{"id":26204,"date":"2024-03-13T17:25:57","date_gmt":"2024-03-13T21:25:57","guid":{"rendered":"https:\/\/nephcure.org\/?page_id=26204"},"modified":"2026-02-26T15:20:22","modified_gmt":"2026-02-26T20:20:22","slug":"descripcion-general-del-rkd","status":"publish","type":"page","link":"https:\/\/nephcure.org\/es\/intro-to-rkd\/rkd-overview\/","title":{"rendered":"Descripci\u00f3n general"},"content":{"rendered":"<section class=\"gb-container gb-container-ba2e2dcb\">\n<div class=\"yoast-breadcrumbs breadcrumb\"><span><span><a href=\"https:\/\/nephcure.org\/\">Home<\/a><\/span> \/ <span><a href=\"https:\/\/nephcure.org\/intro-to-rkd\/\">Intro to RKD<\/a><\/span> \/ <span class=\"breadcrumb_last\" aria-current=\"page\">Overview<\/span><\/span><\/div>\n\n<div class=\"gb-container gb-container-80071c84 hero-copy\">\n\n<h1 class=\"gb-headline gb-headline-6cf43bd0 gb-headline-text hero-content\">Overview<\/h1>\n\n\n\n<p class=\"gb-headline gb-headline-141c6f6f gb-headline-text hero-content\">Rare, protein-spilling kidney diseases are a group of conditions that affect the filtering units of the kidneys and are considered uncommon. These diseases are often caused by immune system dysfunction, genetic mutations, environmental factors or a combination of factors. Sometimes, the cause of the disease is idiopathic or unknown.&nbsp;<\/p>\n\n<\/div>\n\n<div class=\"gb-container gb-container-9849f448\"><\/div>\n<\/section>\n\n<div class=\"gb-container gb-container-fedf160c\">\n<div class=\"gb-container gb-container-a6126eda\">\n\n<figure class=\"gb-block-image gb-block-image-2d34fc7c\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-2d34fc7c\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"Headline decoration line\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-88096344 gb-headline-text\">RKD VS CKD<\/h2>\n\n\n\n<p>It is estimated that kidney disease affects 37 million people in the United States alone, and globally 1 in 10 people have some form of kidney disease(1).&nbsp;<strong><em>Chronic kidney disease<\/em><\/strong>&nbsp;<strong>(CKD)&nbsp;<\/strong>is the general term describing kidneys that are damaged or losing function over time and may not clean the blood as well as healthy kidneys. This can happen all of a sudden or over time. Diabetes and high blood pressure are the two most common forms of CKD in the U.S.(3).<\/p>\n\n\n\n<p>While all kidney diseases can be considered CKD, it is important to differentiate&nbsp;<strong><em>rare kidney diseases (RKD)<\/em><\/strong> with other causes because they are often diagnosed differently and can require distinctive treatments.<\/p>\n\n\n\n<p>The Food and Drug Administration (FDA) defines a rare kidney disease as a condition that effects less than 200,000 people in the United States (4). It is estimated that there are 150 different types of RKD that can be inherited or acquired with unknown causes.&nbsp;<\/p>\n\n\n\n<p>Rare kidney disease patients experience unique challenges in both diagnosis and treatment. For this reason it is important that they receive specialized care from nephrologists who are familiar with your specific RKD.&nbsp;<\/p>\n\n\n\n<p>Rare, protein spilling kidney diseases are:<\/p>\n\n\n<div class=\"gb-container gb-container-d738894b\">\n\n<ul class=\"wp-block-list\">\n<li>The most aggressive forms of kidney disease.<\/li>\n\n\n\n<li>May lead to kidney failure at higher and faster rates than CKD<\/li>\n\n\n\n<li>Often go undiagnosed or misdiagnosed for a long period of time which can lead to delayed treatment<\/li>\n\n\n\n<li class=\"li\">Have few or no FDA approved treatments<\/li>\n\n\n\n<li>Small numbers of affected patients<\/li>\n\n\n\n<li>Unidentified causes of disease<\/li>\n\n\n\n<li>Lack of appropriate tests to monitor some diseases<\/li>\n<\/ul>\n\n<\/div>\n\n<div class=\"gb-container gb-container-812e1f73\">\n\n<figure class=\"gb-block-image gb-block-image-48639e53\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-48639e53\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"Headline decoration line\" title=\"heading-line\"\/>\n<h2 class=\"gb-headline gb-headline-3de92b95 gb-headline-text\">How the Kidneys Work<\/h2>\n<\/figure>\n\n\n\n<p>The kidneys play an important role in the body, acting as the body&#8217;s filtering system, to eliminate wastes, drugs, and toxins through the urine. Healthy kidneys filter about half a cup of blood each minute returning most of the water back into your blood and removing the wastes in the form of 1 to 2 quarts of urine per day(2).