Acute Poststreptococcal Glomerulonephritis Progressing to Rapidly Progressive Glomerulonephritis

Cw, Old; Ga, Herrera; Be, Reimann; Rd, Latham

doi:10.1097/00007611-198411000-00029

Cited by 2 publications

(2 citation statements)

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“…Endocapillary proliferative glomerulonephritis is the most common finding on renal biopsy in acute postinfectious nephritides. However, other histological ap pearances which have been reported in a few patients include type 1 mesangiocapillary glomerulonephritis [ 1], crescentic glomerulonephritis [2,3], and IgA nephropathy [4]. Nephritis follows throat infection after a latency peri od of 1-2 weeks; the latency period after skin infections, however, is typically 3-6 weeks [6], Transformation of histological characteristics may occur and is actually the rule in cases which do not resolve completely.…”

Section: Discussionmentioning

confidence: 99%

“…Proliferative glomerulonephritis involving both mesangial and endothelial cells is the most common find ing on renal biopsy. However, other histological findings which have been reported include mesangiocapillary glo merulonephritis [1], crescentic glomerulonephritis [2,3], and IgA nephropathy [4]. We report a case of type 1 mesangiocapillary glomerulonephritis and another of me sangial proliferative glomerulonephritis associated with streptococcal skin infection superimposed on atopic der matitis.…”

Section: Introductionmentioning

confidence: 86%

See 1 more Smart Citation

Endemic Occurrence of Glomemlonephritis Associated with Streptococcal Impetigo

Kobayashi¹,

Ikeda²,

Okada³

et al. 1995

Am J Nephrol

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We report here a case of type 1 mesangiocapiUary glomerulonephritis as well as a case of mesangial proliferative glomerulonephritis associated with streptococcal skin infection superimposed on atopic dermatitis. Both were endemic occurrences of postinfectious glomerulonephritis developed after repeated dirty-skin treatments for atopic dermatitis performed by unauthorized individuals under unsanitary conditions. Of 20 patients who were similarly treated and subsequently admitted to our hospital because of skin infection and fever, 8 (40%) showed urinary abnormalities. Four patients had renal dysfunction with acute nephritic onset. Almost all showed a decrease in CH₅₀ values and an increase in levels of antistreptolysin·and IgE. In the 2 cases presented here, the disease eventually regressed in association with improvement of the skin infection. Although the occurrence of postinfectious glomerulonephritis has recently become uncommon, we must take care to note urinary abnormalities as early as possible in order to prevent the progression of glomerulonephritis.

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Section: Discussionmentioning

confidence: 99%