Acute Post-Streptococcal Glomerulonephritis in Children

Acute post-streptococcal glomerulonephritis is the most common form of glomerulonephritis in children, continues to be a major concern for pediatricians and nephrologists worldwide. The disease is caused by prior streptococcal infection caused by -hemolytic streptococcus of A group. Nephritis-associ...

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Main Author: M. Yu. Kagan
Format: Article
Language:English
Published: "Paediatrician" Publishers LLC 2016-02-01
Series:Вопросы современной педиатрии
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Online Access:https://vsp.spr-journal.ru/jour/article/view/1579
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author M. Yu. Kagan
author_facet M. Yu. Kagan
author_sort M. Yu. Kagan
collection DOAJ
description Acute post-streptococcal glomerulonephritis is the most common form of glomerulonephritis in children, continues to be a major concern for pediatricians and nephrologists worldwide. The disease is caused by prior streptococcal infection caused by -hemolytic streptococcus of A group. Nephritis-associated plasmin receptor and streptococcal pyrogenic exotoxin B are considered to be major renotrophic antigens. Clinical findings of the disease can vary from asymptomatic gross hematuria to the full-blown acute nephritic syndrome (edema, gross hematuria, hypertension, renal failure). The main laboratory findings of acute post-streptococcal glomerulonephritis include an abnormal common urine analysis (dysmorphic erythrocytes, varying degrees of proteinuria, red blood cell casts, and segmentonuclear neutrophils), an elevated titer of antibodies to antistreptococcic antigens, and hypocomplementemia. Treatment of patients is mainly supportive and is focused upon the elimination of hypervolemia and its complications (edema, hypertension). In this situation, the most effective agents are loop diuretics and antihypertensive agents. The prognosis in children is generally favourable. The review analyses the current understanding of the pathogenesis, clinical manifestations, diagnosis, treatment and prognosis of acute post-streptococcal glomerulonephritis.
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series Вопросы современной педиатрии
spelling doaj-art-6c0bf3c5c102446d8d84f4bd84a988072025-08-20T03:21:12Zeng"Paediatrician" Publishers LLCВопросы современной педиатрии1682-55271682-55352016-02-01151253210.15690/vsp.v15i1.14971561Acute Post-Streptococcal Glomerulonephritis in ChildrenM. Yu. Kagan0Regional Children’s Clinical HospitalAcute post-streptococcal glomerulonephritis is the most common form of glomerulonephritis in children, continues to be a major concern for pediatricians and nephrologists worldwide. The disease is caused by prior streptococcal infection caused by -hemolytic streptococcus of A group. Nephritis-associated plasmin receptor and streptococcal pyrogenic exotoxin B are considered to be major renotrophic antigens. Clinical findings of the disease can vary from asymptomatic gross hematuria to the full-blown acute nephritic syndrome (edema, gross hematuria, hypertension, renal failure). The main laboratory findings of acute post-streptococcal glomerulonephritis include an abnormal common urine analysis (dysmorphic erythrocytes, varying degrees of proteinuria, red blood cell casts, and segmentonuclear neutrophils), an elevated titer of antibodies to antistreptococcic antigens, and hypocomplementemia. Treatment of patients is mainly supportive and is focused upon the elimination of hypervolemia and its complications (edema, hypertension). In this situation, the most effective agents are loop diuretics and antihypertensive agents. The prognosis in children is generally favourable. The review analyses the current understanding of the pathogenesis, clinical manifestations, diagnosis, treatment and prognosis of acute post-streptococcal glomerulonephritis.https://vsp.spr-journal.ru/jour/article/view/1579childrenacute post-streptococcal glomerulonephritispathogenesistreatmentprognosis
spellingShingle M. Yu. Kagan
Acute Post-Streptococcal Glomerulonephritis in Children
Вопросы современной педиатрии
children
acute post-streptococcal glomerulonephritis
pathogenesis
treatment
prognosis
title Acute Post-Streptococcal Glomerulonephritis in Children
title_full Acute Post-Streptococcal Glomerulonephritis in Children
title_fullStr Acute Post-Streptococcal Glomerulonephritis in Children
title_full_unstemmed Acute Post-Streptococcal Glomerulonephritis in Children
title_short Acute Post-Streptococcal Glomerulonephritis in Children
title_sort acute post streptococcal glomerulonephritis in children
topic children
acute post-streptococcal glomerulonephritis
pathogenesis
treatment
prognosis
url https://vsp.spr-journal.ru/jour/article/view/1579
work_keys_str_mv AT myukagan acutepoststreptococcalglomerulonephritisinchildren