Metabolic Nephrology

Abstract

Nephrology faces a paradox. The prevalence of kidney
disease is rising, in spite of advances in diagnostic,
preventive and therapeutic strategies. This has kindled
interest in the discipline. Once considered a subspecialty
of general medicine, nephrology has evolved into a broad
discipline. This encompasses diverse fields like transplant
medicine, dialysis medicine, onconephrology,
interventional nephrology, and immunonephrology.
Notably, most causes, clinical manifestations,
complications, comorbidities, and therapeutic targets in
kidney disease are metabolic in nature. This underscores
the need to recognize Metabolic Nephrology as a distinct
and emerging subspecialty. This allows holistic addressal
of the metabolic origins and consequences of kidney
disease. It will also foster the development of preventive,
pharmacologic, etiology-specific and replacement
therapies.