Excerpt for IgA Nephropathy: Facts and Treatments by John Smith, available in its entirety at Smashwords

IGA Nephropathy: Facts and Treatments

John Smith MA

M Awad MD (Ed.)


Smashwords Edition


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Copyright 2011 John Smith M, M Awad MD


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Contents


One: Introduction:

Two: Symptoms and Signs

Three: Causes

Four: Related Disorders:

Five: Diagnosis and Treatment:

Six: Information on Investigational Therapies

Seven: Organizations related to IgA Nephropathy

Eight: How the Adrenals and Kidneys Work

Nine: Glossary of Medical Terms

Appendix A: Internet Resources / Further Reading

References


One: Introduction


IgA nephropathy is a chronic kidney illness that sometimes first appears during puberty and in young adults, affecting three times as many men as women. It is also known as IgAN, Berger’s disease, synpharyngitic glomerulonephritis and IgA nephritis. IgA nephropathy gets its name because Immunoglobulin A (IgA) deposits in the renal glomerulus - a capillary tuft that is the first step in filtering blood for urine production.

The disease is a form of glomerulonephritis - a condition where the kidneys’ glomeruli become inflamed. It typically follows an upper respiratory infection or a gastrointestinal infection. The disease is the most common type of glomerulonephritis.

IgA nephropathy was first described by Heberden in 1801, when he noted that a five-year-old child had hematuria, purpura on the legs, abdominal pain and hematochezia (passage of fresh blood from the anus). However, it wasn’t until 1968 that Jean Berger and Hinglais described IgA deposits in the glomerulus. In the past, IgA nephropathy was thought to be a benign disease. However, long term studies have shown that the disease is far from benign - it frequently advances to renal failure in 25 to 30 percent of patients over a 20 year period. Renal failure may occur 30 years or more after the initial infection. Remission is, unfortunately, rare: only 5 percent of cases will fully recover. However, ten year survival rates are fairly high, at between 80 and 90 percent.


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