In clinical IGA nephritis is a relatively common disease glomerulonephritis,
mostly occurs in young people and children, often before the onset of IGA
nephritis patients there will be some upper respiratory tract infection, the
main symptoms of kidney glomerular IGA nephritis patients mesangial
proliferation, immunofluorescence when you can find mesangial IgA deposition
area. According to the survey found that most of the IGA nephritis patients on
their illness is not very understanding, therefore, the Court kidney specialists
to introduce what is IGA nephritis.
IGA nephritis disease characteristics:
1.recurrent gross hematuria or microscopic hematuria, accompanied by a wide
range of mesangial IgA deposition, while an increase in mesangial cells, stromal
proliferation, mesangial electron dense deposits.
2.IGA nephritis is not a simple type of kidney disease, but a diagnosis
immunopathology name, is a group of systemic diseases, clinical hematuria
glomerular nephritis disease category, 80% in 16-35 years disease, more men than
women.
IGA nephritis cause
1> infection
IGA nephritis patients, a considerable portion of patients after infection
occurs, such as a cold, tonsil inflammation, fever, tuberculosis, etc., appear
to the naked eye or urine occult blood positive, and by repeated episodes of
infection factors. Clinically, it is precisely because the majority of IGA
nephritis patients body appeared abnormal symptoms of hematuria before going to
medical diagnosis and treatment.
2> mesangial cells involved in the inflammatory response IGA nephritis
IGA nephritis first occurrence is actually a process of inflammation. When
IGA nephritis, kidney mesangial cells in patients with inflammatory damage will
be stimulated to produce large amounts of inflammatory cytokines. Also, because
the surface of mesangial cells IGA nephritis patients with IgA receptors exist,
therefore the amount of in vivo abnormal accumulation of IgA immune complexes
with IgA receptor will combine to form a "waterfall-like inflammation
amplification reaction", resulting in a large number of immune complex
deposition in the patient's kidneys and eventually cause disease produce.
3> The main body of the abnormal deposition of IgA immune complexes
involved in pathogenicity
Factors affecting the IGA nephritis prognosis there?
1. Effect of age on the prognosis is now in dispute stage.
2. nephritis is a family history of family factors IGA nephritis patients
prognosis.
3. moderate to severe proteinuria often prompted to eventually develop renal
insufficiency, the prognosis is poor. But IGA nephritis patients with nephrotic
syndrome, renal histopathological changes if slight, good reaction, the
prognosis is good.
4. proteinuria or nephrotic syndrome on the prognosis of mixed views. Most
scholars believe that, in severe proteinuria often prompts will eventually
develop renal insufficiency, the prognosis is poor.
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