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In order\nto clarify the incidence and distribution of renal diseases in children, 599 renal biopsy specimens obtained from 547 pediatric\npatients (≦15 years old) were analyzed by routine light, electron and immunofluorescence microscopy. Among the total biopsy\ncases, the most common renal disease identified in childhood was IgA glomerulonephritis (IgAGN; 37%). More than 80%\nof patients with IgAGN were discovered by urinary screening at the school, showing asymptomatic proteinuria and/or\nhematuria. The other major renal diseases were minor glomerular abnormality (12.2%), Henoch-Schönlein purpura nephritis\n(HSPN; 10.6%), and thin basement membrane disease (7.1%). One of the major causes of pediatric nephrotic syndrome were\nminimal change nephrotic syndrome (58%), whereas the other causes were IgAGN (11.6%), HSPN (8.9%), membranous\nglomerulonephritis (5.4%), membranoproliferative glomerulonephritis (3.6%). In conclusion, IgAGN was the most common\nrenal disease also in children as in adolescence. From the age of seven years, the incidence of IgA-GN was highest among\nall the pediatric renal diseases during whole childhood period, and the incidence and number of the patients increased as they\ngrow. On the other hand, there are also many cases with non-progressive clinical courses, such as minor glomerular abnormality\nand thin basement membrane disease in children. 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The incidence and distribution of biopsy-proven renal diseases in children
http://hdl.handle.net/10069/28548
http://hdl.handle.net/10069/285480527f156-82f0-44fb-97ea-e3468403db43
名前 / ファイル | ライセンス | アクション |
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ActMed57_19.pdf (149.5 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2012-05-16 | |||||
タイトル | ||||||
タイトル | The incidence and distribution of biopsy-proven renal diseases in children | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | renal disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | children | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | disease distribution | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | renal biopsy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | IgA glomerulonephritis | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Nakashima, Yumiko
× Nakashima, Yumiko× Nazneen, Arifa× Abe, Kuniko× Nakayama, Toshiyuki× Taguchi, Takashi× Shirakawa, Toshihiko× Moriuchi, Hiroyuki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The precise distribution pattern of pediatric renal diseases has seldom been reported especially for young children. In order to clarify the incidence and distribution of renal diseases in children, 599 renal biopsy specimens obtained from 547 pediatric patients (≦15 years old) were analyzed by routine light, electron and immunofluorescence microscopy. Among the total biopsy cases, the most common renal disease identified in childhood was IgA glomerulonephritis (IgAGN; 37%). More than 80% of patients with IgAGN were discovered by urinary screening at the school, showing asymptomatic proteinuria and/or hematuria. The other major renal diseases were minor glomerular abnormality (12.2%), Henoch-Schönlein purpura nephritis (HSPN; 10.6%), and thin basement membrane disease (7.1%). One of the major causes of pediatric nephrotic syndrome were minimal change nephrotic syndrome (58%), whereas the other causes were IgAGN (11.6%), HSPN (8.9%), membranous glomerulonephritis (5.4%), membranoproliferative glomerulonephritis (3.6%). In conclusion, IgAGN was the most common renal disease also in children as in adolescence. From the age of seven years, the incidence of IgA-GN was highest among all the pediatric renal diseases during whole childhood period, and the incidence and number of the patients increased as they grow. On the other hand, there are also many cases with non-progressive clinical courses, such as minor glomerular abnormality and thin basement membrane disease in children. The renal biopsy following routine urinary screening at the school may be important for the therapeutic and prognostic guidelines of pediatric group of patients with renal diseases. |
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書誌情報 |
Acta Medica Nagasakiensia 巻 57, 号 1, p. 19-24, 発行日 2012-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
長崎大学医学部 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta Medica Nagasakiensia, 57(1), pp.19-24; 2012 |