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Difference between revisions of "Medical kidney diseases"
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→IgA nephropathy: scoring, +RPGN
(→Pathologic DDx: more) |
(→IgA nephropathy: scoring, +RPGN) |
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===General=== | ===General=== | ||
*[[AKA]] Berger disease. | *[[AKA]] Berger disease. | ||
*More common in Asians. | |||
===Microscopic=== | ===Microscopic=== | ||
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Image: [http://library.med.utah.edu/WebPath/jpeg2/RENAL096.jpg IgA nephropathy (med.utah.edu)]. | Image: [http://library.med.utah.edu/WebPath/jpeg2/RENAL096.jpg IgA nephropathy (med.utah.edu)]. | ||
====Scoring==== | |||
IgA nephropathy can be scored using an assessment of '''m'''esangial proliferation, '''e'''ndocapillary proliferation, glomerulo'''s'''clerosis and '''t'''ubular atrophy and interstitial fibrosis (abbreviated ''MEST'').<ref>{{Cite journal | last1 = Coppo | first1 = R. | last2 = Cattran | first2 = D. | last3 = Roberts Ian | first3 = SD. | last4 = Troyanov | first4 = S. | last5 = Camilla | first5 = R. | last6 = Cook | first6 = T. | last7 = Feehally | first7 = J. | title = The new Oxford Clinico-Pathological Classification of IgA nephropathy. | journal = Prilozi | volume = 31 | issue = 1 | pages = 241-8 | month = Jul | year = 2010 | doi = | PMID = 20693944 }}</ref> | |||
==Rapidly progressive glomerulonephritis== | |||
*Abbreviated ''RPGN''. | |||
===General=== | |||
*Acute renal dysfunction. | |||
DDx: | |||
*Post-infectious GN. | |||
*Pauci-immune GN. | |||
===Microscopic=== | |||
Features: | |||
*Crescents. | |||
*+/-Neutrophils (suggestive of post-infectious GN). | |||
Image: | |||
*[http://commons.wikimedia.org/wiki/File:Crescentic_glomerulonephritis_%282%29.jpg RPGN (WC)]. | |||
*[http://commons.wikimedia.org/wiki/File:Crescentic_glomerulonephritis_%281%29.jpg RPGN (WC)]. | |||
==Membranous nephropathy== | ==Membranous nephropathy== | ||