Prognosis of acute poststreptococcal glomerulonephritis in children

The present study was aimed to evaluate the long-term prognosis of acute poststreptococcal glomerulonephritis (APSGN). Forty children (10 females, 30 males, mean age at onset 7.8±3 years) with APSGN who were hospitalized in the Pediatric Nephrology Ward between July 1989 and January 2002 were invest...

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Bibliographic Details
Published in:Turkish archives of pediatrics 2004-09, Vol.39 (3), p.158
Main Authors: Yıldız, Nurdan, Sibel Sevük Özümüt, Alpay, Harika, Üçel, Rüstem, Nevin Aksu Ağaçhan, Ergüven, Müferet
Format: Article
Language:English
Subjects:
Hematuria
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Summary:The present study was aimed to evaluate the long-term prognosis of acute poststreptococcal glomerulonephritis (APSGN). Forty children (10 females, 30 males, mean age at onset 7.8±3 years) with APSGN who were hospitalized in the Pediatric Nephrology Ward between July 1989 and January 2002 were investigated. Twenty three (% 57) patients had a history of upper respiratory tract infection. Physical findings revealed edema in 34 (% 85) patients and hypertension in 12 (% 30) patients. 38 (% 95) patients had macroscopic and/or microscopic hematuria, 4 (% 10) patients protenuria less than 1 g/m2/day, 37 (% 92) patients hypocomplementemia and 8 (% 20) patients uremia. Mean duration of macroscopic hematuria was 8.6 ± 5.3 days. At the last control; GFR, serum creatinine level, FENa and TRP of the patients were 109 ± 15.1 ml/min/1.73 m2, ortalama 0.77 ± 0.1 mg/dl, 1.28±0.6 % and 89±6 % respectively. None of the patients demonstrated any persistent proteinuria, hematuria and renal function impairment. As a conclusion; our data indicates that the prognosis of APSGN during childhood is good and no permanent renal dysfunction develops.
ISSN:2757-6256