儿科学教学课件：Nephrotic Syndrome.pptVIP

IgA肾病 紫癜性肾炎 思考题 肾脏病理与临床的关系  Blood S.Cholesterol S.Albumin S. A/G ratio - reversal S.Creatinine Bl. Urea S . C3 and C4 levels Diagnosis 4 characteristics Renal Biopsy - indications Age of onset 1 yr. or 15 yrs. Features suggestive of disease other than MCNS [macroscopic hematuria, HTN, Low C 3, renal failure] Steroid non-responder Frequent relapses Steroid dependency Secondary steroid resistance Prior cytotoxic therapy DD – Protein losing enteropathy – Hepatic failure – CHF – Acute or chronic GN – PEM  Secondary Nephrotic Syndrome ? Vasculitides – SLE, Sarcoidosis, HSP, Rheuma