Friday, January 11, 2008

Primary glomerular disease classification

Primary glomerular disease is confined to the glomerular lesions or glomerular damage is mainly a group of kidney disease. Most primary glomerular diseases are idiopathic (ie Cause unknown), a small number of bacterial infections or drug induced. The primary glomerular disease classification from the two areas, namely clinical and pathological type classification. Reference 1992 primary glomerular disease clinical classification standards can be divided into : (1) acute glomerulonephritis as acute onset, hematuria, proteinuria, edema and hypertension as the main performance, one may have had sex in a group of 38 diseases. Was particularly prevalent in the post-streptococcal infection, other bacteria, viruses and parasites can also cause infection. (2) rapidly progressive glomerulonephritis clinical onset process and performance similar acute glomerulonephritis, but the rapid deterioration of renal function switch, there oliguria early acute renal failure for the characteristic pathological form of massive crescent formation of a group of diseases. (3) chronic glomerulonephritis for protracted illness, the disease progress has been slow, will eventually develop into chronic renal failure in a group of glomerular diseases. In clinical edema, hypertension, proteinuria, hematuria and renal damage to the basic performance but because the disease pathological type and stage of the disease are different and their major performance differences, diverse. (4) nephrotic syndrome mainly manifested in "three high and one low," that is highly appeared. a large number of proteinuria (> 3.5 g / day), hyperlipidemia and hypoproteinemia (plasma albumin less than 30 grams / liter). So long as a large number of proteinuria and hypoproteinemia diagnosis can be established. (5) occult glomerular disease is asymptomatic proteinuria (urinary protein <1>

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