Thursday, March 6, 2008
Iga nephropathy with which diseases need to differentiate?
(1) streptococcal infection after acute glomerulonephritis : IgA nephropathy occurred in the same vulnerable young men, in the upper respiratory tract infection (or acute tonsillitis) after hematuria, proteinuria, edema and hypertension. even renal dysfunction. The difference between the two is that I gA kidney patients in the upper respiratory tract infection after a very short interval (1 ~ 3 days) that is, hematuria, Some patients with increased serum IgA levels. And acute nephritis more streptococcus infection after two weeks of acute nephritis syndrome symptoms, decreased serum C3, IgA levels can help identify normal. (2) non-IgA mesangial proliferative glomerulonephritis : non-IgA mesangial proliferative glomerulonephritis in the high incidence of China. About 1 / 3 of patients with hematuria performance as simply. Clinical and IgA nephropathy is difficult to identify. Have to rely on renal immune pathological examination to identify. (3) thin basement membrane nephropathy : thin basement membrane nephropathy main clinical manifestations of recurrent hematuria, about 1 / 2 cases of a family history. Clinical manifestations of benign process. Pf4 urine levels can help with the identification of IgA nephropathy. Have to rely on renal electron microscopic examination and identification of IgA nephropathy. (4) Henoch - Schonlein Purpura Nephritis : patients can be manifested as microscopic hematuria or gross hematuria. Renal biopsy can with primary IgA nephropathy same broad area mesangial IgA deposition. But patients often HSPN typical skin purpura, abdominal pain, joint pain performance.
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