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단일 기관 내의 급성 연쇄구균감염후 사구체신염 발생의 임상적 고찰

Other Titles
 Clinical Patterns of Acute Poststreptococcal Glomerulonephritis: A Single Center's Experience. 
Authors
 유리타 ; 박세진 ; 김기혁 ; 신재일 
Citation
 Journal of the Korean Society of Pediatric Nephrology (대한소아신장학회지), Vol.15(1) : 49~57, 2011 
Journal Title
 Journal of the Korean Society of Pediatric Nephrology  (대한소아신장학회지) 
ISSN
 1226-5292 
Issue Date
2011
Abstract
PURPOSE: The aim of this study is to investigate the change in incidence and clinical characteristics of acute poststreptococcal glomerulonephritis (APSGN) through a single center's experience. METHODS: We retrospectively analyzed the medical records of 53 children who were diagnosed with glomerular nephritis at National Health Insurance Corporation Ilsan Hospital between March 2000 and December 2009. Twenty-six of 53 patients falled to meet the dragnostic criteria of APSGN and were excluded. Chief complaints, physical examinations, urinalysis, urine culture, laboratory results, chest x-ray, and clinical manifestations were all retrieved from the remaining 27 patients. RESULTS: The incidence of APSGN by age was highest in children between six to seven years of age, with similar distributions in both genders, and seasonal incidence was higher from November to February when compared to other months, which was similar to the previously reported studies. However, the annual number of APSGN patients did not show a significant decrease from 2000 to 2009. The incidences of edema and hypertension were 59.3% and 48.1% respectively, suggesting lower incidences than those from previous studies. Six patients (22.2%) experienced hematuria for more than 6 months. Hypertensive encephalopathy, one of APSGN critical complications occurred in one patient but resolved with conservative treatment. CONCLUSION: Our study shows that APSGN still occur as a common renal disease but the disease severity seems to decrease with milder clinical manifestations and less complications compared to past studies
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93798
DOI
10.3339/jkspn.2011.15.1.49
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Pediatrics
Yonsei Authors
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