<\/p>\n\n\n\n<p>The kidneys are a very important organ in the body. They&nbsp;are two bean-shaped organs, each about the size of a fist, located just below the rib cage, one on each side of the&nbsp;spine.&nbsp;<\/p>\n\n\n<div class=\"gb-container gb-container-93197cdc\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-dfa02900\">\n<div class=\"gb-grid-column gb-grid-column-d6f8a718\"><div class=\"gb-container gb-container-d6f8a718\">\n\n<p><strong>The kidneys also:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Regulate electrolyte (salt) concentration<\/li>\n\n\n\n<li>Manage the amount of fluid within the body<\/li>\n\n\n\n<li>Help control blood pressure<\/li>\n\n\n\n<li>Aid in red blood cell production<\/li>\n\n\n\n<li>Help regulate growth in children<\/li>\n\n\n\n<li>Keep bones healthy by making vitamin d and maintaining levels of calcium, and other hormones and minerals<\/li>\n<\/ul>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>Each kidney\u2019s nephrons or functional units contain glomeruli, the filtering units and tubules that collect the waste and remove it in the form of urine.&nbsp;<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-7f3b92cf\"><div class=\"gb-container gb-container-7f3b92cf\">\n\n<figure class=\"gb-block-image gb-block-image-6518df2d\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"1350\" class=\"gb-image gb-image-6518df2d\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/1-KidneyOverview.png\" alt=\"\" title=\"1-KidneyOverview\" srcset=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/1-KidneyOverview.png 1200w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/1-KidneyOverview-267x300.png 267w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/1-KidneyOverview-910x1024.png 910w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/1-KidneyOverview-768x864.png 768w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/1-KidneyOverview-11x12.png 11w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<figure class=\"gb-block-image gb-block-image-2816a85b\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-2816a85b\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"Headline decoration line\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-6006a81b gb-headline-text\">Warning Signs<\/h2>\n\n\n\n<p>Rare kidney diseases often have distinct signs and symptoms, and it&#8217;s important to note that these can vary depending on the specific type and stage of kidney disease. Some patients may not experience noticeable symptoms, so it is important to see a physician yearly for a physical.<\/p>\n\n\n\n<p><strong>The following are all warning signs that you may be at risk for kidney disease:<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li>You have a family history of kidney disease<\/li>\n\n\n\n<li>You are experiencing unexplained fatigue<\/li>\n\n\n\n<li>Unexplained high blood pressure<\/li>\n\n\n\n<li>High levels of protein in the urine during a urinalysis is a serious sign that your kidneys are not functioning properly<\/li>\n\n\n\n<li>Protein leaking into the urine can cause your urine to be foamy or frothy<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li>Dark, cola colored urine&nbsp;<\/li>\n\n\n\n<li>Swelling in your eye lids, face, groin or extremities called pitting edema<\/li>\n\n\n\n<li>Unexplained high cholesterol<\/li>\n\n\n\n<li>You may experience joint pain or pain in and around the kidneys&nbsp;<\/li>\n\n\n\n<li>Nausea or loss of appetite<\/li>\n\n\n\n<li>Decreased urination