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Kidney (Nephrology) Conditions Treated at KIMS Secunderabad

The KIMS Institute of Renal Sciences manages the full spectrum of kidney disease — from common CKD, AKI, and diabetic nephropathy through complex glomerular disease, vasculitis, thrombotic microangiopathy, hereditary nephropathies, and onco-nephrology — with a team of DM-qualified nephrologists, in-house NABL biopsy pathology, and 24/7 CRRT for critical care.

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Core Nephrology Conditions

KIMS Advantage

Chronic Kidney Disease (CKD)

Progressive loss of kidney function through 5 stages — commonly caused by diabetes and hypertension.

DM-qualified nephrologists; SGLT2i & Finerenone protocols.

KIMS Advantage

Acute Kidney Injury (AKI)

Sudden, rapid decline in kidney function — often reversible with early specialist intervention.

24/7 CRRT for haemodynamically unstable ICU patients.

KIMS Advantage

Kidney Failure (ESRD)

Complete loss of kidney function requiring dialysis or transplant.

1,500+ transplants; ABO-incompatible & Swap experts.

KIMS Advantage

Diabetic Nephropathy

Kidney damage caused by diabetes — detectable via urine ACR testing before symptoms appear.

Joint nephrologist-endocrinologist monitoring clinic.

KIMS Advantage

Hypertension and Kidney Disease

High blood pressure both causes and worsens kidney disease — a bidirectional relationship.

ABPM, ARB/ACE titration, secondary HTN workup.

KIMS Advantage

Polycystic Kidney Disease (PKD)

Genetic disorder causing fluid-filled cysts to progressively replace healthy kidney tissue.

Tolvaptan initiation and intracranial aneurysm screening.

KIMS Advantage

Nephrotic Syndrome

Massive protein loss causing severe swelling, low albumin, and high cholesterol.

Rituximab protocols for steroid-resistant cases.

KIMS Advantage

Glomerulonephritis

Immune-mediated inflammation of kidney filtering units requiring biopsy-guided treatment.

Real-time ultrasound-guided biopsy & plasmapheresis.

Glomerular and Immune-Mediated Disease

KIMS Advantage

IgG4 Nephropathy

IgG4-related kidney disease — TIN or membranous nephropathy from IgG4 plasma cell infiltration.

In-house IgG4 immunostaining on biopsy.

KIMS Advantage

Lupus Podocytopathy

Lupus-related podocyte injury causing nephrotic-range proteinuria.

Rheumatology-nephrology joint clinic.

KIMS Advantage

ANCA Vasculitis

Pauci-immune glomerulonephritis with MPO or PR3 ANCA — rapidly progressive RPGN.

Rituximab and plasma exchange protocols.

KIMS Advantage

Goodpasture Syndrome

Anti-GBM antibody disease causing pulmonary-renal crisis with crescentic GN.

Plasma exchange and immunosuppression protocols.

KIMS Advantage

C3 Glomerulopathy

Complement-mediated GN with isolated C3 deposition — C3 GN and dense deposit disease.

Complement studies and eculizumab access.

KIMS Advantage

Alport Syndrome

Hereditary type IV collagen GBM defect — progressive haematuria, proteinuria, and ESRD.

Genetic testing and family cascade screening.

KIMS Advantage

Antiphospholipid Syndrome

Antiphospholipid antibody-driven thrombotic microangiopathy of the kidney.

Anticoagulation and rheumatology co-management.

KIMS Advantage

Polyarteritis Nodosa

Medium-vessel vasculitis affecting renal arteries — microaneurysms and renal infarcts.

Renal angiography and cyclophosphamide protocols.

Tubulointerstitial and Systemic Kidney Disease

KIMS Advantage

Sarcoidosis and Kidney Disease

Non-caseating granulomatous TIN and hypercalcaemia from sarcoid 1,25-OH vitamin D production.

Steroid + hydroxychloroquine; TB exclusion before steroids.

KIMS Advantage

Renal Tubular Acidosis

Tubular defect in acid handling — types 1, 2, and 4 with characteristic electrolyte patterns.

