| Clinical Study of Acute Glomerulonephritis in Children. |
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Kyeong Rae Moon, Choon Ho Park, Sang Kie Kim, Jin Heon Kim, Chang Soo Ra |
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Department of Pediatrics, College of Medicine, Chosun University, Kwangju, Korea |
| 급성 사구체신염의 임상적 고찰 |
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문경래, 박춘호, 김상기, 김진헌, 나창수 |
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조선대학교 의과대학 소아과학교실 |
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| Abstract |
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From January 1979 to June 1984, 96 cases of acute glomerulonephritis were clinically investigated at the Department of Pediatrics, Chosun University Hospital, and following results were obtained:
1) Male to female ratio was 1.7 : 1, and the age incidence was highest in children from 7 to 9 years (35.4%), with a seasonal peak in Autumn and Winter (66.8%). 2) The most common preceding disease upper respiratory infections (37.5%), and the next was impetigo (11.5%). 3) The most common chief complaints were edema(91.6%), hematuria(51.9%), oligouria (25%), and hypertension greater than 90mmHg in diastolic pressure was in 17.7%. 4) The group A ß-hemolytic streptococci were cultured in 7.3% from throat culture, and
Antistreptolysin 0 titers of greater than 333 lodd units was noted in 42.7%. 5) The laboratory findings on admission revealed hematuria(83.2%), proteinuria(83.2%), casts in urine (75.2%), and increased ESR(80.2%) and increased BUN(41.7%) and increased creatinine (57.3%). 6) The mean levels of serum IgG, IgM and IgA were increased than normal levels. 7) The mean serum C3 level was 18.5± 13.4 mg/dl and was lower than normal range (80-125 mg/dl). 8) Complications were seen in 5.2%, and were lower than reports.
9) Gross hematuria, edema and hypertension disappered in the most of the patients within 2 weeks.
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| Key Words:
Acute glomerulonephritis, Immunoglobulins, Cs. |
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