| Clinical Studies of Acute Glomerulonephritis in Children (130 cases) |
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Dong Gi Shin, Soon Myung Park, Chui Kyu Kim, Soon Ja Kwon |
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Department of Pediatrics, College of Medicine, Ewha Womans University Seoul，Korea |
| 急性 絲球體 腎炎의 臨床的 考察(130例) |
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申東棋, 朴淳明, 金哲圭, 權順子 |
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製花女子大學校 醫科大學 小兒科學敎室 |
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| Abstract |
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An analysis presented of 130 cases of acute glomerulonephritis in Korean children under
the 15 years of age, treated at the Ped. ward and out-patient clinic, Ewha Womans University
Hospital from Jan. 1, 1968 to Aug. 31, 1973. The following finding were noted:
1) The male to female ratio was 1 : 1. Between the age of 7 and 9 years showed an highest
age incidence as 21. 5%. Monthly distribution revealed as high in autumn and winter.
2) The 73.1% of total patient had a preceeding factors. Upper respiratory infection was most
common (61. 5%) among them.
3) The most common chief complaint was edema in 95. 5%. The others were hematuria (69.
2%), cough(27.6%), headache (22. 3%), fever (20. 0%) in oders.
4) Edema was the most prevalent physical sign in 95. 5%. The others were hypertension
(56.9%), pharyngeal congestion (4Q. 0%), enlarged liver (33. 0%) in orders.
5) Anti-streptolysin O titer was increased in 66% of the total patient and C-reacitve protein
was negative in 91% of the total cases.
6) Percentage of the positive culture by the throat swab was 58.9% of the total patient.
The beta-hemolytic streptococcus was obtained in 19.2%.
7) Microscopic hematuria became normalized in 26% within 2 weeks and 65% within 4 weeks.
8) Similarly to finding for microscopic hematuria, there was a subsequent disappearance of
protenuria in 18.1% within 2 weeks and 53.1% within 4 weeks.
9) Erythrocyte sedimentation rate was normalized in 28. 6% within 1 month, and 70.6% from
2 to 3 months after onset.
10) Blood pressure was followed to be observed in the cases over than 90mmHg in diastolic blood
pressure. It was almost normalized within 1 week.
11) Increased body weight due to edema began to decrease from the 3 days after receving an
appropriate treatments.
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