Needle biopsy of the kidneys; studies of two cases of lower nephron nephrosis due to toxic solvents.

In two cases of "lower nephron nephrosis" or acute renal failure, needle biopsies of the kidney were performed. The first case developed in a 46-year-old woman following inhalation of vapors from an insecticide spray and a cleaning fluid. The second case was due to ingestion of carbon tetrachloride. Histologic study of the human kidney during toxic nephrosis showed changes confined mainly to the epithelium of the proximal tubules, confirmed the diagnosis, and illuminated the clinical course. Needle biopsy of the kidney during acute renal failure did not influence the course of the disease unfavorably. It was easy, and entailed no complications. Needle biopsy of kidneys may prove as informative and valuable as needle biopsies of the liver by aiding in the prognosis as well as in the diagnosis of various renal diseases.