Many diseases in the early days
of the symptom is not obvious, so it's difficult to diagnosis, and here we
discuss some problems about the differential diagnosis of IgA nephropathy?
Hospitals usually adopt the following three methods for diagnosis of IgA
nephropathy:
1, streptococcus infection after acute glomerulonephritis and IgA nephropathy
phase identification of acute nephritis syndrome, the former is the incubation
period is long, self-healing tendency;The latter short incubation period,
disease relapse, and combined with laboratory tests (such as C3, ASO) to
distinction.
2, thin basement membrane nephropathy is often persistent microscopic
haematuria, often have a positive family history of blood in the urine, renal
biopsy pathology in IgA negative, diffuse glomerular basement membrane thinning
under electron microscope.In general it is not difficult to identify.Iga
nephropathy, membrane hyperplasia.
3, secondary glomerular disease of IgA deposits
First,allergic purpura nephritis, renal pathology and immune pathology with IgA
nephropathy is the same, but the former is a typical renal outward
manifestations, such as skin purpura, joint swelling pain, abdominal pain, and
black stool, etc., can be identified.
Second, lupus nephritis immunofluorescence is a bunch more bright (IgG, IgA,
IgM, C3, C1q, fibrous protein related antigen positive).In addition, the
clinical features of multi-system involvement systemic lupus erythematosus (sle)
and immunology examination will help to identify.
How to diagnose patients with IgA nephropathy?The above is the introduction
to IgA nephropathy, know the IgA nephropathy matters needing attention, to
control patients with better education condition changes, wish you recover at an
early date.
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