About Primary iga nephropathy diagnosis
A medical history and symptoms
More in the upper respiratory tract infection (or acute gastroenteritis, peritonitis, osteomyelitis, etc.) 1 to 3 days after easy recurrent gross hematuria, continued for several hours to several days can be converted to microscopic hematuria may be associated with abdominal pain, back pain, muscle pain or fever. Some patients found that urinary abnormalities at the time of examination, asymptomatic proteinuria and (or) microscopic hematuria, a small number of patients with persistent hematuria and proteinuria, may be associated with edema and hypertension.
Two examination found
Most no abnormal signs, some patients may have renal percussion pain, edema, and mild to moderate high blood pressure.
Three auxiliary examination
Mostly mild to moderate proteinuria 3g / d, hematuria were pleomorphic, diversity or mixed. Some patients serum IgA increased, especially serum IgA fibronectin polymer (IgA-FN) increased more meaningful. May have reduced creatinine clearance, blood urea nitrogen and serum creatinine increased. According to preliminary clinical diagnosis of IgA nephropathy (inflammation), kidney tissue diagnosis must immune pathology.
Four differential diagnosis
Should lupus nephritis, nephritis, occult nephritis phase identification. Severe and chronic glomerulonephritis difficult to identify.
About Primary iga nephropathy treatment
First, the general treatment
Prevent colds and overworked, caution nephrotoxic drugs. Should be treated with antibiotics if the infection. There are chronic recurrent tonsillitis, possible tonsillectomy.
Second, drug treatment
(A) significant hematuria were available Tripterygium glycosides, dipyridamole, ACEI and a lot of vitamin C oral treatment.
(B) who was treating nephrotic syndrome nephrotic syndrome, see chapter.
(Three) and chronic glomerulonephritis same person, according to the treatment of chronic glomerulonephritis.
(D) the pathology associated with crescent formation and deposition of IgA mainly those that can be used to strengthen the plasma exchange therapy and drug therapy (see Rapidly progressive glomerulonephritis treatment).
Third, Integrative Medicine Micro-Chinese Medicine penetration therapy.
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