Rapidly progressive glomerulonephritis

Rapidly progressive glomerulonephritis
Other namesCrescentic glomerulonephritis[1]
Histopathological image of crescentic glomerulonephritis in a patient with MPO-ANCA positive rapid progressive glomerulonephritis. Hematoxylin & eosin stain.
SpecialtyNephrology
SymptomsHematuria[2]
TypesType I, II and III[3]
Diagnostic methodSerum analysis[2]
TreatmentCorticosteroids

Rapidly progressive glomerulonephritis (RPGN) is a syndrome of the kidney that is characterized by a rapid loss of kidney function,[4][5] (usually a 50% decline in the glomerular filtration rate (GFR) within 3 months)[5] with glomerular crescent formation seen in at least 50%[5] or 75%[4] of glomeruli seen on kidney biopsies. If left untreated, it rapidly progresses into acute kidney failure[6] and death within months. In 50% of cases, RPGN is associated with an underlying disease such as Goodpasture syndrome, systemic lupus erythematosus or granulomatosis with polyangiitis; the remaining cases are idiopathic. Regardless of the underlying cause, RPGN involves severe injury to the kidneys' glomeruli, with many of the glomeruli containing characteristic glomerular crescents (crescent-shaped scars).[7]

  1. ^ RESERVED, INSERM US14-- ALL RIGHTS. "Orphanet: Rapidly progressive glomerulonephritis". www.orpha.net. Retrieved 31 July 2019.{{cite web}}: CS1 maint: numeric names: authors list (link)
  2. ^ a b Cite error: The named reference robbins was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference isbn1-4200-8478-X was invoked but never defined (see the help page).
  4. ^ a b TheFreeDictionary > rapidly progressive glomerulonephritis Citing: McGraw-Hill Concise Dictionary of Modern Medicine. 2002
  5. ^ a b c eMedicine > Glomerulonephritis, Crescentic Author: Malvinder S Parmar. Updated: Sep 25, 2008
  6. ^ "rapidly progressive glomerulonephritis" at Dorland's Medical Dictionary
  7. ^ Anguiano L, Kain R, Anders HJ (May 2020). "The glomerular crescent: triggers, evolution, resolution, and implications for therapy". Current Opinion in Nephrology and Hypertension. 29 (3): 302–309. doi:10.1097/MNH.0000000000000596. PMC 7170443. PMID 32132388.