2017年2月23日星期四

Occult nephritis is often overlooked



Symptoms of occult nephritis
Most of the children with occult nephritis without obvious symptoms and signs, only some children may have backache, fatigue, gross hematuria and other atypical performance. Its clinical characteristics of the main abnormal urine, this urine can be expressed in three forms:
① persistent light, moderate proteinuria, 24 h urinary protein quantification less than 1g, urine sediment may have granular tube type, and may have a small amount of red blood cells. Pathological changes are mostly mild mesangial proliferation or focal mesangial proliferation.
② continuous or intermittent hematuria-based, phase contrast microscopic examination of red erythrocytes to the main deformity. Often in the fever, pharyngitis, overwork, cold, drug damage and other incentives under the influence of the emergence of the naked eye for the foci focal hyperplasia.
③ persistent proteinuria and hematuria, and sometimes edema, increased blood pressure, etc., but when the incentive, but also to restore the original state of concealment. Such patients with poor prognosis, easy to slow development to renal insufficiency.

How to find occult nephritis

The incidence of occult nephritis in children and adolescents is higher. Parents should pay close attention to their children. A simple way is: if the urine after splashing a lot of bubbles, and the bubble lingering, there may be proteinuria signal; if the urine color is like washing water or tea color, that is naked eye hematuria. Should be promptly to the hospital to check urine routine, if necessary, to do the renal puncture for diagnosis. Especially in the family of patients with kidney disease, parents should be more vigilant.

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