[The diagnosis of analgesic nephropathy]

Inspired by the large proportion of at least 17% of nephropathy due to analgesics as the basic disease among the patients undergoing chronic dialysis in Erfurt and under the impression of a greatly distributed "underdiagnosis" of this avoidable disease the actual diagnostic possibilities for recognition are demonstrated. Above all, in analgesic syndrome the thinking-of is of greatest importance, and the sensible making of the patient's analgesics history. The presumable diagnosis analgesic nephropathy is than made secure by means of imaging methods, with the help of which the almost pathognomonic papillary necroses can be demonstrated. Finally, the reasons are given for the importance of the exact diagnosis analgesic nephropathy, even in the stage of nephrocirrhosis.