Focal proliferative nephritis Medical condition
Focal proliferative nephritis Other names Focal mesangial proliferative glomerulonephritis Specialty Nephrology
Focal proliferative nephritis is a type of glomerulonephritis seen in 20% to 35% of cases of lupus nephritis , classified as type III. As the name suggests, lesions are seen in less than half of the glomeruli . Typically, one or two foci within an otherwise normal glomerulus show swelling and proliferation of endothelial and mesangial cells , infiltration by neutrophils , and/or fibrinoid deposits with capillary thrombi . Focal glomerulonephritis is usually associated with only mild microscopic hematuria and proteinuria ; a transition to a more diffuse form of renal involvement is associated with more severe disease .[ 1]
Epidemiology
In cases of IgA nephropathy , focal proliferative glomerulonephritis is observed in about 20–50% of renal biopsy specimens. Twenty to sixty percent of patients with lupus who underwent renal biopsies exhibit focal proliferative or mesangial lupus nephritis.[ 2]
See also
References
^ Robbins, Stanley L.; Kumar, Vinay (2007). Robbins basic pathology . Saunders/Elsevier. p. 142. ISBN 978-0-8089-2366-4 .
^ Timson, David J.; Reece, Richard J.; Thoden, James B.; Holden, Hazel M.; L. Utz, Andrea; Biller, Beverly M. K.; Strehle, Eugen-Matthias; Böhm, Markus; Luger, Thomas A.; Leung, Alexander K. C.; Wong, Andrew L.; Donner, Markus G.; Häussinger, Dieter; Mann, Nirmal S.; Schmitt, Marcus; Leung, Alexander K. C.; Robson, William Lane M.; Wong, Andrew L.; Balwani, Manisha; Prakash-Cheng*, Ainu; Desnick, Robert J.; Lerche, Holger; Scheffer, Ingrid E.; Berkovic, Samuel F.; Lobnig, Brigitte M.; Jansen, Peter L. M.; Waldegger, Siegfried; Lang, Florian; Cate, Hugo ten; Thieme, Hagen; Weller, Michael; Schütte, Bärbel; Fass, Ronnie; Kato, Hideki; Nangaku, Masaomi; Kato, Hideki; Nangaku, Masaomi; Chang, Anthony; Kadambi, Pradeep V.; Alexander, Jessy J.; Ronco, Pierre; Debiec, Hanna; Hugo, Christian; Lobnig, Brigitte M.; Lobnig, Brigitte M.; Schnog, John-John B.; Gerdes, Victor E. A.; Francis, Jean; Geller, David S.; Brockmann, Knut; Wang, Dong; Vivo, Darryl C.; Kölker, Stefan; Kölker, Stefan; Erasmus, Elardus; Mienie, Lodewyk J.; Vissing, John; Reuser, Arnold; Correia, Catherine E.; Weinstein, David A.; Wolfsdorf, Joseph I.; Shin, Yoon S.; Hesselink, Reinout P.; Drost, Maarten R.; Wagenmakers, Anton J. M.; Vusse, Ger J.; Kiechl, Stefan; Denecke, Jonas; Schepers, Ute; Kolter, Thomas; Sandhoff, Konrad; Martin, Dianna C.; Triggs-Raine, Barbara L.; Sancak, Seda; Paschke, Ralf; Borza, Dorin-Bogdan; Ständer, Sonja; Traupe, Heiko; Becker, Michael A.; Straaten, Hanneke M.; Verdonck, Leo F.; Cate, Hugo Ten; Mempel, Martin; Abeck, Dietrich; Ghanem, Ismat; Hage, Samer El; Bode, Johannes G.; Fleisher, Thomas A.; Holland, Steven M.; Myers, Bennett; Herrmann, David; Kraiem, Zaki; Tomer, Yaron; Davies, Terry F.; White, James G.; Stöckler-Ipsiroglu, Sylvia; Stoll, Guido; Toyka, Klaus V.; Lamounier-Zepter, Valéria; Ruether, Klaus (2009). "Glomerulonephritis, Focal Proliferative". Encyclopedia of Molecular Mechanisms of Disease . Berlin, Heidelberg: Springer Berlin Heidelberg. pp. 709– 711. doi :10.1007/978-3-540-29676-8_644 . ISBN 978-3-540-67136-7 .
Further reading
Magil, Alex B.; Ballon, Henry S.; Rae, Angus (1982). "Focal proliferative lupus nephritis". The American Journal of Medicine . 72 (4). Elsevier BV: 620– 630. doi :10.1016/0002-9343(82)90463-6 . ISSN 0002-9343 . PMID 7041645 .
Weening, Jan J.; D’Agati, Vivette D.; Schwartz, Melvin M.; Seshan, Surya V.; Alpers, Charles E.; Appel, Gerald B.; Balow, James E.; Bruijn, Jan A.; Cook, Terence; Ferrario, Franco; Fogo, Agnes B.; Ginzler, Ellen M.; Hebert, Lee; Hill, Gary; Hill, Prue; Jennette, J. Charles; Kong, Norella C.; Lesavre, Philippe; Lockshin, Michael; Looi, Lai-Meng; Makino, Hirofumi; Moura, Luiz A.; Nagata, Michio (2004). "The Classification of Glomerulonephritis in Systemic Lupus Erythematosus Revisited" . Journal of the American Society of Nephrology . 15 (2). Ovid Technologies (Wolters Kluwer Health): 241– 250. doi :10.1097/01.asn.0000108969.21691.5d . hdl :20.500.12648/8229 . ISSN 1046-6673 . PMID 14747370 .
External links
Classification External resources