All issues > Volume 17(8); 1974

Case Report

J Korean Pediatr Soc. 1974;17(8):559-566. Published online August 31, 1974.

Clinical Studies of Acute Glomerulonephritis in Children (130 cases)

Dong Gi Shin¹, Soon Myung Park¹, Chui Kyu Kim¹, Soon Ja Kwon¹

¹Department of Pediatrics, College of Medicine, Ewha Womans University Seoul，Korea

Abstract

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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