Thursday, June 12, 2008

Tonsillectomy for Kidney Disease?

Believe it or not, there is actually a kidney disease where one of the recommended (albeit controversial) treatments is a tonsillectomy (removal of the tonsils) .

Before accusing nephrologists of charlatanism, hear me out: the disease is termed IgA Nephropathy (which happens to be the most common form of inflammation of the kidneys that we see), and it tends to get worse with episodes of strep throat. The rationale here is that by removing the tonsils, you can decrease the risk of strep throat infection, and thereby limit the amount of kidney damage which takes place. I have a patient in this situation right now whom we are presently trying to convince to have his tonsils out.