or changes in frequency<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n<\/div>\n\n<div class=\"gb-container gb-container-11e02b76\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-f3fb8cbf\">\n<div class=\"gb-grid-column gb-grid-column-bfb1aea5\"><div class=\"gb-container gb-container-bfb1aea5\">\n\n<figure class=\"gb-block-image gb-block-image-1d30c600\"><img loading=\"lazy\" decoding=\"async\" width=\"764\" height=\"856\" class=\"gb-image gb-image-1d30c600\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/5-GlomerulusFiltration-Normal.jpg\" alt=\"\" title=\"5-GlomerulusFiltration-Normal\" srcset=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/5-GlomerulusFiltration-Normal.jpg 764w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/5-GlomerulusFiltration-Normal-268x300.jpg 268w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/5-GlomerulusFiltration-Normal-11x12.jpg 11w\" sizes=\"auto, (max-width: 764px) 100vw, 764px\" \/><\/figure>\n\n\n\n<figure class=\"gb-block-image gb-block-image-40625f55\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-40625f55\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/>\n<h2 class=\"gb-headline gb-headline-8aeb36c5 gb-headline-text\"><strong>How RKD Impacts Your Kidney<\/strong>s<\/h2>\n<\/figure>\n\n\n\n<p class=\"has-text-align-left\">Rare protein spilling kidney disease that impact the filtering units or glomeruli of the kidneys are also referred to as glomerular disease (GD). Each kidney contains about 500,000 filtering units which form small balls or capillaries through which the blood is filtered. The main role of the glomerulus is to filter wastes out of the blood stream. <\/p>\n\n\n\n<p class=\"has-text-align-left\">Blood enters the glomerulus through the arteries and travels through several layers of cells in which wastes are excreted through the filtering process and removed from the body in the form of urine through the tubules. The clean blood, including vital proteins are then returned to the bloodstream through another artery (refer to the illustration).<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-ada93b57\"><div class=\"gb-container gb-container-ada93b57\">\n\n<figure class=\"gb-block-image gb-block-image-0e660b4e\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" class=\"gb-image gb-image-0e660b4e\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/glomerular-filtration-barrier-illustration.png\" alt=\"\" title=\"glomerular-filtration-barrier-illustration\" srcset=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/glomerular-filtration-barrier-illustration.png 300w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/glomerular-filtration-barrier-illustration-150x150.png 150w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/glomerular-filtration-barrier-illustration-12x12.png 12w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-left\">The main filtration of proteins happen through cells called podocytes which are located around the outside the glomeruli.&nbsp;In rare, protein spilling kidney diseases or glomerular diseases the filtering units podocytes lose their shape, this is called podocyte foot process effacement. This causes the filtering slits to malfunction, allowing larger molecules such as protein and other cells that belong in the blood, to leak or escape into the urine.&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-left\"><strong>Proteinuria<\/strong>&nbsp;is the term used to describe too much protein in the urine.&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-left\"><strong>Hematuria<\/strong>&nbsp;is the term used to describe blood in the urine. <\/p>\n\n\n\n<p class=\"has-text-align-left\">Over time, podocyte foot process effacement and proteinuria can cause permanent damage to the kidney causing podocyte detachment and scarring.&nbsp;Although each type of RKD have differences, they can all cause protein to spill into the urine and may lead to kidney damage.