Tuesday, July 16, 2013

What are the Symptoms of IgA Nephropathy


1. Recurrent hematuria (30-40%)
Usually occurs hours or 1-2 days after upper respiratory tract infections.
Many have no other symptoms. Some cases can be easily misdiagnosed as acute bladder inflammation due to urinary discomforts.
Seen in 80-90% children and youngsters; and 30-40% adults.
Seen in LevelⅡ~Ⅲ
2. Chronic nephritis.
Microscopic hematuria
High blood pressure is commonly seen.
Kidney function is likely to decline.
Pathological type LevelⅡ~Ⅳ
3. Heavy proteinuria or Nephrotic syndrome
Most have high blood pressure
Some have symptoms of Nephrotic syndrome-proteinuria, swelling and hypoproteinemia. Microscope indicates Minimal change and moderate diffuse proliferative nephritis.
Level Ⅰ~Ⅳ
4. Malignant hypertension:
Uncontrolled high blood pressure.
Often combined with renal insufficiency.
Protein urine+-+++, microscopic hematuria is sometimes detected.
5. Acute Nephritis syndrome.
Kidney function deteriorates continuously. Persistent reducing urine output.
Protein in urine+-++
Most have high blood pressure and anemia
Pathology often indicates cresent nephritis. Lee Level IV~V.

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