韓國 成人 Nephrotic Syndrome의 病理組織學的 分類
Histopathological Classification of Nephrotic Syndrome in Korean Adults
소속 상세정보
이현정(李賢渟)/Hyun Soon Lee
김용일(金勇一)/이상국(李尙國)/Yong Il Kim/Sang Kook Lee
KMID : 0357919730070020081
Abstract
A light microscopic study of renal biopsy specimens from forty six cases of adult
nephrotic syndrome, during a period of 1967 to 1973 at Seoul National University
Hospital, was carried out and correlated to the response to corticosteroid therapy. These
were classified into minimal change (8 cases), focal glomerulosclerosis (2 cases),
mesangial proliferative glomerulonephritis (9 cases), membranoproliferative glomerulone-
phritis (14 cases), (epi)membranous nephropathy (4 cases), diabetes mellitus (5 cases),
and chronic glomerulonephritis (4 cases). The frequency distribution of the three main
histological groups was 'membranoproliferative glomerulonephritis' 30.4% 'mesangial
proliferative glomerulonephritis' 19.6% and 'minimal change' 17.4% The much lower
incidence of membranous nephropathy was assumed to reflect the use of stricter
histological criteria and/or geographical difference. Among 8 cases with minimal changes,
who were mostly males, 6 cases revealed complete remission by corticosteroid therapy.
Though total 3 cases of focal glomerulosclerosis and membranoproliferative glomerulone-
phritis responded completely to steroid therapy, most cases with various structural
glomerular alterations rather exhibited poor remission by treatment.
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