<\/p>\n\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-5793c8af gb-grid-column-default\"><div class=\"gb-container gb-container-5793c8af gb-container-default\">\n<div class=\"gb-container gb-container-8d867b04 gb-container-default\">\n<div class=\"gb-container gb-container-6ec440cb gb-container-default\">\n\n<figure class=\"gb-block-image gb-block-image-fba406b5\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-fba406b5\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"Headline decoration line\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-04c08313 gb-headline-text\"><strong>Diagnosing Rare Kidney Disease<\/strong><\/h2>\n\n\n\n<p>Diagnosing RKD often requires specialized medical tests with the collaboration of your primary care physician and an experience nephrologist. If your doctor suspects that you have RKD, they will likely run one or more of the following tests:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urinalysis or 24-hour urine test to check for protein and\/or blood in your urine.<\/li>\n\n\n\n<li>Blood work to check the levels of protein (albumin) in your blood and also to see how your kidney is functioning.<\/li>\n\n\n\n<li>A Biopsy is required to diagnose the specific type of RKD you have.&nbsp;<\/li>\n\n\n\n<li>Genetic testing may provide important diagnostic and treatment information<\/li>\n\n\n\n<li>Other tests may include:&nbsp;<ul><li>Blood Pressure<\/li><\/ul><ul><li>Cholesterol blood tests<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Kidney ultrasound<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>It is crucial to receive a quick and accurate diagnosis so your condition can be managed effectively.&nbsp;<\/p>\n\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n<p class=\"has-small-font-size\"><em>[1] Centers for Disease Control and Prevention.&nbsp;Chronic Kidney Disease in the United States, 2021.&nbsp;Centers for Disease Control and Prevention, US Department of Health and Human Services; 2021. [2] National Institute of Diabetes and Digestive and Kidney Diseases.&nbsp;Your Kidneys &amp; How They Work,&nbsp;2018. [3] Centers for Disease Control and Prevention.&nbsp;Chronic Kidney Disease Basics,&nbsp;2022. Centers for Diseas Control and Prevention, US Department of Health and Human Services; 2022. [4]Rare Disease at FDA.&nbsp;What is a rare disease,&nbsp;2022. Food and Drug Administration; 2022. [5] National Institute of Diabetes and Digestive and Kidney Diseases.&nbsp;Glomerular Disease Primer: The Normal Kidney,&nbsp;2023. Kidney Disease Section, Jeffrey B. Kopp, M.D.; 2023.<\/em><\/p>\n\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-d94a51db\">\n<div class=\"gb-container gb-container-c0377b85 image-left\">\n<div class=\"gb-container gb-container-90dd5f56 animated slideInLeft left-img\">\n\n<figure class=\"gb-block-image gb-block-image-4f06d047\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"498\" class=\"gb-image gb-image-4f06d047\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/12.png\" alt=\"\" title=\"12\" srcset=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/12.png 900w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/12-300x166.png 300w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/12-768x425.png 768w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/12-18x10.png 18w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n\n<\/div>\n\n<div class=\"gb-container gb-container-26789e39 animated fadeInRight promo-copy-right\">\n\n<figure class=\"gb-block-image gb-block-image-88d91f86\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-88d91f86\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-91ec0656 gb-headline-text\">Types of Rare Kidney Disease (RKD) <\/h2>\n\n\n\n<p class=\"gb-headline gb-headline-78730979 gb-headline-text\">Dive deeper into understanding what causes the specific type of RKD you or your loved one is affected by. We cover how each type of RKD is diagnosed, potential treatment options, and more.