Nephritic syndrome classification: Difference between revisions
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The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]]. | The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]]. | ||
==Classification== | |||
==Classification== | ==Classification== | ||
The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]]. | The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]]. | ||
===Renal vs. Non Renal=== | |||
====Renal Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846 }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695 }} </ref>==== | |||
*[[Acute post-streptococcal glomerulonephritis]] | |||
*[[Membranoproliferative glomerulonephritis]] - Type 1 and 2 | |||
*[[IgA nephropathy]] | |||
*[[Idiopathic rapidly progressive glomerulonephritis]] | |||
**[[Anti-GBM disease]] | |||
**Pauci-immune disease | |||
**Immune-deposit disease | |||
====Systemic Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846 }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695 }} </ref>==== | |||
*[[Systemic lupus erythematosus]] | |||
*[[Cryoglobulinemia]] | |||
*[[Subacute bacterial endocarditis]] | |||
*"Shunt" nephritis | |||
*[[Polyarteritis nodosa]] | |||
*[[Wegener granulomatosis]] | |||
*[[Hypersensitivity vasculitis]] | |||
*[[Henoch-Schonlein purpura]] | |||
*[[Goodpasture's syndrome]] | |||
*Visceral [[abscess]]es | |||
===Primary vs. Secondary=== | |||
{| border="1" style="border-collapse:collapse; text-align:left;" cellpadding="5" align="center" | |||
|+ '''''Classification of Glomerular Diseases<ref name="pmid9744974">{{cite journal| author=Hricik DE, Chung-Park M, Sedor JR| title=Glomerulonephritis. | journal=N Engl J Med | year= 1998 | volume= 339 | issue= 13 | pages= 888-99 | pmid=9744974 | doi=10.1056/NEJM199809243391306 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9744974 }} </ref>''''' | |||
| style="background:#4479BA; color: #FFFFFF;" |'''Type of Disorder''' || style="background:#4479BA; color: #FFFFFF;" |'''Proliferative Changes'''|| style="background:#4479BA; color: #FFFFFF;" |'''No Proliferative Changes''' | |||
|- | |||
| bgcolor="#ececec" |'''Primary Renal Disorder ''' || | |||
*[[IgA nephropathy]] | |||
*IgM nephropathy | |||
*Other mesangioproliferative glomerulonephritides | |||
*[[Crescentic glomerulonephritis]] | |||
**With immune deposits | |||
**Pauci-immune | |||
*[[Membranoproliferative glomerulonephritis]] | |||
|| | |||
*[[Focal segmental glomerulosclerosis]] | |||
*[[Membranous glomerulopathy]] | |||
*[[Minimal-change disease]] | |||
*[[Thin basement membrane disease]] | |||
|- | |||
| bgcolor="#ececec" |'''Secondary Disorder''' || | |||
*[[Lupus nephritis]] | |||
*[[Post-infectious glomerulonephritis]] | |||
*[[Glomerulonephritis]] related to hepatitis B or C | |||
*[[Systemic vasculitides]] | |||
**[[Wegener's granulomatosis]] | |||
**[[Polyarteritis nodosa]] | |||
**[[Henoch-Schonlein purpura]] | |||
**Idiopathic | |||
|| | |||
*[[Diabetic nephropathy]] | |||
*[[Amyloidosis]] | |||
*[[Light-chain nephropathy]] | |||
*[[Human immunodeficiency virus]] nephropathy | |||
*[[Alport's syndrome]] | |||
*Drug-induced glomerulopathies | |||
|} | |||
<center><sup>Adapted from Hricik DE, Chung-Park M, Sedor JR. Glomerulonephritis. N Engl J Med. 1998;339(13):888-99</sup></center> | |||
===Renal vs. Non Renal=== | ===Renal vs. Non Renal=== |
Revision as of 18:12, 6 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian
Overview
The acute nephritic syndrome can be classified according to the etiology of the underlying disease (renal vs. non-renal etiology). Similarly, acute nephritis may be classified as idiopathic vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on pathology.
Classification
Classification
The acute nephritic syndrome can be classified according to the etiology of the underlying disease (renal vs. non-renal etiology). Similarly, acute nephritis may be classified as idiopathic vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on pathology.
Renal vs. Non Renal
Renal Diseases[1][2]
- Acute post-streptococcal glomerulonephritis
- Membranoproliferative glomerulonephritis - Type 1 and 2
- IgA nephropathy
- Idiopathic rapidly progressive glomerulonephritis
- Anti-GBM disease
- Pauci-immune disease
- Immune-deposit disease
Systemic Diseases[1][2]
- Systemic lupus erythematosus
- Cryoglobulinemia
- Subacute bacterial endocarditis
- "Shunt" nephritis
- Polyarteritis nodosa
- Wegener granulomatosis
- Hypersensitivity vasculitis
- Henoch-Schonlein purpura
- Goodpasture's syndrome
- Visceral abscesses
Primary vs. Secondary
Type of Disorder | Proliferative Changes | No Proliferative Changes |
Primary Renal Disorder |
|
|
Secondary Disorder |
|
|
Renal vs. Non Renal
Renal Diseases[1][2]
- Acute post-streptococcal glomerulonephritis
- Membranoproliferative glomerulonephritis - Type 1 and 2
- IgA nephropathy
- Idiopathic rapidly progressive glomerulonephritis
- Anti-GBM disease
- Pauci-immune disease
- Immune-deposit disease
Systemic Diseases[1][2]
- Systemic lupus erythematosus
- Cryoglobulinemia
- Subacute bacterial endocarditis
- "Shunt" nephritis
- Polyarteritis nodosa
- Wegener granulomatosis
- Hypersensitivity vasculitis
- Henoch-Schonlein purpura
- Goodpasture's syndrome
- Visceral abscesses
Primary vs. Secondary
Type of Disorder | Proliferative Changes | No Proliferative Changes |
Primary Renal Disorder |
|
|
Secondary Disorder |
|
|
References
- ↑ 1.0 1.1 1.2 1.3 Madaio MP, Harrington JT (1983). "Current concepts. The diagnosis of acute glomerulonephritis". N Engl J Med. 309 (21): 1299–302. doi:10.1056/NEJM198311243092106. PMID 6355846.
- ↑ 2.0 2.1 2.2 2.3 Madaio MP, Harrington JT (2001). "The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome". Arch Intern Med. 161 (1): 25–34. PMID 11146695.
- ↑ 3.0 3.1 Hricik DE, Chung-Park M, Sedor JR (1998). "Glomerulonephritis". N Engl J Med. 339 (13): 888–99. doi:10.1056/NEJM199809243391306. PMID 9744974.