Glomerulonephritis Flashcards
Clinicopathologic correlate of RPGN
Crescentic GN
Pulmonary-renal syndrome consists of lung hemorrhage in combination with anti-GBM nephritis presenting as RPGN
Goodpasture’s
“Flea-bitten” appearance of kidneys on gross pathology due to subcapsular hemorrhages
Subacute bacterial endocarditis
GN occurring with IE, shunt infections or intraabdominal or pelvic abscesses
Immune complex GN
MC GN worldwide
IgA nephropathy/Berger’s
Vasculitis closely associated with IgA nephropathy
Henoch-Schonlein vasculitis
Presence of IgA immune deposits in the glomerular mesangium
IgA nephropathy
Crohn’s disease
Dermatitis herpetiformis
Sjogren’s syndrome
Histopathologic lesion of IgA Nephropathy
Mesangioproliferative GN
“Sympharyngitic hematuria”
IgA Nephropathy
hematuria occurs during or immediately after the URTI
ANCA positive pauci-immune GN
Granulomatosis with polyangiitis (Wegener’s)
Churg-Strauss
Microscopic Polyangiitis
Anti PR3 ANCA commonly seen
Granulomatosis with polyangiitis (Wegener’s)
Anti MPO ANCA
Churg-Strauss
Microscopic polyangiitis
Anti PR3 + small vessel vasculitis + purulent rhinorrhea + nasal ulcers + sinus pain + polyarthritis + segmental necrotizing GN
Wegener’s
Anti MPO ANCA + small vessel vasculitis + peripheral eosinophilia + asthma + cutaneous purpura + mononeuritis + focal segmental necrotizing GN
Churg-Strauss
Hypocomplementemic form of GN + mixed nephritic and nephrotic features + assocated with Hep C infections, autoimmune diseases or neoplastic diseases
Type I MPGN
Histologic presentation of poststrep GN
Diffuse proliferative GN
Histologic presentation of Hodgkin’s disease developing nephrotic syndrome
Minimal Change Disease
GN most commonly associated with solid tumors and infections such as Hep B, malaria and schistosomiasis
Membranous GN
MCC of nephrotic syndrome in the elderly
Membranous nephropathy
Microalbuminuria
30-300 mg/24 hours
AntiHPN of choice for T1DM with DMN
ACEI
T2DM: ARBS
Renal lesion of HIVAN
FSGS
Most corticosteroid-responsibe GN causing nephrotic syndrome
Minimal change disease
Histologic feature characteristic of malignant hypertension
Fibrinoid necrosis of small blood vessels
Acute glomerular injury associated with livedo reticularis, necrosis of toes, Hollenhorst plaques and eosinophilia due to cholesterol embolization
FSGS
Characteristic histopathologic feature of the thrombotic microangiopathies
Glomerular capillary endotheliosis with platelet thrombi
Thrombotic microangiopathy with predominant neurologic disturbances
Thrombotic thrombocytopenic purpura (TTP)
Associated with Hepatitis B
Membranoproliferative GN
MC renal lesion associated with Hep C
Cryoglobulinemic GN
Schistosoma MC associated with clinical renal disease
S.mansoni
Pulmonary-renal syndrome consists of lung hemorrhage in combination with anti-GBM nephritis often presenting as RPGN
Goodpasture’s
MCC of nephrotic syndrome
Minimal Change Disease