<\/p>\n\n\n\n<a class=\"gb-button gb-button-5893472b gb-button-text gb-button-primary button\" href=\"https:\/\/nephcure.org\/intro-to-rkd\/types-of-rkd\/\">explore different types of RKD<\/a>\n\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-02e11ddf image-right\">\n<div class=\"gb-container gb-container-768eb4f1 animated fadeInLeft promo-copy-left\">\n\n<figure class=\"gb-block-image gb-block-image-c6e163cc\"><img loading=\"lazy\" decoding=\"async\" width=\"54\" height=\"4\" class=\"gb-image gb-image-c6e163cc\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2023\/11\/heading-line.svg\" alt=\"\" title=\"heading-line\"\/><\/figure>\n\n\n\n<h2 class=\"gb-headline gb-headline-75335cd3 gb-headline-text\">Newly Diagnosed <\/h2>\n\n\n\n<p class=\"gb-headline gb-headline-0519ab83 gb-headline-text\">Are you just starting out in your RKD journey? For so many people, coping with a recent diagnosis of rare kidney disease means feeling afraid, worried, or even alone. Take back your health and your hope by understanding your disease more in depth. We\u2019ll break down the step-by-step actions to ensure you\u2019re receiving the best care possible.&nbsp;<\/p>\n\n\n\n<a class=\"gb-button gb-button-768dc5c9 gb-button-text gb-button-primary button\" href=\"https:\/\/nephcure.org\/intro-to-rkd\/navigating-new-diagnosis\/\">I&#8217;m newly diagnosed with rkd<\/a>\n\n<\/div>\n\n<div class=\"gb-container gb-container-b1c7202f animated slideInRight right-img\">\n\n<figure class=\"gb-block-image gb-block-image-67b57bd7\"><img loading=\"lazy\" decoding=\"async\" width=\"900\" height=\"498\" class=\"gb-image gb-image-67b57bd7\" src=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/13.png\" alt=\"\" title=\"13\" srcset=\"https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/13.png 900w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/13-300x166.png 300w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/13-768x425.png 768w, https:\/\/nephcure.org\/wp-content\/uploads\/2024\/05\/13-18x10.png 18w\" sizes=\"auto, (max-width: 900px) 100vw, 900px\" \/><\/figure>\n\n<\/div>\n<\/div>\n<\/div>\n\n<div class=\"gb-container gb-container-44b42b9e gb-container-default\">\n<div class=\"gb-grid-wrapper gb-grid-wrapper-f5f75bf0\">\n<div class=\"gb-grid-column gb-grid-column-96dea33f\"><div class=\"gb-container gb-container-96dea33f\">\n<div class=\"gb-container gb-container-8c112205\">\n\n<h2 class=\"gb-headline gb-headline-502487ea gb-headline-text\">Pediatric Care<\/h2>\n\n\n\n<p class=\"gb-headline gb-headline-710d6f21 gb-headline-text\">Is your child affected by RKD? The pediatric diagnostic journey can look different than the adult one for kidney disease. Learn more about the unique challenges and risks associated with pediatric patients, and the treatment options available.&nbsp;<\/p>\n\n<\/div>\n\n<div class=\"gb-container gb-container-5fe04f4b\"><a class=\"gb-container-link\" href=\"https:\/\/nephcure.org\/intro-to-rkd\/pediatric-care\/\"><\/a>\n\n<p class=\"gb-headline gb-headline-1225e0b4\"><span class=\"gb-icon\"><svg fill=\"none\" viewBox=\"0 0 27 24\" height=\"24\" width=\"27\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path fill=\"#00556B\" d=\"M26.0607 13.0607C26.6464 12.4749 26.6464 11.5251 26.0607 10.9393L16.5147 1.3934C15.9289 0.807611 14.9792 0.807611 14.3934 1.3934C13.8076 1.97919 13.8076 2.92893 14.3934 3.51472L22.8787 12L14.3934 20.4853C13.8076 21.0711 13.8076 22.0208 14.3934 22.6066C14.9792 23.1924 15.9289 23.1924 16.5147 22.6066L26.0607 13.0607ZM0 13.5H25V10.5H0V13.5Z\"><\/path> <\/svg><\/span><\/p>\n\n<\/div>\n<\/div><\/div>\n\n<div class=\"gb-grid-column gb-grid-column-e37c2bbf\"><div class=\"gb-container gb-container-e37c2bbf\">\n<div class=\"gb-container gb-container-bc0ff6c3\">\n\n<h2 class=\"gb-headline gb-headline-d237c6e7 gb-headline-text\">NephCure Specialists<\/h2>\n\n\n\n<p class=\"gb-headline gb-headline-94cc70f1 gb-headline-text\">Do you suspect you may have a RKD? It is important to see a nephrologist who understands how to manage your type of RKD. 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