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The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]].
The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]].


==Classification==
==Classification==
==Classification==
The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]].
The acute nephritic syndrome can be classified according to the [[etiology]] of the underlying disease ([[renal]] vs. non-renal etiology). Similarly, acute nephritis may be classified as [[idiopathic]] vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on [[pathology]].
===Renal vs. Non Renal===
====Renal Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846  }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695  }} </ref>====
*[[Acute post-streptococcal glomerulonephritis]]
*[[Membranoproliferative glomerulonephritis]] - Type 1 and 2
*[[IgA nephropathy]]
*[[Idiopathic rapidly progressive glomerulonephritis]]
**[[Anti-GBM disease]]
**Pauci-immune disease
**Immune-deposit disease
====Systemic Diseases<ref name="pmid6355846">{{cite journal| author=Madaio MP, Harrington JT| title=Current concepts. The diagnosis of acute glomerulonephritis. | journal=N Engl J Med | year= 1983 | volume= 309 | issue= 21 | pages= 1299-302 | pmid=6355846 | doi=10.1056/NEJM198311243092106 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6355846  }} </ref><ref name="pmid11146695">{{cite journal| author=Madaio MP, Harrington JT| title=The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome. | journal=Arch Intern Med | year= 2001 | volume= 161 | issue= 1 | pages= 25-34 | pmid=11146695 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11146695  }} </ref>====
*[[Systemic lupus erythematosus]]
*[[Cryoglobulinemia]]
*[[Subacute bacterial endocarditis]]
*"Shunt" nephritis
*[[Polyarteritis nodosa]]
*[[Wegener granulomatosis]]
*[[Hypersensitivity vasculitis]]
*[[Henoch-Schonlein purpura]]
*[[Goodpasture's syndrome]]
*Visceral [[abscess]]es
===Primary vs. Secondary===
{| border="1" style="border-collapse:collapse; text-align:left;" cellpadding="5" align="center"
|+ '''''Classification of Glomerular Diseases<ref name="pmid9744974">{{cite journal| author=Hricik DE, Chung-Park M, Sedor JR| title=Glomerulonephritis. | journal=N Engl J Med | year= 1998 | volume= 339 | issue= 13 | pages= 888-99 | pmid=9744974 | doi=10.1056/NEJM199809243391306 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9744974  }} </ref>'''''
| style="background:#4479BA; color: #FFFFFF;" |'''Type of Disorder''' || style="background:#4479BA; color: #FFFFFF;" |'''Proliferative Changes'''|| style="background:#4479BA; color: #FFFFFF;" |'''No Proliferative Changes'''
|-
| bgcolor="#ececec" |'''Primary Renal Disorder ''' ||
*[[IgA nephropathy]]
*IgM nephropathy
*Other mesangioproliferative glomerulonephritides
*[[Crescentic glomerulonephritis]]
**With immune deposits
**Pauci-immune
*[[Membranoproliferative glomerulonephritis]]
||
*[[Focal segmental glomerulosclerosis]]
*[[Membranous glomerulopathy]]
*[[Minimal-change disease]]
*[[Thin basement membrane disease]]
|-
| bgcolor="#ececec" |'''Secondary Disorder''' ||
*[[Lupus nephritis]]
*[[Post-infectious glomerulonephritis]]
*[[Glomerulonephritis]] related to hepatitis B or C
*[[Systemic vasculitides]]
**[[Wegener's granulomatosis]]
**[[Polyarteritis nodosa]]
**[[Henoch-Schonlein purpura]]
**Idiopathic
||
*[[Diabetic nephropathy]]
*[[Amyloidosis]]
*[[Light-chain nephropathy]]
*[[Human immunodeficiency virus]] nephropathy
*[[Alport's syndrome]]
*Drug-induced glomerulopathies
|}
<center><sup>Adapted from Hricik DE, Chung-Park M, Sedor JR. Glomerulonephritis. N Engl J Med. 1998;339(13):888-99</sup></center>


===Renal vs. Non Renal===
===Renal vs. Non Renal===

Revision as of 18:12, 6 June 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yazan Daaboul, Serge Korjian

Overview

The acute nephritic syndrome can be classified according to the etiology of the underlying disease (renal vs. non-renal etiology). Similarly, acute nephritis may be classified as idiopathic vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on pathology.

Classification

Classification

The acute nephritic syndrome can be classified according to the etiology of the underlying disease (renal vs. non-renal etiology). Similarly, acute nephritis may be classified as idiopathic vs. secondary to other conditions. Finally, diseases may be classified according to the proliferative vs. non-proliferative changes seen on pathology.

Renal vs. Non Renal

Renal Diseases[1][2]

Systemic Diseases[1][2]

Primary vs. Secondary

Classification of Glomerular Diseases[3]
Type of Disorder Proliferative Changes No Proliferative Changes
Primary Renal Disorder
Secondary Disorder
Adapted from Hricik DE, Chung-Park M, Sedor JR. Glomerulonephritis. N Engl J Med. 1998;339(13):888-99

Renal vs. Non Renal

Renal Diseases[1][2]

Systemic Diseases[1][2]

Primary vs. Secondary

Classification of Glomerular Diseases[3]
Type of Disorder Proliferative Changes No Proliferative Changes
Primary Renal Disorder
Secondary Disorder
Adapted from Hricik DE, Chung-Park M, Sedor JR. Glomerulonephritis. N Engl J Med. 1998;339(13):888-99

References

  1. ↑ 1.0 1.1 1.2 1.3 Madaio MP, Harrington JT (1983). "Current concepts. The diagnosis of acute glomerulonephritis". N Engl J Med. 309 (21): 1299–302. doi:10.1056/NEJM198311243092106. PMID 6355846.
  2. ↑ 2.0 2.1 2.2 2.3 Madaio MP, Harrington JT (2001). "The diagnosis of glomerular diseases: acute glomerulonephritis and the nephrotic syndrome". Arch Intern Med. 161 (1): 25–34. PMID 11146695.
  3. ↑ 3.0 3.1 Hricik DE, Chung-Park M, Sedor JR (1998). "Glomerulonephritis". N Engl J Med. 339 (13): 888–99. doi:10.1056/NEJM199809243391306. PMID 9744974.

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