본문 바로가기
KERD
논문KCI 등재

Clinical Manifestation Patterns and Trends in Poststreptococcal Glomerulonephritis

Kee Hyuck Kim
대한소아신장학회 (The Korean Society Of Pediatric Nephrology)|2016.04|Childhood Kidney Diseases (Childhood Kidney diseases)|제20권 제1호|pp. 6-10

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

GlomerulonephritisPoststreptococcalPostinfectious
주제분류소아과학

초록

Poststreptococcal glomerulonephritis (PSGN) is one of the most recognized diseases in pediatric nephrology. Typical clinical features include rapid onset of gross hematuria, edema, and hypertension, and cases are typically preceded by an episode of group A β-hemolytic streptococcus pharyngitis or pyoderma. The most common presenting symptoms of PSGN are the classic triad of glomerulo nephritis: gross hematuria, edema, and hypertension . However, patients with PSGN sometimes present with unusual or atypical clinical symptoms that often lead to delayed diagnosis or misdiagnosis of the disease and increased morbidity. Additionally, the epidemiology of postinfectious glomerulonephritis (PIGN), in cluding PSGN, has changed over the past few decades. This paper reviews atypical clinical manifestations of PSGN and discusses the changing demographics of PIGN with a focus on PSGN.

Abstract

Poststreptococcal glomerulonephritis (PSGN) is one of the most recognized diseases in pediatric nephrology. Typical clinical features include rapid onset of gross hematuria, edema, and hypertension, and cases are typically preceded by an episode of group A β-hemolytic streptococcus pharyngitis or pyoderma. The most common presenting symptoms of PSGN are the classic triad of glomerulo nephritis: gross hematuria, edema, and hypertension . However, patients with PSGN sometimes present with unusual or atypical clinical symptoms that often lead to delayed diagnosis or misdiagnosis of the disease and increased morbidity. Additionally, the epidemiology of postinfectious glomerulonephritis (PIGN), in cluding PSGN, has changed over the past few decades. This paper reviews atypical clinical manifestations of PSGN and discusses the changing demographics of PIGN with a focus on PSGN.

참고문헌 (44)

