2003
DOI: 10.5414/cnp59064
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Acute poststreptococcal glomerulonephritis mimicking Henoch- Schönlein purpura

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Cited by 18 publications
(12 citation statements)
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“…Both AGN and HSP nephritis could appear after antigen exposure with similar clinical presentation such hematuria, edemas and hypertension [2,5,6]. In this case, streptococcus infection was supported by clinical data and high serum ASLO levels that decreased subsequently.…”
Section: Discussionmentioning
confidence: 72%
See 1 more Smart Citation
“…Both AGN and HSP nephritis could appear after antigen exposure with similar clinical presentation such hematuria, edemas and hypertension [2,5,6]. In this case, streptococcus infection was supported by clinical data and high serum ASLO levels that decreased subsequently.…”
Section: Discussionmentioning
confidence: 72%
“…Although in this GN the complement system is usually activated by alternative pathway, it has been described as the activation by classical pathway, characterized by low levels of C4 without decrease of C3, as we observed in our patient. Moreover, GNA has also been described as having the presence of systemic vasculitis affecting skin, bowel and other organs mimicking HSP [5,6]. On the other hand, the presence of purpura and absence of typical nephritic syndrome supported the diagnosis of HSP.…”
Section: Discussionmentioning
confidence: 99%
“…However, acute poststreptococcal glomerulonephritis (APGN) has been considered to be the most common form of immune-mediated glomerulopathy related to GAS infection [16]. Interestingly, there have been several reports suggesting that patients with APGN occasionally exhibit a purpuric rash similar to the skin manifestations of HSP [17,18]. In addition, it has been reported that hypocomplementemia may be associated with HSPN, and also that renal lesions of HSPN include varying degrees of endocapillary proliferative changes, which are typical findings of APGN [1,8,12,19].…”
Section: Discussionmentioning
confidence: 98%
“…Another atypical feature at presentation is the presence of a typical Henoch-Schönlein purpura rash [142][143][144]. The diagnosis of PSAGN was confirmed by renal biopsy in those cases.…”
Section: Clinical Manifestations-typical Course Atypical Featuresmentioning
confidence: 94%