtysik, D., Seifert, J., Wich, M. (eds) Die Ärztliche Begutachtung. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61937-7_89-1
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