IgA nephropathy remains the most common immune-mediated glomerular disease worldwide β and up to 50% of patients may progress to kidney failure within a decade. π§¬
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The 2025 KDIGO guidance emphasizes early biopsy (proteinuria β₯0.5 g/day), tight BP control (<120/70), renin-angiotensin system inhibition, SGLT2 inhibitors, and targeted therapies such as budesonide and complement inhibition.
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Proteinuria remains the key modifiable driver. Precision nephrology is here β and measurable. π©Ίπ