Urine anion gap and bicarbonate titration.

KIMS Advantage

Metabolic Acidosis

Low bicarbonate from CKD or tubular disease — accelerates CKD progression and bone disease.

Oral bicarbonate replacement and CKD monitoring.

KIMS Advantage

Hepatorenal Syndrome

Functional AKI in advanced liver disease from splanchnic vasodilation and renal hypoperfusion.

Terlipressin and albumin protocol; transplant assessment.

KIMS Advantage

Sickle Cell Nephropathy

Sickle cell-induced medullary ischaemia, papillary necrosis, and CKD.

Haematology-nephrology joint care.

KIMS Advantage

Hepatitis C Kidney Disease

HCV-associated cryoglobulinaemic GN and membranoproliferative nephritis.

Direct-acting antivirals coordinated with nephrology.

KIMS Advantage

Papillary Necrosis

Necrosis of the renal papillae — from diabetes, NSAIDs, sickle cell, or analgesic nephropathy.

CT urogram and underlying cause workup.

KIMS Advantage

Fabry Disease

X-linked lysosomal storage disorder causing progressive CKD, cardiomyopathy, and neuropathy.

Enzyme replacement therapy and family screening.

Acute, Critical Care, and Onco-Nephrology

KIMS Advantage

Thrombotic Microangiopathy

MAHA + thrombocytopenia + AKI — TTP, STEC-HUS, aHUS, and secondary TMA.

ADAMTS13, complement studies, plasma exchange, eculizumab.

KIMS Advantage

Hemolytic Uremic Syndrome

Microangiopathic haemolysis, thrombocytopenia, and AKI in children and adults.

STEC PCR, eculizumab for aHUS, CRRT.

KIMS Advantage

Scleroderma Renal Crisis

Renin-driven hypertensive emergency in systemic sclerosis — captopril is life-saving.

Aggressive captopril titration, anti-RNAP III testing.

KIMS Advantage

Preeclampsia and Kidney

Pregnancy-related hypertension with proteinuria and AKI — and the long-term renal sequelae.

Obstetric-nephrology joint clinic; postpartum follow-up.

KIMS Advantage

Multiple Myeloma Kidney

Cast nephropathy, AL amyloidosis, and light chain deposition disease from plasma cell dyscrasia.

Free light chain assay; bortezomib with haematology.

KIMS Advantage

MGRS

Monoclonal gammopathy of renal significance — small clone with disproportionate kidney impact.

Kidney biopsy with IF and EM; clone-directed therapy.

KIMS Advantage

Renal Amyloidosis

AL or AA amyloid deposition causing nephrotic syndrome and progressive CKD.

Congo red biopsy; bortezomib/daratumumab protocols.

KIMS Advantage

Uremia

Clinical syndrome of waste accumulation in advanced kidney failure.

Dialysis access planning and uraemic symptom control.

Vascular, Structural, and Symptom-Based

KIMS Advantage

Renal Artery Stenosis

Atherosclerotic or fibromuscular narrowing of the renal artery — resistant hypertension and AKI.

Duplex, CT angiography, and selective angioplasty.

KIMS Advantage

Renovascular Disease

Spectrum of renal vascular pathology causing ischaemic nephropathy.

Vascular imaging and revascularisation assessment.

KIMS Advantage

Renal Cyst

Simple or complex fluid-filled cysts — Bosniak classification guides management.

MRI/CT characterisation; surgery for Bosniak III/IV.

KIMS Advantage

Edema and Fluid Retention

Generalised oedema from nephrotic syndrome, CKD, heart failure, or cirrhosis.

Diuretic optimisation and underlying cause workup.

KIMS Advantage

Proteinuria

Protein in urine — the most important marker of CKD progression risk.

ACR quantification; ACE/ARB and SGLT2 titration.

KIMS Advantage

Hematuria

Blood in the urine — requires structured workup to find glomerular or urological cause.

Urine microscopy, CT urogram, cystoscopy as needed.

Book a Nephrology Consultation at KIMS Secunderabad

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