swilm Flashcards
(18 cards)
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.
The most accurate test of CS is
lung biopsy showing the granulomas and eosinophils.
Treatment is
cyclophosphamide and glucocorticoids.
define Goodpasture Syndrome
idiopathic disorder of renal and lung disease characterized by a unique antibasement membrane antibody.