Glomerular Disease in Vietnam: Diagnosis and Treatment Challenges

Glomerular disease (GD) is common in Vietnam. In the absence of suitable pathology laboratories, well-trained renal pathologists and etiologic laboratory tests, the diagnosis of GD mainly relies on the recognition of clinical syndromes. Support from the International Society of Nephrology has been crucial for the clinical and pathologic diagnosis of GD in Vietnam. The high cost of new immunosuppressant agents has precluded their widespread adoption and low-cost steroids remain the main immunosuppressants prescribed for GD in Vietnam.