Atypical Clinical Manifestations of Acute Poststreptococcal Glomerulonephritis

Watanabe, Toru

doi:10.5772/23246

Cited by 4 publications

(4 citation statements)

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“…Patients with APSGN sometimes exhibit atypical or unusual clinical manifestations, which may result in delay ed diagnosis 10) . Atypical manifestations of APSGN can be classified as follows: co-occurrence of immune-mediated diseases; non-immune-mediated complications; and unusual clinical presentations or courses 11) . Im mune-mediated diseases include acute rheumatic fever, poststrepto coccal reactive arthritis, vasculitis, immune thrombocytopenic purpura, AIHA, diffuse alveolar hemorrhage, and uveitis 11) .…”

Section: Discussionmentioning

confidence: 99%

“…Atypical manifestations of APSGN can be classified as follows: co-occurrence of immune-mediated diseases; non-immune-mediated complications; and unusual clinical presentations or courses 11) . Im mune-mediated diseases include acute rheumatic fever, poststrepto coccal reactive arthritis, vasculitis, immune thrombocytopenic purpura, AIHA, diffuse alveolar hemorrhage, and uveitis 11) . Non-immune-mediated complications include poste rior reversible encephalopathy syndrome, thrombotic microangiopathy, and gallbladder wall thickening 11) .…”

Section: Discussionmentioning

confidence: 99%

“…Im mune-mediated diseases include acute rheumatic fever, poststrepto coccal reactive arthritis, vasculitis, immune thrombocytopenic purpura, AIHA, diffuse alveolar hemorrhage, and uveitis 11) . Non-immune-mediated complications include poste rior reversible encephalopathy syndrome, thrombotic microangiopathy, and gallbladder wall thickening 11) . Unusual clinical presentations or courses include minimal urinary abnormalities and re currence 11) .…”

Section: Discussionmentioning

confidence: 99%

“…Non-immune-mediated complications include poste rior reversible encephalopathy syndrome, thrombotic microangiopathy, and gallbladder wall thickening 11) . Unusual clinical presentations or courses include minimal urinary abnormalities and re currence 11) . AIHA is a cli nical condition in which IgG and/or IgM antibodies bind to RBC surface antigens and initiate RBC destruc tion via the comple-ment and reti culoendothelial systems 12) .…”

Section: Discussionmentioning

confidence: 99%

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A 22-month-old Boy with Acute Glomerulonephritis Coexistent with Hemolytic Anemia and Idiopathic Thrombocytopenia

et al. 2015

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Hemolytic anemia and thrombocytopenia are rare clinical manifestations of acute glomerulonephritis. Initially, in all such cases, a diagnosis of hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, systemic lupus erythematosus, and amyloidosis should be ruled out. The presence of hemolytic anemia and thrombocytopenia is rare, but possible, in a case of acute post streptococcal glomerulonephritis, and may result in delayed diagnosis or misdiagnosis. Correct and timely diagnosis would ensure adequate treatment in such patients. We report of a 22-month-old boy with acute glomerulonephritis coexistent with hemolytic anemia and idiopathic thrombocytopenia.

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Section: Discussionmentioning

confidence: 99%