Box 2.

Rarer renal diseases necessitating rejection for service in HM Forces

Nephritis related to inflammatory bowel disease or hepatic conditions or related treatment

Neurological diseases resulting in loss of control of micturition

Sickle-cell disease (may also have associated autosplenectomy reducing resistance to malaria, Meningococcus, Pneumoccocus and Haemophilus infections)

Endocrinopathies with secondary renal consequences (e.g. Addison’s disease)

Urolithiasis

Tubulopathies (Barrter’s and Gitelman’s syndromes)

Drug-related renal damage