  1. Pais PJ, "Delay in diagnosis in poststreptococcal glomerulonephritis", J Pediatr, 153, pp.560~564 (2008)
  2. Kim K, "Atypical Clinical Features of Acute Poststreptococcal glomerulonephritis(APSGN)in Children", Pediatr Nephrol, 25, pp.1870~ (2010)
  3. Rodriguez-Iturbe B, "The current state of poststreptococcal glomerulonephritis", J Am Soc Nephrol, 19, pp.1855~1864 (2008)
  4. 유리타, "단일 기관 내의 급성 연쇄구균감염후 사구체신염 발생의 임상적 고찰", Childhood Kidney Diseases, 15(1), pp.49~57 (2011), 대한소아신장학회
  5. Sueng-Woo Kuem, "Changes in Acute Poststreptococcal Glomerulonephritis: An Observation Study at a Single Korean Hospital Over Two Decades", Childhood Kidney Diseases, 19(2), pp.112~117 (2015), 대한소아신장학회
  6. Goodyer PR, "Acute poststreptococcal glomerulonephritis mimicking Henoch-Schönlein purpura", J Pediatr, 93, pp.412~415 (1978)
  7. Matsukura H, "Acute poststreptococcal glomerulonephritis mimicking Henoch-Schönlein purpura", Clin Nephrol, 59, pp.64~65 (2003)
  8. Toru Watanabe, "An Update on Glomerulopathies - Clinical and Treatment Aspects", pp.151~168 (2011), In Tech
  9. Lin WJ, "Haematuria, transient proteinuria, serpiginous-border skin rash, and cardiomegaly in a 10-year-old girl. Diagnosis: Acute post-streptococcal glomerulonephritis associated with acute rheumatic pericarditis", Eur J Pediatr, 162, pp.655~657 (2003)
  10. Gibney R, "Renal lesions in acute rheumatic fever", Ann Intern Med, 94, pp.322~326 (1981)
  11. Sinha R, "Acute rheumatic fever with concomitant poststreptococcal glomerulonephritis", Am J Kidney Dis, 50, pp.A33~A35 (2007)
  12. Ritt M, "Transient encephalopathy complicating poststreptococcal glomerulonephritis in an adult with diagnostic findings consistent with cerebral vasculitis", Am J Kidney Dis, 48, pp.489~494 (2006)
  13. Tasic V, "Thrombocytopenia during the course of acute poststreptococcal glomerulonephritis", Turk J Pediatr, 45, pp.148~151 (2003)
  14. Muguruma T, "Acute thrombocytopenia associated with post-streptococcal acute glomerulonephritis", J Paediatr Child Health, 36, pp.401~402 (2000)
  15. Kaplan BS, "Thrombocytopenia in patients with acute post-streptococcal glomerulonephritis", J Pediatr, 93, pp.974~976 (1978)
  16. Hinchey J, "A reversible posterior leukoencephalopathy syndrome", N Engl J Med, 334, pp.494~500 (1996)
  17. 윤봉식, "소아에서 발생한 연쇄구균 감염 후 사구체 신염에 의한 가역성 후두부 뇌병증 증후군 1례", 대한소아신경학회지, 16(2), pp.229~234 (2008), 대한소아신경학회
  18. Kwon S, "Clinical spectrum of reversible posterior leukoencephalopathy syndrome", Pediatr Neurol, 24, pp.361~364 (2001)
  19. Fugate JE, "Posterior reversible encephalopathy syndrome : associated clinical and radiologic findings", Mayo Clin Proc, 85, pp.427~432 (2010)
  20. Barbour T, "Thrombotic microangiopathy and associated renal disorders", Nephrol Dial Transplant, 27, pp.2673~2685 (2012)
  21. Keir L, "Advances in our understanding of the pathogenesis of glomerular thrombotic microangiopathy", Pediatr Nephrol, 26, pp.523~533 (2011)
  22. Duvic C, "Acute poststreptococcal glomerulonephritis associated with thrombotic microangiopathy in an adult", Clin Nephrol, 54, pp.169~173 (2000)
  23. Izumi T, "An adult with acute poststreptococcal glomerulonephritis complicated by hemolytic uremic syndrome and nephrotic syndrome", Am J Kidney Dis, 46, pp.59~63 (2005)
  24. Kakajiwala A, "Post-streptococcal glomerulonephritis associated with atypical hemolytic uremic syndrome : to treat or not to treat with eculizumab?", Clin Kidney J, 9, pp.90~96 (2016)
  25. Blumberg RW, "Observations on acute glomerulonephritis associated with impetigo", J Pediatr, 60, pp.677~685 (1962)
  26. Kandall S, "Acute poststreptococcal glomerulonephritis. A case with minimal urinary abnormalities", Am J Dis Child, 118, pp.426~430 (1969)
  27. Fujinaga S, "Pulmonary edema in a boy with biopsy-proven poststreptococcal glomerulonephritis without urinary abnormalities", Pediatr Nephrol, 22, pp.154~155 (2007)
  28. Watanabe T, "Recurrence of acute poststreptococcal glomerulonephritis", Pediatr Nephrol, 16, pp.598~600 (2001)
  29. Kim P, "Second attack of acute poststreptococcal glomerulonephritis; report of two cases", Yonsei Med J, 20, pp.61~68 (1979)
  30. Casquero A, "Recurrent acute postinfectious glomerulonephritis", Clin Nephrol, 66, pp.51~53 (2006)
  31. Eison TM1, "Post-streptococcal acute glomerulonephritis in children : clinical features and pathogenesis", Pediatr Nephrol, 26, pp.165~180 (2011)
  32. Yap HK, "Acute glomerulonephritis--changing patterns in Singapore children", Pediatr Nephrol, 4, pp.482~484 (1990)
  33. Zhang Y, "Changing pattern of glomerular disease in Beijing Children’s Hospital", Clin Pediatr, 33, pp.542~547 (1994)
  34. Ilyas M, "Changing epidemiology of acute poststreptococcal glomerulonephritis in Northeast Florida : a comparative study", Pediatr Nephrol, 23, pp.1101~1106 (2008)
  35. Markowitz M, "Changing epidemiology of group A streptococcal infections", Pediatr Infect Dis J, 13, pp.557~560 (1994)
  36. 구소은, "최근 10년간 소아의 연구균 감염 후급성 사구체 신염에 관한 임상적 연구", Korean Journal of Pediatrics, 48(6), pp.606~613 (2005), 대한소아과학회
  37. White AV, "Childhood post-streptococcal glomerulonephritis as a risk factor for chronic renal disease in later life", Med J Aust, 174, pp.492~496
  38. Berríos X, "Post-streptococcal acute glomerulonephritis in Chile--20 years of experience", Pediatr Nephrol, 19, pp.306~312 (2004)
  39. Kanjanabuch T1, "An update on acute postinfectious glomerulonephritis worldwide", Nat Rev Nephrol, 5, pp.259~269 (2009)
  40. Nast CC, "Infection-related glomerulonephritis : changing demographics and outcomes", Adv Chronic Kidney Dis, 19, pp.68~75 (2012)
  41. Stratta P, "Incidence of biopsy-proven primary glomerulonephritis in an Italian province", Am J Kidney Dis, 27, pp.631~639 (1996)
  42. Nasr SH, "Bacterial infection-related glomerulonephritis in adults", Kidney Int, 83, pp.792~803 (2013)
  43. Nasr SH, "Postinfectious glomerulonephritis in the elderly", J Am Soc Nephrol, 22, pp.187~195 (2011)
  44. Nasr SH, "IgA dominant postinfectious glomerulonephritis:a new twist on an old disease", Nephron Clin Pract, 119, pp.c18~c26 (2011)

