Glomerular Diseases Flashcards
Focal
<50% of glomeruli are involved
Diffuse
> 50% of glomeruli are involved
Proliferative
Hypercellular glomeruli
Membranous
Thickening of glomeruli basement membrane
Primary Glomerular Disease
Involves only glomeruli, a primary disease of the kidney
Secondary Glomerular Disease
Involves glomeruli and other organs, Ex. SLE and diabetic nephropathy
List of nephritic syndrome
acute poststreptococcal glomerulonephritis; rapidly progressive glomerulonephritis; Berger Dx (IgA glomerulonephropathy); Alport
List of nephrotic syndrome
Focal segmental glomerulosclerosis; membranous nephropathy; minimal change disease; amyloidosis; Diabetic Glomerulonephropathy
Both Nephritic and Nephrotic
Diffuse proliferative glomerulonephritis & Membranoproliferative glomerulonephritis
Massive prOteinuria (>3.5g/day) frothy urine, hyperlipidemia, fatty casts, edema
NephrOtic Syndrome
Segmental sclerosis and hyalinosis
Focal Segmental Glomerulosclerosis
Effacement of foot processes (name 2)
Focal Segmental Glomerulosclerosis & Minimal Change Disease
Blacks & Hispanics, HIC, sickle cell, heroin-abuse, massive obesity, IFN tx
Focal Segmental Glomerulosclerosis
Diffuse capillary and GBM thickening on light microscopy
Membranous Nephropathy
Immune complex deposition. Nephrotic presentation of SLE.
“spike and dome”
Membranous Nephropathy
Most common cause of primary nephrotic syndrome in Whites
Membranous Nephropathy
Antibody to Phospholipase A2 receptor; NSAIDs, penicillamine, HBV, HCV, SLE, or solid tumor
Membranous Nephropathy
Normal glomeruli, may be associated with Hodgkin Lymphoma (reed-sternberg cytokine mediated)
Minimal Change Disease