Title: Study of Etiology and Clinical Assessment of Crescentic Glomerulonephritis

Authors: Dr Roopak Kumar, Dr Rajeev Krishna Choudhary

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i7.185

Abstract

Rapidly progressive glomerulonephritis (RPGN) is a condition of the kidney that is considered by a rapid loss of renal function. The study had prearranged with the purpose to designate the etiological profile and clinical course in patients with crescentic GN. The study was attended in the Indira Gandhi Institute of Medical Sciences, Patna for the period of the 1year in the patients identified with the crescentic glomerulonephritis. The clinical, biochemical and histopathological constraints and primary consequences were allied between immune-complex glomerulonephritis (ICGN) and pauci-immune glomerulonephritis (PauciGN).

The total number of glomeruli, crescents, Fibrocellular crescents, Tubular atrophy, Interstitial fibrosis are comprehended more in immune-complex glomerulonephritis. The Hypertension is perceived in the both the glomerulonephritis conditions. Edema is seen more in the PauciGN than in ICGN group. There is for emostalteration in the urine output in ICGN and PauciGN. Total 77% of the Immune-complex glomerulonephritis cases were observed. 27% of the cases also showed the IgA nephropathy as a major cause of the crescentic glomerulonephritis. Lupus nephritis is found in 20% of the study group.

From the above study as well as the already published literature it can be determined that Immune-complex glomerulonephritis is the most communal reason of Crescentic Glomerulonephritis in the selected study group patients with IgA nephropathy existence the principal disease.

Keyword: Crescentic glomerulonephritis, immune-complex glomerulonephritis, pauci-immume glomerulonephritis.

References

1.      The Free Dictionary > rapidly progressive glomerulonephritis Citing: McGraw-Hill Concise Dictionary of Modern Medicine. 2002

2.      E Medicine> Glomerulonephritis, Crescentic Author: Malvinder S Parmar. Updated: Sep 25, 2008

3.      "Rapidly progressive glomerulonephritis" at Dorland's Medical Dictionary

4.      Cotran, Ramzi S.; Kumar, Vinay; Fausto, Nelson; NelsoFausto; Robbins, Stanley L.; Abbas, Abul K. (2005). Robbins and Cotran pathologic basis of disease. St. Louis, MO: Elsevier Saunders. pp. 976–8. ISBN 0-7216-0187-1.

5.      "Rapidly Progressive Glomerulonephritis: Background, Pathophysiology, Epidemio-logy".

6.      Bhowmik, Dipankar (January 2011). "Clinical Approach to Rapidly Progressive Renal Failure" (PDF). Journal of the Association of Physicians of India. Retrieved 31 October 2015.

7.      Ghosh, Amit K. (2008). Mayo Clinic Internal Medicine Review: Eighth Edition (Mayo Clinic Internal Medicine Review). Informa Healthcare. p. 694. ISBN 1-4200-8478-X.

8.      Jennette JC. Rapidly progressive crescentic glomerulonephritis. Kidney Int 2003;63:1164-77.

9.      Gupta R, Singh L, Sharma A, Bagga A, Agarwal SK, Dinda AK. Crescentic glomerulonephritis: A clinical and histo-morphological analysis of 46 cases. Indian J PatholMicrobiol 2011;54:497-500.

10.  Oudah N, Al Duhailib Z, Alsaad K, Qurashi S, Ghamdi G, Flaiw A, et al. Glomerulonephritis with crescents among adult Saudi patients outcome and its predictors. ClinExp Med 2012;12:121-5.

11.  Choudhury TA, Singh RG, Usha, Singh S, Singh TB, Rathore SS, et al. Clinicopathologic spectrum of crescentic glomerulonephritis: A hospital-based study. Saudi J Kidney Dis Transpl 2014;25:689-96.

12.  Lin W, Chen M, Cui Z, Zhao MH. The immunopathological spectrum of crescentic glomerulonephritis: A survey of 106 patients in a single Chinese center. Nephron ClinPract 2010;116:c65-74.

13.  Tang Z, Wu Y, Wang Q, Zeng C, Yao X, Hu W, et al. Clinical spectrum of diffuse crescentic glomerulonephritis in Chinese patients. Chin Med J (Engl) 2003;116:1737-40.

14.  Sinha A, Puri K, Hari P, Dinda AK, Bagga A. Etiology and outcome of crescentic glomerulonephritis. Indian Pediatr 2013;50:283-8.

Corresponding Author

Dr Rajeev Krishna Choudhary

Assistant Professor, Dept of General Medicine,

Institute of Medical Sciences, SRMS, Bareilly, India

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