latent glomerulonephritis
Clinical manifestations of
Occult glomerulonephritis without any signs and symptoms of kidney disease, just came across during physical examination examination was abnormal urine referred to as "asymptomatic hematuria and (or) proteinuria, domestic call" occult glomerulonephritis.It is one of the most common type in primary glomerulonephritis, generally no symptoms such as edema, high blood pressure, kidney function and without damage.The prognosis of the disease is not as good as they think, some patients due to no special clinical symptoms, long-term neglect treatment, finally will appear renal impairment and developed into uremia.
Occult nephritis patients, no obvious symptoms in clinic, but persistent mild proteinuria and recurrent or persistent hematuria, therefore, also known as asymptomatic proteinuria and (or) blood in the urine.
Most occult nephritis patients without obvious symptoms and signs, only some patients can have lumbar acid, lack of power, with macroscopic haematuria and other atypical manifestation.The main clinical features as abnormal urine, the urinary anomalies can be three forms: (1) continuous light, moderate proteinuria, urine protein + ~ + +, the 24 h urine protein quantitative less than 1 g, can be particles in urine sediment type tube, and can have a small amount of red blood cells < 5 > / HP.Pathological changes is mild mesangial proliferation or more focal mesangial proliferative.(2) continuous or intermittent haematuria, phase contrast microscope check urine red blood cell is given priority to with deformity.Often in fever, pharyngitis, overfatigue, catch cold catch cold, such as drug damage cause influence, appear - sex naked eye for your focal hyperplasia.(3) persistent proteinuria and hematuria, sometimes also can appear edema, increased blood pressure, etc., but when after the inducement, and to restore to the original stealth.These patients prognosis is poorer, slow development to renal insufficiency.Pathological changes are obvious mesangial cell proliferation, proliferative membrane, membrane nephritis draw focal sclerosis nephritis early.
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