What Are the Symptoms of Pediatric IgA Nephropathy

IgA Nephropathy is a kind of glomerular disease which has features of mesangial proliferation and prominent sedimentation of IgA in the mesangial area, IgA Nephropathy is common in kids and youngsters, the number of male suffering this kind of disease is two times than that of female. Infection of upper respiratory tract is the most common reason for morbidity of IgA kidney disease; sometimes diarrhea and urinary infection can also induce IgA Nephropathy. What are the symptoms of IgA Nephropathy? The answers are as follows:
Clinically, the symptoms of pediatric IgA Nephropathy are various, first hematuria is the most common one.
Hematuria which can be seen merely through microscopic examination, patients present symptoms when the patients are attacking by the disease. Here it is worth to point out that these symptoms can be interconverted.
Generally, hematuria which can be seen by naked eyes, this is the first symptom for 80% of pediatric patients with IgA Nephropathy. North American and European suffer higher morbidity than Asian. This is a disease which is commonly related to infection of upper respiratory tract (Berger disease), And usually after 24 to 72 hours of infection of upper respiratory tract the hematuria occurs, Occasionally occurs several hours later and most kids suffer from antiadoncus simultaneously, but after tonsillectomy most pediatric patients can be curbed.
Among other things, some pediatric patients have the symptoms of hematuria and proteinuria. At this point, hematuria can either be observed by naked eyes or by microscopic examination. Proteinuria is commonly in light and medium level.15% to 30% patients with IgA Nephropathy has the expression of the kidney disease syndrome.
Apart from the symptom of hematuria, pediatric patients with IgA kidney disease also have the symptom of hypertension and kidney insufficiency. Hypertension are most common in adults which represent 20%, and kids represent only 5%.Hypertension is an prominent sign that the state of kidney disease deteriorates and most of patients’ renal function deteriorate swiftly. Less than 5% of patients with IgA Nephropathy have performance of acute kidney disease.
Elder kids repeated hematuria which can be seen by naked eyes are usually accompanied by infection of upper respiratory tract, in this situation IgA Nephropathy should be considered. Hematuria merely diagnosed by microscopic examination or hematuria which can be seen by naked eyes accompanied by proteinuria, it probably means that IgA Nephropathy exists.

Thus, pediatric patients should take biopsy as soon as possible. The symptoms of Nephrotic syndrome, acute nephritic syndrome, hypertension accompanied with kidney dysfunction may probably indicate that the patient is suffering from IgA Nephropathy. Meanwhile patients should pay more attention to other diseases which causing IgA sedimentation in mesangial area. For more information, please Email us at khkpcn@hotmail.com

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