2015年12月13日星期日

The symptoms of IgA nephritis

IgA nephritis is a special type of glomerulonephritis, children and adolescents is a high risk of IgA nephritis, IgA nephritis itself is an immune system, good treatment of IgA nephritis do first premise is the differential diagnosis of patients with IgA nephritis, good diagnostic IgA nephritis is very important, the correct diagnosis can help patients with timely treatment.

1. episodes of gross hematuria: more common in children. Its gross hematuria occurs mostly in the upper respiratory tract infection (tonsillitis) after acute gastroenteritis are also part of the attack or urinary tract infection at intervals more than 24 to 72 hours. Gross hematuria sustainable for several hours to several days, and then to persistent microscopic hematuria, hematuria may disappear in some patients, but often attack, reproduce gross hematuria attack, may be associated with mild systemic symptoms, such as muscle aches, painful urination, pain in the back, or a transient increase in blood pressure and blood urea nitrogen.

2. asymptomatic microscopic hematuria and proteinuria: This is the main clinical manifestations in children and adolescents IgA nephropathy, often to be found in the physical examination, can be expressed as a simple microscopic hematuria or microscopic hematuria with a small amount of proteinuria.

3. proteinuria: mild proteinuria, urinary protein generally <1g / 24h, small number of patients with massive proteinuria or nephrotic syndrome.

4. Other: Some patients with IgA nephropathy can occur nephrotic syndrome, acute progressive nephritic syndrome, renal failure, a few may appear waist and / or abdominal pain associated with hematuria.


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