Based on biochemical analyzes and clinical observation of 32 patients with end-stage renal failure on maintenance hemodialysis, a special 7G diet was developed, containing 60 g of protein (0.9-1.0 g per 1 kg of the patient's body weight) and the physiological norm of vitamins and minerals. substances.
We describe a patient with idiopathic membranous glomerulopathy who developed acute deterioration in renal function; this was associated with hemoptysis, severe hypertension, and anti-glomerular basement membrane (anti-GBM) antibody in the serum. Despite aggressive therapy with plasmapheresis, cyclophosphamide and prednisone, the patient progressed to end-stage renal failure and is on maintenance hemodialysis.