Friday, June 28, 2013

Acute Nephritis Should be Distinguished From What Diseases


Acute nephritis is a series disease. The important point of the treatment of Acute Nephritis is accurate diagnosis. Acute Nephritis Should be Distinguished From What Diseases.
Acute Nephritis often has symptoms of hematuria, proteinuria, edema, high blood pressure, etc. Before these symptoms appear, there usually has a forerunner infection. On these typical cases, it is not difficult to diagnosis. In clinic, some diseases and acute nephritis have similar performance, in the diagnosis of acute nephritis, we need further identification.
(1) Febrile proteinuria:Febrile proteinuria can appear in any febrile diseases. During the fever, there can be detected protein and tube type in urine, but little red blood cells. There is no edema and hypertension. After fever, urine can back to normal quickly.
(2) Urinary anomalies during infection: any reason can cause infections, such as bacteria, viruses, especially during the beta hemolytic streptococcus infection, about 1/3 patients can appear light microscopic haematuria and tube type, small amount of urine protein, no edema and hypertension, after the infection controlled, urine examination is back to normal.
(3) Focal glomerulonephritis: generally occur during infection. Focal nephritis is mainly manifest as hematuria and albuminuria is very light; after infection, the patient urine check returned to normal, prognosis is good.
(4) Abnormal urine after exercise: intense exercise or hours overwork, there may appeared abnormal urine, hematuria, proteinuria and tube type, but rest for 1-2 days (less than 7 days), urine can back to normal. During urine abnormality, there is no edema or hypertension
(5) Lupus nephritis, renal damage caused by SLE sometimes is similar to acute nephritis, often accompanied by a rash, hair loss, allergies, arthritis pain, and light heart, liver, lung, brain and other organs of the pathological changes, and have a fever, more white blood cells reduce, assay SM antibodies or DNA and antinuclear antibody positive.
(6) Pre-eclampsia: happens at middle or late stage of pregnancy. Patients with edema, high blood pressure, proteinuria and urine tube type, serious situation can occur hypertension encephalopathy, especially in the last two months of pregnancy, the symptom will become more obvious. But the lack of blood in the urine are the main features and the kidney function is normal. and visible fundus there can appear retinal artery spasm, haemorrhage and oozy on the eye ground.
We need to distinguish the above mentioned disease from acute nephritis. If you want to know more about the diagnosis of acute nephritis, please contract with online exports of our hospital.

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