Nephritic syndrome classification: Difference between revisions

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Revision as of 17:49, 3 April 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian

Overview

Acute nephritic syndrome can be classified according to the etiology of the underlying disease (renal vs. non-renal etiology). Similarly, acute nephritis may be classified as idiopathic vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on pathology.

Classification

Renal vs. Non Renal

Renal Diseases^[1]^[2]

Acute post-streptococcal glomerulonephritis
Membranoproliferative glomerulonephritis - Type 1 and 2
IgA nephropathy
Idiopathic rapidly progressive glomerulonephritis
- Anti-GBM disease
- Pauci-immune disease
- Immune-deposit disease

Systemic Diseases^[1]^[2]

Systemic lupus erythematosus
Cryoglobulinemia
Subacute bacterial endocarditis
"Shunt" nephritis
Polyarteritis nodosa
Wegener granulomatosis
Hypersensitivity vasculitis
Henoch-Schonlein purpura
Goodpasture's syndrome
Visceral abscesses

Primary vs. Secondary

**Classification of Glomerular Diseases^[3]**
Type of Disorder	Proliferative Changes	No Proliferative Changes
Primary Renal Disorder	IgA nephropathy IgM nephropathy Other mesangioproliferative glomerulonephritides Crescentic glomerulonephritis With immune deposits Pauci-immune Membranoproliferative glomerulonephritis	Focal segmental glomerulosclerosis Membranous glomerulopathy Minimal-change disease Thin basement membrane disease
Secondary Disorder	Lupus nephritis Post-infectious glomerulonephritis Glomerulonephritis related to hepatitis B or C Systemic vasculitides Wegener's granulomatosis Polyarteritis nodosa Henoch-Schonlein purpura Idiopathic	Diabetic nephropathy Amyloidosis Light-chain nephropathy Human immunodeficiency virus nephropathy Alport's syndrome Drug-induced glomerulopathies

^{Adapted from Hricik DE, Chung-Park M, Sedor JR. Glomerulonephritis. N Engl J Med. 1998;339(13):888-99}

References

↑ ^1.0 ^1.1 Madaio MP, Harrington JT (1983). "Current concepts. The diagnosis of acute glomerulonephritis". N Engl J Med. 309 (21): 1299–302. doi:10.1056/NEJM198311243092106. PMID 6355846.
↑ ^2.0 ^2.1 Madaio MP, Harrington JT (2001). "The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome". Arch Intern Med. 161 (1): 25–34. PMID 11146695.
↑ Hricik DE, Chung-Park M, Sedor JR (1998). "Glomerulonephritis". N Engl J Med. 339 (13): 888–99. doi:10.1056/NEJM199809243391306. PMID 9744974.

Template:WH Template:WS

[pmid6355846-1] 1.0 ^1.1 Madaio MP, Harrington JT (1983). "Current concepts. The diagnosis of acute glomerulonephritis". N Engl J Med. 309 (21): 1299–302. doi:10.1056/NEJM198311243092106. PMID 6355846.

[pmid11146695-2] 2.0 ^2.1 Madaio MP, Harrington JT (2001). "The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome". Arch Intern Med. 161 (1): 25–34. PMID 11146695.

[pmid9744974-3] Hricik DE, Chung-Park M, Sedor JR (1998). "Glomerulonephritis". N Engl J Med. 339 (13): 888–99. doi:10.1056/NEJM199809243391306. PMID 9744974.

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[2]

[3]

@@ Line 7: / Line 7: @@
 ==Classification==
+===Renal vs. Non Renal===
-===Renal Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846  }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695  }} </ref>===
+====Renal Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846  }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695  }} </ref>====
 *Acute post-streptococcal glomerulonephritis
 *Membranoproliferative glomerulonephritis - Type 1 and 2
@@ Line 17: / Line 17: @@
 **Immune-deposit disease
-===Systemic Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846  }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695  }} </ref>===
+====Systemic Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846  }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695  }} </ref>====
 *Systemic lupus erythematosus
 *Cryoglobulinemia
@@ Line 29: / Line 29: @@
 *Visceral abscesses
+===Primary vs. Secondary===
-The following tables shows the classification of glomerular diseases:
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