관련 논문AI추천

The Relevance between Renal Ultrasonographic Findings and Disease Course in Two Poststreptococcal Glomerulonephritis (PSGN) Patients정소정, Byung Ok Kwak, Ha Yeong Yoo, Hye Won Park, Jae Sung Son, Jin Hee Lee, Kyo Sun Kim, So-Dug Lim, Yu Kyung An대한소아신장학회 · Childhood Kidney Diseases2015 · 제19권 제2호Changes in Acute Poststreptococcal Glomerulonephritis: An Observation Study at a Single Korean Hospital Over Two Decades이경일, 임정우, Jin-Soon Suh, Sueng-Woo Kuem, Sun-Mi Hur, You-Sook Youn대한소아신장학회 · Childhood Kidney Diseases2015 · 제19권 제2호Postinfectious Glomerulonephritis Associated with Pneumococcus and Influenza A Virus Infection in a Child: a Case Report and Literature Review강희경, 윤기욱, 이준기, 정해일, 허호민대한소아감염학회 · Pediatric Infection and Vaccine2019 · 제26권 제2호A 22-month-old Boy with Acute Glomerulonephritis Coexistent with Hemolytic Anemia and Idiopathic Thrombocytopenia이준호, 정수진, Bo Seon Seo, Hye Won Park대한소아신장학회 · Childhood Kidney Diseases2015 · 제19권 제1호단일 기관 내의 급성 연쇄구균감염후 사구체신염 발생의 임상적 고찰김기혁, 박세진, 신재일, 유리타대한소아신장학회 · Childhood Kidney Diseases2011 · 제15권 제1호연쇄상구균 감염후 급성 사구체신염에서 육안적 혈뇨와 현미경적 혈뇨에 따른 임상 양상의 비교김기혁, 박수화, 심창은, 이종국, 정은수대한소아신장학회 · Childhood Kidney Diseases2004 · 제8권 제2호

이 간행물의 다른 논문 (6건)

Antibiotics and Probiotics Prophylaxis for Recurrent Urinary Tract Infection in ChildrenJung Won Leepp. 1-5Effect of Diet and Water Intake on Aquaporin 2 FunctionTong Wang, 김준모, 김태희pp. 11-17High Spontaneous Resolution Rates of Severe Primary Vesicoureteral Reflux and Minimal Development of New Renal ScarsSeung Joo Lee, Jihei Chapp. 18-22The Serum Level of Insulin Growth Factor-1 and Insulin Growth Factor Binding Protein-3 in Children with Henoch-Schönlein Purpura이준호, Hee Jin Kim, 정수진pp. 23-28The Prenatal and Postnatal Incidence of Congenital Anomalies of the Kidneys and Urinary Tract (CAKUT) Detected by Ultrasound박성원, Dong Jun Lee, Hyun Ah Choi, 신손문, 고선영, 이연경pp. 29-32
원문 보기