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9 Cards in this Set

  • Front
  • Back
Mesangial IgA immune complex w/ granular immunoflourescence.
Most common world wide

Kids, Adults and Heavy Smokers
Episodic bouts of hematuria following URI w/ slow progression to CRF
IgA glomerulopathy (nephritic)

Berger's Disease
SubEpithelial immune complexes w/ granular immunoflourescence.
Lumpy Bumpy type III Hypersensitivity
Post-Streptococcal Glomerulonephritis (nephritic)
SubEndothelial immune complex deposits w/ granular immunoflourescence.

Wire Looping of capillaries

Anti-dsDNA immune complexes activate Classical pathway

Most common glomerular disease in SLE
Diffuse Proliferative Glomerulonephritis (nephritic)
Begins w/ Hemoptysis and progresses to ARF w/ very poor prognosis

Often associated w/ Crescent formation surrounding glomeruli

Clinical Associations:
Goodpastures, Microscopic Polyarteritis (p-ANCA), Wegener's (c-ANCA)
Rapidly Progressive Crescentric Glomerulonephritis (nephritic)
Most common in children
Selective proteinuria (decrease in Albumin) - GBM loses its negative charge due to T-cell Cytokines
Electon Microscopy shows Fusion of Podocytes

Secondary cause is Hodgkin's Lymphoma

Often preceded by respiratory infection
Minimal Change disease (Nephrotic)
Most common in HIV pts and Intravenous Heroin abuse

Microscopic Hemauturia

Poor prognosis progress to CRF
Focal Segmental Glomerulosclerosis (Nephrotic)
Most common Nephrotic in Adults
Diffuse thickening of membranes - Silver Stain shows "Spike and Dome" subEpithelial deposits
SubEpithelial immunecomplexes with Granular immunoflourescence

Secondary Causes:
Drugs - Captopril
Infections - HBV, Malaria, Syphilis
Malignancy - Carcinomas, Hodgkins Lymphoma
Autoimmune- SLE
Diffuse Membranous Glomerulopathy (Nephrotic)
Associated w/ Hep B and Hep C
SubEndothelial Immunecomplexes activate classical and alternative pathways

Tram tracking caused by splitting of the GBM by mesangium

Majority progress to CRF
Type 1 Membranoproliferative Glomerulonephritis

most common type
Associated w/ C3 nephritic factor causing sustained activation of C3 resulting in very low C3 levels

Diffuse intramembranous deposits - "Dense Deposits Disease"

EM shows Tram Tracks
Majority progress to CRF
Type II Membranoproliferative Glomerulonephritis