Acute glomerulonephritis easily confused with the diseases

Early acute nephritis easily confused with the disease, should arouse attention. (1) fever proteinuria may appear in any febrile illness. During the fever can be detected in urine protein and the type, but very few red blood cells, or edema and hypertension. Heat Forward, urine abnormal rapid recovery. (2) any abnormal urinary infection caused infection, such as bacteria, viruses, in particular, hemolytic streptococcus B infection, about 1 / 3 of patients can appear mild microscopic hematuria, a small amount of urine protein and the type, However, no edema and hypertension, when the infection control, urine check is back to normal. (3) focal glomerulonephritis in general during the infection (acute nephritis occurred in about two weeks after infection); focal nephritis mainly to hematuria, proteinuria is very light; cure infection, Patients resume normal urine checks, the better the prognosis. Light and acute nephritis only urine changes, without edema and hypertension similar. (4) movement urine abnormal strenuous exercise (such as long-distance running, swimming, radical march……) or overworked, in the urine within a few hours to appear abnormal - hematuria, proteinuria and the type of urine, but the rest 1-2 days (By less than seven days) is back to normal. In the event of abnormal urine at the same time without edema and hypertension (individual may have temporarily hypertension). (5) lupus nephritis systemic lupus erythematosus caused kidney damage, sometimes performance similar to acute nephritis, frequently have rashes, hair loss, light allergies, joint pain and heart, liver, lung, brain and other organs of the disease, And more than a fever, reduce the WBC, anti-SM antibody tests or DNA antibodies and anti-nuclear antibody positive. (6) occurred in pregnancy toxemia of pregnancy and more advanced, people with edema, hypertension, proteinuria and the type of urine, severe hypertension may occur encephalopathy, especially in the last 12 months of pregnancy when the more obvious symptoms. However, the lack of urine is the main characteristic, and kidney function are normal, eyes visible retinal artery cramps, bleeding, leakage and other changes, the vast majority of patients return to normal after childbirth. (7) primary nephrotic syndrome associated with acute nephritis, nephrotic syndrome and kidney easily confused. The latter to a large number proteinuria (≥ 3.5 grams / day) and hypoproteinemia for features, without hematuria, the former hematuria, have no hypoproteinemia, differential points for the kidney examination, the former diffuse capillary Proliferative glomerulonephritis, which can be a minimal change or other chronic glomerular damage to the pathological changes. (8) and Bangladesh acute kidney nephritis the event of acute nephritis urethra, bladder and kidney mucosal congestion and edema can cause bladder irritation, similar acute pyelonephritis. But pyelonephritis fever, hematuria, IL are more positive urine culture, effective antibiotic treatment, and no edema, hypertension, such as performance, also in the urine of a red blood cell type. Acute Pyelonephritis is still easy to acute and chronic nephritis confused.