The PDF file you selected should load here if your Web browser has a PDF reader plug-in installed (for example, a recent version of Adobe Acrobat Reader). Analisis Faktor Risiko Glomerulonefritis Akut Pasca Streptokokus pada Anak Di RSUP Prof. Dr. R. D. Kandou Manado. Two antigenic fractions of the streptococcus (streptococcal GAPDH/nephritis- associated plasmin receptor, and streptococcal pyrogenic.

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Several mechanisms may participate in the pathogenesis of renal damage Table 1. Please review our privacy policy.

Nevertheless, the genetic characteristics that are responsible for predisposition or resistance to the disease have not been identified. Their studies showed that histones enter the circulation after streptococcal lysis and are capable of inducing in situ immune-complex formation.

The reduction of the incidence of APSGN is probably the result of easier and earlier access to appropriate medical care for streptococcal infections.

Discrepancies may partially result from the different prognosis of PSGN in adults and in children, which is not always taken into account in the reported series. The significance of Streptococcus hemolyticus in scarlet fever and the preparation of a specific antiscarlatinal serum by immunization of the horse to Streptococcus hemolyticus scarlatinae. Epidemic nephritis in Nova Serrana, Brazil. Archives of Internal Medicine. The multidimensional nature of renal disease: The Journal of the American Medical Association.

Mild to moderate arteriosclerosis was also seen in the majority of these adult cases; cases with underlying diabetic nephropathy tended to have more frequent and more severe arteriosclerosis, as well as arteriolar hyalinization and thickening Nasr, et al.


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Changing pattern of glomerular disease at Beijing Children’s Hospital. A consideration of certain biological differences between glomerulonephritis and rheumatic fever. Thiazide diuretics are ineffective and aldosterone antagonists carry the risk of hyperkalemia. Work by Fujino et al. Stretokokus deposits are not a feature of this disease. However, studies in aboriginal communities indicate that patients with a history of APSGN have a higher incidence of albuminuria, and that APSGN represents a risk factor for the subsequent development of chronic renal failure, if associated with diabetes and obesity.

lgomerulonefritis Acute post-streptococcal GN with proliferative and exudative GN. Finally, the long-term prognosis of APSGN may be influenced by the coexistence of other risk factors of chronic renal failure. Childhood post-streptococcal glomerulonephritis as a risk factor for chronic renal disease in later life.

Evidence of lectin complement pathway activation in poststreptococcal glomerulonephritis. Streptococcal zymogen type B induces angiotensin II in mesangial cells and leukocytes. Streptococcal histone induces murine macrophages to produce interleukin-1 and tumor necrosis factor alpha. The glomerulus shows endocapillary hypercellularity with multiple neutrophils, although far fewer than the glomerulus in Figure 1.

In specific communities, such as in Australian aboriginal groups, it has been found that patients who had APSGN have an increased risk for albuminuria adjusted odds ratio OR of 6. Post-streptococcal streptokoku glomerulonephritis in Chile years of experience. The typical pathological changes are endocapillary proliferation with varying degrees of leukocyte infiltration, and C3, IgG, and IgM immune deposits. Since positive cultures are not always obtained, antistreptococcal antibody titers are usually gloemrulonefritis to demonstrate the existence of an antecedent streptococcal infection.


Focal and segmental blotchy to amorphous staining for fibrinogen, most typically at the glomerulonefriris of glomerular tufts, is frequently noted within cellular crescents when these are present. This anti-IgG reactivity may be due to autoantigenic changes to IgG modified by neuraminidase sialidase. Over the ensuing weeks, endocapillary hypercellularity is lost, resulting in a predominantly glomeerulonefritis proliferative GN that is visible by light microscopy.

Recent studies have demonstrated that the Fc portion of antibodies directed to SPEB bind to the C-terminal domain rSPEBand that immunization with this domain prevents group A streptococcal infection in mice Tsao, et al.

Post-Streptococcal Glomerulonephritis – Streptococcus pyogenes – NCBI Bookshelf

It has long been known that there is an overexpression of cellular adhesion molecules ICAM-1, LFA-1 and infiltration of lymphocyte and macrophages in the glomeruli of these patients.

Synopsis of clinical and pathological features. Acute glomerulonephritis that results from streptococcal infections is the best-studied immune complex-mediated glomerulonephritis.

Triggering of renal tissue damage in the rabbit by IgG Fc-receptor-positive group A streptococci. Clinical presentations with proteinuria in the nephrotic range or developing rapidly progressive renal failure are rare enough in APSGN that histopathological confirmation of the diagnosis is essential. Acute post-streptococcal glomerulonephritis in the Northern Territory of Australia: Acute presentation and persistent glomerulonephritis following streptococcal infection in a patient with heterozygous complement factor H-related protein 5 deficiency.