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Physiological and pathological changes are main inducing factors of diminished kidney function, which includes trauma, infection, inflammation, immune response, blood circulatory disorder, etc.
ARF may lead to permanent loss of kidney function. But if the kidneys are not seriously damaged, they may recover. Chronic renal failure (CRF) is the gradual reduction of kidney function that may lead to permanent kidney failure, or end-stage renal disease (ESRD). You may go several years without knowing you have CRF. (Source: excerpt from Your Urinary System and How It Works: NIDDK).