Atypical presentation of acute glomerulonephritis

Shin, Hyun Ho; Park, Thy Hyung; Cha, Sung Ho; Cho, Byoung Soo; Ahn, Chang Il; Ko, Young Tae; Yang, Moon Ho

Abstract

Form March 1982 to December 1991, 110 cases of typical post-streptococcal glomerulonephritis and 25 cases of Atypical acute glomerulonephritis were clinically investigated at Department of pediatrics, Kyung Hee University Hospital, and following Data were obtained. 1) Male to Femal ratio was 1.8:1 (Atypical AGN). peak incidence was from 7 to 12 years. 2) The most common preceding infections were upper respiratory infection, unknown, cervical lymphadenitis, scarlet fever, Incubation periods were mostly from 1 to 2 weeks. 3) The most common chief complaints were edema, gross hematuria, oliguria, headache. 4) The most common physical findings were facial edema, hypertension, pharyngeal injection. 5) There were significant difference between atypical AGN and typical PSGN in the BUN and WBC (P<0.05, p<0.1). Also there were significant difference between typical PSGN and atypical AGN in the ESR (P<0.1). 6) Treatment regimens were penicilline, dipyridamole, anti-hypertensive agents. 7) Complete recovery occurs in most of most of patients within 1 year.