swilm Flashcards
Causes of Glomerulonephritis Disease
1-Vascular Disease
2-Glomerular Disease
what are the Vascular Disease that cause Glomerulonephritis Disease
1-Wegener granulomatosis (now called granulomatosis polyangiitis)
2-Churg-Strauss syndrome
3-Henoch-Schönlein purpura
4-Polyarteritis nodosa
5-Thrombotic thrombocytopenic purpura (TTP)
6-Hemolytic uremic syndrome (HUS)
7-Cryoglobulinemia
what are the Glomerular Disease that cause Glomerulonephritis Disease
1-Goodpasture syndrome 2-Postinfectious glomerulonephritis 3-IgA nephropathy (Berger disease) 4-SLE 5-Idiopathic rapidly progressive glomerulonephritis 6-Alport syndrome 7-Diabetes and hypertension (most common causes) 8-Amyloid
Wegener granulomatosis (WG) is characterized by
1-systemic vasculitis that most often involves the kidney, lung, and upper respiratory tract such as the sinuses or middle ear.
2-can also involve the skin (50%), joints, eyes (50%), and GI tract.
If a patient with chronic upper and lower respiratory illness does not respond to antibiotics, consider
Wegener Granulomatosis
The best initial test specific for Wegener granulomatosis
antiproteinase-3 antibody (or cytoplasmic antineutrophil cytoplasmic antibody
[C-ANCA]).
Diagnosis of Wegener granulomatosis
- Lab abnormalities include elevated ESR, anemia, and leukocytosis.
- Rheumatoid factor is positive in 50% of patients.
Complement levels are ……………in WG
normal
The most accurate test is
a biopsy of the kidney, nasal septum, or lung, looking for granulomas.
Treatment for WG is
cyclophosphamide and steroids.
define Churg-Strauss Syndrome
vasculitis similar to Wegener granulomatosis
Churg-Strauss Syndrome characterized by
chronic lung involvement, neuropathy, skin lesions, GI, cardiac, and renal involvement.
All forms of vasculitis are characterized by
fever, weight loss, and a generalized malaise
CS is characterized by
a history of asthma, eosinophilia, and other atopic diseases.
Diagnosis of CS requires
elevated eosinophils and positive P-ANCA.