[Clinical analysis of proteinuria and glomerular lesions in Henoch-Schönlein purpura nephritis of adults]

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2005 Apr;27(2):237-40.
[Article in Chinese]

Abstract

Objective: To analyze the characteristics of proteinuria and glomerular lesions in Henoch-Schönlein purpura nephritis (HSPN) of adults.

Methods: The pathologic results and clinical data of 103 HSPN patients were analyzed.

Results: Patients with mild or moderate proteinuria accounted for 40.8% and 37.9%, respectively. Patients with nephropathic proteinuria accounted for about 21.4%. Severer proteinuria resulted in higher blood pressure and increased cholesterol, and albumin decreased gradually (P < 0.01); meanwhile, total glomerular lesion, tubulointerstitial lesion, and vascular lesion also became severer (P < 0.01).

Conclusion: Proteinuria may indirectly reflect the severity of glomerular lesions in HSPN of adults.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Glomerulonephritis, IGA / diagnosis*
  • Glomerulonephritis, IGA / etiology
  • Humans
  • IgA Vasculitis / complications*
  • IgA Vasculitis / pathology
  • Immunoglobulin A / blood
  • Immunoglobulin G / blood
  • Immunoglobulin M / blood
  • Kidney Glomerulus / pathology
  • Kidney Tubules / pathology
  • Male
  • Middle Aged
  • Nephritis / diagnosis*
  • Nephritis / etiology
  • Proteinuria / etiology
  • Proteinuria / urine
  • Retrospective Studies

Substances

  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin M