Presentation
Presenting identifying characteristics ( versus group 2) are few with the exception of a lower median urine protein at presentation. [doi.org]
DISCUSSION: Simultaneous anti-GBM disease and membranous glomerulonephritis is the most common temporal presentation of this rare entity. [ncbi.nlm.nih.gov]
Urogenital
- Kidney Failure
Corticosteroids: They have been tried with mixed results, with one study showing prevention of progression to kidney failure without improvement in proteinuria. [en.wikipedia.org]
She was admitted because of acute kidney failure, bloody diarrhea, and gastrointestinal symptoms. Further evaluation confirmed the diagnosis of ulcerative colitis. [ncbi.nlm.nih.gov]
Workup
The two can be distinguished by clinical, laboratory, and histological features (see Presentation and Workup ). [1] Successful treatment of the underlying cause may be curative in secondary forms. [emedicine.medscape.com]
The diagnosis of idiopathic membranous nephropathy was established by renal biopsy as part of the routine clinical workup for the investigation of proteinuria. 8 The studies were approved by the relevant institutional review boards in the three countries [doi.org]
Treatment
Korbet SM: Treatment of primary focal segmental glomerulosclerosis. Kidney Int 2002;62:2301–2310. [doi.org]
Treatment of secondary membranous nephropathy is guided by the treatment of the original disease. For treatment of idiopathic membranous nephropathy, the treatment options include immunosuppressive drugs and non-specific anti-proteinuric measures. [en.wikipedia.org]
There is no specific treatment for membranous nephropathy. [cjasn.asnjournals.org]
Prognosis
Persistent proteinuria at diagnosis predicts poor prognosis. [ncbi.nlm.nih.gov]
Long-term prognosis is guarded because approximately 50% of patients may have evidence of progressive kidney disease. [biomedcentral.com]
Si-Xuan Qian, Jian-Yong Li, Ming Hong, Wei Xu and Hong-xia Qiu, Nonhematological autoimmunity (glomerulosclerosis, paraneoplastic pemphigus and paraneoplastic neurological syndrome) in a patient with chronic lymphocytic leukemia: Diagnosis, prognosis [doi.org]
Etiology
Author information 1 Department of Internal Medicine, Gaziantep University, School of Medicine, Gaziantep, Turkey. [email protected] Abstract Adult onset Still's Disease (ASD) is a systemic inflammatory disorder of unknown etiology characterized by [ncbi.nlm.nih.gov]
C3 glomerulonephritis is similar in etiology to dense deposit disease, arising as a result of alternate complement activation or mutations in the complement-regulating proteins. C3NeF is commonly present. [emedicine.medscape.com]
Epidemiology
Department of Epidemiology, Johns Hopkins University, Baltimore (A.K.); Department of Systemic Ecology, University of Bucharest, Bucharest, Romania (L.D.); Departments of Nephrology (J.M.H., J.F.M.W.), Human Genetics (M.J.H.C.), Epidemiology, Biostatistics [doi.org]
Epidemiology Frequency United States In preadolescents, minimal-change nephrotic syndrome (MCNS) makes up 85-95% of all cases of nephrotic syndrome. [emedicine.medscape.com]
Epidemiology Frequency United States Biopsy reveals an underlying glomerular lesion in 25% of adults with nephrotic syndrome. However, in patients older than 60 years, the incidence rate is 35%. [emedicine.com]
Pathophysiology
Author information 1 Pathophysiology of Renal Diseases, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, 305-8575, Japan. 2 Department of Nephrology, Tokyo Medical University Kasumigaura Hospital, Ami, Ibaraki, [ncbi.nlm.nih.gov]
Prevention
Corticosteroids: They have been tried with mixed results, with one study showing prevention of progression to kidney failure without improvement in proteinuria. [en.wikipedia.org]
He was started on an angiotensin-converting enzyme inhibitor to reduce proteinuria and an oral anticoagulant to prevent thromboembolic events. [ncbi.nlm.nih.gov]
The binding of NFa to C3b,Bb stabilizes the complex, preventing degradation by its normal inactivators, resulting in complement activation and chronic consumption of C3. [emedicine.medscape.com]
Penny MJ, Boyd RA, Hall BM (1998) Mycophenolate mofetil prevents the induction of active Heymann nephritis: association with Th2 cytokine inhibition. J Am Soc Nephrol 9:2272–2282 PubMed Google Scholar 27. [doi.org]