2017年11月29日星期三

The difference between primary and secondary nephrotic syndrome

In fact, there are many reasons for nephrotic syndrome, here we come to understand the difference between primary nephrotic syndrome and secondary nephrotic syndrome?

The difference between primary and secondary nephrotic syndrome
What is primary nephrotic syndrome

Primary nephrotic syndrome. General is caused by primary glomerular disease, such as minimal change nephropathy, membranous nephropathy, membranoproliferative nephropathy, mesangial proliferative glomerulonephritis, focal segmental glomerulosclerosis and so on. It has the following features

First, minimal change kidney disease, common in children and adolescents. Occult onset, often hematuria.

Second, membranous nephropathy, the general incidence are basically middle age, the onset of occult disease is slow, prone to renal vein thrombosis, gross hematuria uncommon.

Third, proliferative nephropathy, frequently occurring in young people, the rapid onset of almost all patients have microscopic hematuria, renal function was progressive decline in about 1/3 of patients with hypertension.

The difference between primary and secondary nephrotic syndrome
Fourth, mesangial proliferative glomerulonephritis, the disease also occurs in young people, acute attack, onset unknown. Patients often have hematuria, as well as mild to moderate hypertension.

Fifth, focal segmental glomerulosclerosis, most patients are unaware of the disease, the most common manifestations of nephrotic syndrome, followed by microscopic hematuria, renal dysfunction.

What is secondary nephrotic syndrome?

Secondary nephrotic syndrome. There are many causes of this disease, all kinds of infectious diseases, infectious diseases, etc. will lead to kidney disease attack. Common causes such as systemic lupus erythematosus kidney, diabetic nephropathy, renal amyloidosis, allergic purpura nephritis are more common.

The difference between primary and secondary nephrotic syndrome
First, systemic lupus nephropathy is common in young women and often presents with multiple organ damage such as joint pain, fever, facial butterfly erythema, and liver and cardiovascular disease. Lupus erythematosus cells can be found in the blood, plasma globulin was significantly higher.

Second, diabetic nephropathy often occurs in diabetic patients with longer history and diabetic retinopathy, often with the same damage as the kidneys.

Third, purpura nephritis occurs in adolescents, the incidence of respiratory infections, often in winter, hematuria is the most common renal manifestations of allergic purpura renal damage.

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