Acute nephritis and chronic nephritis is nephritis in both, what's the
difference between them? How to distinguish? The xi 'an tongji hospital experts
made the following analysis.
Normal, chronic nephritis with acute glomerulonephritis is two different
kinds of disease, although they are all nephritis, but their clinical
manifestation, pathogenesis, pathology type is different. Down and experts are
introduced from the above several aspects.
Chronic glomerulonephritis abbreviation for chronic nephritis, is a kind of
onset hidden, long illness, easy to repeated episodes of chronic kidney disease,
refers to the proteinuria, hematuria, hypertension, oedema as basic clinical
manifestations, way is different, the onset of the disease, pathological changes
slow progress, can be different degree of renal impairment, will eventually
develop into a group of glomerular disease of chronic renal failure. Due to this
disease of pathological type and different period, the main clinical
manifestations of each are not identical, diseases are diversified.
Acute glomerulonephritis (hereinafter referred to as acute nephritis, on the
basis of different causes someone called acute nephritis syndrome. Acute
nephritis is a group of acute onset, caused by infection after immune reaction
diffuse glomerular non suppurative inflammatory lesions. Clinically with edema,
oliguria, hematuria, and high blood pressure as the main performance, the
disease is one of the most common pediatric period kidney disease. Common in
children aged 3 to 8, 2 years old the following rare. Case before onset often
have a cold, tonsillitis, or a precursor diseases such as skin purulent
infection, the prognosis is generally good, for the duration of 6 months to 1
year, for the development of chronic nephritis is only a few.
1-4 weeks before the general acute nephritis disease precursor infection,
there are many respiratory infections, skin infections and certain viral
infections such as history of precursor infection. Edema often begins with
eyelid, assume the downside, the pitting. 24 hours urine infants less than 200
ml, preschool children is less than 300 ml, school-age children less than 400
ml. To the naked eye hematuria color sample meat to wash water or strong
tea.
Can have a cough, shortness of breath, palpitation, lung rale and other
serious congestion back into the circle.
And urine routine examination have different degrees of chronic nephritis
albuminuria, microscopic examination of the sediment is visible to the red blood
cells, most of the patients have varying degrees of hypertension and kidney
damage. Similar clinical manifestations of chronic nephritis, but its
pathological type and pathological changes have different weight. According to
the main pathological changes, most of the glomerular mesangial proliferative
glomerulonephritis, membranous nephropathy and focal segmental glomerular
sclerosis, mesangial capillaries glomerulonephritis, hyperplasia of sclerosing
glomerulonephritis.
Most of the patients with chronic nephritis causes is not clear. There is no
clear relationship in general and streptococcus infection, according to
statistics, only 15% ~ 20% from acute glomerulonephritis. In addition, most of
the patients without a history of acute nephritis, chronic nephritis is
currently more scholars believe that chronic glomerulonephritis with no positive
correlation between acute nephritis, it may be due to a variety of bacteria,
virus and parasite infection by the immune mechanism, the factor and mechanism
of the immune inflammatory mediators such as to cause the disease.
Chronic nephritis patients also have a tendency to acute episodes, each under
the condition of the disease is relatively stable, due to respiratory tract
infection or other malignant stimulation, suddenly in the short term (3 to 5
days or 1 ~ 2 days) rapid deterioration, then appear a large number of patients
with proteinuria, even to the naked eye hematuria, increased tube type. Edema
and high blood pressure, as well as the deterioration of renal function. The
processing of properly, can alleviate illness, basically restored to their
original level, also may lead to disease progression, into uremia period.
The above is our experts to "what is the difference between acute nephritis
and chronic nephritis?" Correlation analysis is introduced, through the above
study, know more about can consult our online experts.
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