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Atypical Presentation of Acute Glomerulonephritis

Journal of the Korean Pediatric Society 1993;36(7):987-993.
Published online July 15, 1993.
Atypical Presentation of Acute Glomerulonephritis
Hyun Ho Shin1, Thy Hyung Park1, Sung Ho Cha1, Byoung Soo Cho1, Chang Il Ahn1, Young Tae Ko2, Moon Ho Yang2
1Department of Pediatrics, College of Medicine, Kyung-Hee University, Seoul, Korea
2Department of Radiology, College of Medicine, Kyung-Hee University, Seoul, Korea
비전형적인 사구체 신염의 임상적 고찰
신현호1, 박치형1, 차서호1, 조병수1, 안창일1, 고영태2, 양문호2
1경희대학교 의과대학 소아과학교실
2경희대학교 의과대학 진단방사선학교실
Form March 1982 to December 1991, 110 cases of typical post-streptococcal glomerulonephritis and 25 cases of Atypical acute glomerulonephritis were clinically investigated at Department of pediatrics, Kyung Hee University Hospital, and follwing Data were obtained. 1) Male to Femal ratio was 1.8:1 (Atypical AGN). Peak incidence was from 7 to 12 years. 2) The most common preceding infections were upper respiratory infection, unknown, cervical lymphadenitis, scarlet fever, Incubation periods were mostly from 1 to 2 weeks. 3) The most common chief complaints were edema, gross hematuria, oliguria, headache. 4) The most common physical findings were facial edema, hypertension, pharyngeal injection. 5) There were significant difference between atypical AGN and typical PSGN in the BUN and WBC (p<0.05, p<0.1). Also there were significant difference between typical PSGN and atypical AGN in the ESR (p<0.1). 6) Treatment regimens were penicilline, dipyridamole, anti-hypertensive agents. 7) Complete recovery occurs in most of patients within 1 year.
Key Words: Atypical acute glomerulonephritis

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