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Rheumatology and the Kidney, second edition

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Title: Rheumatology and the Kidney, second edition

Author: Dwomoa Adu, Paul Emery, Michael Madaio

Publisher: Oxford University Press

Reviewer: Anne Duell, registered general nurse, Birmingham Community NHS Trust

What was it like?

This is a more complex in-detail book surrounding rheumatology and the kidney as well as rheumatology and disorders impacting on the joint structure. It addresses a broad variety of issues surrounding kidney disease. The authors concern themselves with pathogenesis, immunology, presented features and subsequent treatment options, which is presented using evidence based methodology.


Proceeding through the chapters within this book we are presented with numerous diseases and their underlying aetiology, pathology and current recommendations for treatment and desired outcomes.  These are presented in an academic manner, which is comprehensive but understandable for the reader  when considering the practical nature of managing the condition for their patient.

To provide a further insight, some of the conditions considered include lupus nephritis (chapters 1-5), vasculitis, systemic schlerosis, amyloidosis and hepatitis b plus others. The focus is upon how the disease mechanism is classified and what treatment options are available. The toxicity of medication is presented in concise manner. As readers we are challenged to consider the impact of nephrotoxicity, due to pharmacological interventions, for the treatment on rheumatologic diseases and also to consider the impact of medication post renal transplantation.

There are tables and illustrations included within the test, which support the presented material. 

What were the highlights? 

The highlight of this book is the sheer scope of material covered and the evidence based manner in which it is presented. Although a technical masterpiece of academia, it remains strongly patient centred.

Strengths & weaknesses:

The strength of this book is the sheer volume of conditions presented.  Despite the cost of this book it is worth the cost for the knowledge and evidence based medicine being presented.  For any readers not familiar with many of the abbreviations incorporated within the text there is a comprehensive index at the beginning which it would be of benefit to photocopy and have to hand while reading.

Who should read it?

This book would be of interest to those with advanced working knowledge within the field of rheumatology and the kidney and who wish to enhance their current knowledge and skills. 

It is certainly to be recommended to students of medicine undertaking placements  in rheumatology and/or nephrology. Along with these groups it would be of interest to nurses or other health care professionals working with patients who have long term conditions, which have a negative impact of the working of the kidney.

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