All issues > Volume 36(7); 1993

Original Article

J Korean Pediatr Soc. 1993;36(7):987-993. Published online July 15, 1993.

Atypical Presentation of Acute Glomerulonephritis

Hyun Ho HH Shin¹, Thy Hyung TH Park¹, Sung Ho SH Cha¹, Byoung Soo BS Cho¹, Chang Il CI Ahn¹, Young Tae YT Ko², Moon Ho MH Yang²

¹Department of Pediatrics, College of Medicine, Kyung-Hee University, Seoul, Korea
²Department of Radiology, College of Medicine, Kyung-Hee University, Seoul, Korea

Abstract

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.

Keywords :Atypical acute glomerulonephritis