Korean Journal of Nephrology 1987;6(1):95-102.

소아 IgA Nephropathy의 임상적 고찰

조병수 , 엄순희 , 차주홍 , 안창일 , 양문호 , 이현순

Abstract

We reviewed the clinicopathologic findings of 20 cases of IgA nephropathy under the age of 15 year during 6 years period from June 1980 to June 1986 at Kyungh Hee University Hospital, with the national incidence of pediatric IgA nephropathy in Korea. And the following results were obtained. 1) Overall incidence was 16.9%. (Total reported inci- dence of pediatric IgA nephropathy in Korea was 11.5 %). 2) The patients average age was 10.3+2.78 year and the ratio of male (13) to female (7) was 1.86: l. 3) C.C. on admission; gross hematuria cases were 13 (65%), microscopic hematuria, edema, proteinuria, in frequency. 4) Associated proteinuria was observed in 13 (65%) and elevated serum IgA level was observed in 4 cases (20 5) Follow up studies were available in 11 cases with average of 16.79.9 months and renal functions were normalized completely in 5 cases. Further longterm studies are needed to confirm the prognostic factors, but hypertension and heavy pro- teinuria are not a poor prognostic factors in pediatric IgA nephropathy, moreover heavy proteinuria can be a marker for responsiveness to corticosteroid.