Journal of the Korean Pediatric Society 1969;12(5):253-260.
Published online May 31, 1969.
Clinical Observation of Acute Glomerulonephritis in Children (128 cases)
Yun Duk Yoo, Tae Kyu Park, Keun Soo Lee
Department of Pediatrics, National Medical Center Seoul, Korea
急性 絲德體腎炎의 臨床的 親察(128 例 報告)
柳淵德, 朴台圭, 李謹洙
國立醫覆院 小兒科
Abstract
The authors observed clinically 128 cases o£ acute glomerulonephritis in Korean children under 16 years of age, treated at the pediatric ward and out-patient clinic, National Medical Center, during the period from Jan. 1959 to Dec. 1966. The results are as follows: 1) The total incidence was 0. 23% and the male to female ratio was 1. 3 : 1. About half of the cases were between the age of 6 years and 9 years, the highest age group was 6 years of age, and then, 7 years, and 9 years of age in order of frequency. 2)The 6 months from September to February was accounted for about 80% o£ the cases, October and November were the highest months of incidence. 3)Preceding factors; upper respiratory infection, sore throat, and/or acute tonsillitis and etc., could be elicited in 65. 7% of cases. 4)Fourty percent of cases presented their symptoms of nephritis within 1 week after the preceding factor,, most of them (72%) presented between 5 days to 15 days. 5) Blood pressure was followed to be observed in 59 cases, 91.5% became normalized in blood pressure within 4 weeks from the onset. 6)Of the 85 cases (66. 4%) with elevated sedimentation rate, 83% of cases dropped within normal during 2 months after onset. 7)Microscopic hematuria was found in 75. 2%, and proteinuria in 82%. No more hematuria could be seen in 37.1% after 1 month, and 65. 5% after 2 months but persisted in few as long as 4 months. Proteinuria disappeared in 49. 6% within the 1st month, and 72. 3% within the 2nd month, and all but few within 4th month. 8)The positive culture o£ beta-hemolytic streptococcus by throat swab was obtained in 10 cases out of 77 cases. 9) The anti-streptolysin-O titer was elevated in 83. 4% of the cases, the highest titer observed was 3,800 units/ml.




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