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Acute Poststreptococcal Glomerulonephritis: A Case With Minimal Urinary Abnormalities

Acute Poststreptococcal Glomerulonephritis: A Case With Minimal Urinary Abnormalities Abstract IT IS WELL recognized that the clinical presentation of acute glomerulonephritis varies considerably. The widespread use of percutaneous needle biopsy of the kidney has made it possible to confirm the belief that acute glomerulonephritis need not be associated with the classical urinary findings of hematuria, proteinuria, and cylindruria. In the first report of this dissociation, Cohen and Levitt1 described two adults with cardiac decompensation and minimal urinary abnormalities. Berman and Vogelsang2 reported the case of a 15-year-old girl who did not develop proteinuria but did have marked hematuria and cylindruria. A 10-year-old girl with nephritis reported by Albert and associates3 had minimal proteinuria as the only urinary abnormality. A patient with hypertensive encephalopathy, reported by Hoyer et al,4 had only minimal hematuria and proteinuria on two occasions, and the diagnosis of acute glomerulonephritis was confirmed by light and electron microscopy. No demonstrable urinary abnormalities were found References 1. Cohen, J.A., and Levitt, M.F.: Acute Glomerulonephritis With Few Urinary Abnormalities: Report of Two Cases Proved by Renal Biopsy , New Eng J Med 268:749-753 ( (April 4) ) 1963.Crossref 2. Berman, L.B., and Vogelsang, P.: Poststreptococcal Glomerulonephritis Without Proteinuria , New Eng J Med 268:1275-1277 ( (June 6) ) 1963.Crossref 3. Albert, M.S.; Leeming, J.M.; and Scaglione, P.R.: Acute Glomerulonephritis Without Abnormality of the Urine , J Pediat 68:525-529 ( (April) ) 1966.Crossref 4. Hoyer, J.R., et al: Acute Poststreptococcal Glomerulonephritis Presenting as Hypertensive Encephalopathy With Minimal Urinary Abnormalities , Pediatrics 39:412-417 ( (March) ) 1967. 5. Goorno, W.; Ashworth, C.T.; and Carter, N.W.: Acute Glomerulonephritis With Absence of Abnormal Urinary Findings , Ann Intern Med 66:345-353 ( (Feb) ) 1967.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Acute Poststreptococcal Glomerulonephritis: A Case With Minimal Urinary Abnormalities

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1969.02100040428002
Publisher site
See Article on Publisher Site

Abstract

Abstract IT IS WELL recognized that the clinical presentation of acute glomerulonephritis varies considerably. The widespread use of percutaneous needle biopsy of the kidney has made it possible to confirm the belief that acute glomerulonephritis need not be associated with the classical urinary findings of hematuria, proteinuria, and cylindruria. In the first report of this dissociation, Cohen and Levitt1 described two adults with cardiac decompensation and minimal urinary abnormalities. Berman and Vogelsang2 reported the case of a 15-year-old girl who did not develop proteinuria but did have marked hematuria and cylindruria. A 10-year-old girl with nephritis reported by Albert and associates3 had minimal proteinuria as the only urinary abnormality. A patient with hypertensive encephalopathy, reported by Hoyer et al,4 had only minimal hematuria and proteinuria on two occasions, and the diagnosis of acute glomerulonephritis was confirmed by light and electron microscopy. No demonstrable urinary abnormalities were found References 1. Cohen, J.A., and Levitt, M.F.: Acute Glomerulonephritis With Few Urinary Abnormalities: Report of Two Cases Proved by Renal Biopsy , New Eng J Med 268:749-753 ( (April 4) ) 1963.Crossref 2. Berman, L.B., and Vogelsang, P.: Poststreptococcal Glomerulonephritis Without Proteinuria , New Eng J Med 268:1275-1277 ( (June 6) ) 1963.Crossref 3. Albert, M.S.; Leeming, J.M.; and Scaglione, P.R.: Acute Glomerulonephritis Without Abnormality of the Urine , J Pediat 68:525-529 ( (April) ) 1966.Crossref 4. Hoyer, J.R., et al: Acute Poststreptococcal Glomerulonephritis Presenting as Hypertensive Encephalopathy With Minimal Urinary Abnormalities , Pediatrics 39:412-417 ( (March) ) 1967. 5. Goorno, W.; Ashworth, C.T.; and Carter, N.W.: Acute Glomerulonephritis With Absence of Abnormal Urinary Findings , Ann Intern Med 66:345-353 ( (Feb) ) 1967.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1969

References