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[儿童急性肾小球肾炎的最常见类型。流行病学与预后]

[The most frequent forms of acute glomerulonephritis in children. Epidemiology and prognosis].

作者信息

Olbing H

出版信息

Fortschr Med. 1983 Sep 8;101(34):1505-8.

PMID:6629282
Abstract

Acute poststreptococcal-(PSGN), idiopathic mesangial Ig-A-(IgAGN) and Henoch-Schönlein-glomerulonephritis (HSGN) have been selected for this review article as most frequent types of GN in children. Consequent to inapparent forms, the incidence of all three types is unknown. Age and sex distribution seem to be similar in IgAGN and HSGN. Active inflammatory parenchymal lesions are self limited in PSGN. However, in some children with HSGN and in very few with IgAGN progression to renal failure occurs. The longer the observation times, the better are the results of studies on prognosis in children with PSGN, whereas the frequency of renal failure in IgA- and particularly in HSGN increases with time.

摘要

急性链球菌感染后肾小球肾炎(PSGN)、特发性系膜IgA肾病(IgAGN)和过敏性紫癜性肾小球肾炎(HSGN)被选作本文综述中儿童最常见的肾小球肾炎类型。由于存在隐匿型,这三种类型的发病率均未知。IgAGN和HSGN的年龄及性别分布似乎相似。PSGN中活动性炎性实质病变呈自限性。然而,部分HSGN患儿以及极少数IgAGN患儿会进展至肾衰竭。PSGN患儿预后研究的观察时间越长,结果越好,而IgA肾病尤其是HSGN中肾衰竭的发生率随时间增加。

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