Clinicopathological analysis of IgA nephropathy combined with hyperuricemia

Objective To investigate the clinicopathological characteristics of IgA nephropathy combined with hyperuricemia in order to reveal the clinical significance of IgA nephropathy associated with hyperuricemia.Methods We retrospectively reviewed the clinical data of 270 patients with IgA nephropathy dia...

Full description

Saved in:
Bibliographic Details
Main Authors: CAI Wei-cheng, HAN Shu-lian, GUO Xiao-dan, LING Yi-sheng, LIU Jun-lan, GUAN Tian-jun
Format: Article
Language:zho
Published: Editorial Department of Journal of Clinical Nephrology 2016-01-01
Series:Linchuang shenzangbing zazhi
Subjects:
Online Access:http://www.lcszb.com/thesisDetails?columnId=57919002&Fpath=home&index=0
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849728866643345408
author CAI Wei-cheng
HAN Shu-lian
GUO Xiao-dan
LING Yi-sheng
LIU Jun-lan
GUAN Tian-jun
author_facet CAI Wei-cheng
HAN Shu-lian
GUO Xiao-dan
LING Yi-sheng
LIU Jun-lan
GUAN Tian-jun
author_sort CAI Wei-cheng
collection DOAJ
description Objective To investigate the clinicopathological characteristics of IgA nephropathy combined with hyperuricemia in order to reveal the clinical significance of IgA nephropathy associated with hyperuricemia.Methods We retrospectively reviewed the clinical data of 270 patients with IgA nephropathy diagnosed by renal biopsy from June 2006 to December 2012.The patients were divided into the two groups:IgA nephropathy patients with or without hyperuricemia.The sex,age,systolic blood pressure,24-h urine protein,serum uric acid,and serum creatinine were measured.All patients underwent renal pathological examination and Lee’s classification.A comparative analysis of clinical manifestations and renal pathological injuries was performed between the two groups,and the pathological parameters of patients with normal renal function were further analyzed.Results The prevalence of hyperuricemia in patients with IgA nephropathy was 25.19%.The systolic blood pressure,24-h urine protein and serum creatinine level were higher in the hyperuricemia group than in the normal group.The renal pathological changes in the hyperuricemia group were more severe than those in the normal uric acid group.The proportion of renal tubular interstitial lesions and renal artery lesions in the hyperuricemia group was higher than in the normal renal function group.The proportion of renal artery stenosis and renal tubular interstitial chronic lesions in the patients with hyperuricemia group was higher than in normal serum uric acid group.Conclusions The clinical manifestations and renal pathological changes of patients with IgA nephropathy combined with hyperuricemia are more serious than those with normal serum uric acid level,in particular,the effects of renal tubular interstitial lesions and renal vascular lesions were more obvious,and the clinical prognosis is not good.Timely and effective treatments are needed.
format Article
id doaj-art-80937f04cd9a48e2adbcd4d2bf8fdfa9
institution DOAJ
issn 1671-2390
language zho
publishDate 2016-01-01
publisher Editorial Department of Journal of Clinical Nephrology
record_format Article
series Linchuang shenzangbing zazhi
spelling doaj-art-80937f04cd9a48e2adbcd4d2bf8fdfa92025-08-20T03:09:25ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902016-01-0115215657919002Clinicopathological analysis of IgA nephropathy combined with hyperuricemiaCAI Wei-chengHAN Shu-lianGUO Xiao-danLING Yi-shengLIU Jun-lanGUAN Tian-junObjective To investigate the clinicopathological characteristics of IgA nephropathy combined with hyperuricemia in order to reveal the clinical significance of IgA nephropathy associated with hyperuricemia.Methods We retrospectively reviewed the clinical data of 270 patients with IgA nephropathy diagnosed by renal biopsy from June 2006 to December 2012.The patients were divided into the two groups:IgA nephropathy patients with or without hyperuricemia.The sex,age,systolic blood pressure,24-h urine protein,serum uric acid,and serum creatinine were measured.All patients underwent renal pathological examination and Lee’s classification.A comparative analysis of clinical manifestations and renal pathological injuries was performed between the two groups,and the pathological parameters of patients with normal renal function were further analyzed.Results The prevalence of hyperuricemia in patients with IgA nephropathy was 25.19%.The systolic blood pressure,24-h urine protein and serum creatinine level were higher in the hyperuricemia group than in the normal group.The renal pathological changes in the hyperuricemia group were more severe than those in the normal uric acid group.The proportion of renal tubular interstitial lesions and renal artery lesions in the hyperuricemia group was higher than in the normal renal function group.The proportion of renal artery stenosis and renal tubular interstitial chronic lesions in the patients with hyperuricemia group was higher than in normal serum uric acid group.Conclusions The clinical manifestations and renal pathological changes of patients with IgA nephropathy combined with hyperuricemia are more serious than those with normal serum uric acid level,in particular,the effects of renal tubular interstitial lesions and renal vascular lesions were more obvious,and the clinical prognosis is not good.Timely and effective treatments are needed.http://www.lcszb.com/thesisDetails?columnId=57919002&Fpath=home&index=0IgA nephropathyUric acidUrine protein
spellingShingle CAI Wei-cheng
HAN Shu-lian
GUO Xiao-dan
LING Yi-sheng
LIU Jun-lan
GUAN Tian-jun
Clinicopathological analysis of IgA nephropathy combined with hyperuricemia
Linchuang shenzangbing zazhi
IgA nephropathy
Uric acid
Urine protein
title Clinicopathological analysis of IgA nephropathy combined with hyperuricemia
title_full Clinicopathological analysis of IgA nephropathy combined with hyperuricemia
title_fullStr Clinicopathological analysis of IgA nephropathy combined with hyperuricemia
title_full_unstemmed Clinicopathological analysis of IgA nephropathy combined with hyperuricemia
title_short Clinicopathological analysis of IgA nephropathy combined with hyperuricemia
title_sort clinicopathological analysis of iga nephropathy combined with hyperuricemia
topic IgA nephropathy
Uric acid
Urine protein
url http://www.lcszb.com/thesisDetails?columnId=57919002&Fpath=home&index=0
work_keys_str_mv AT caiweicheng clinicopathologicalanalysisofiganephropathycombinedwithhyperuricemia
AT hanshulian clinicopathologicalanalysisofiganephropathycombinedwithhyperuricemia
AT guoxiaodan clinicopathologicalanalysisofiganephropathycombinedwithhyperuricemia
AT lingyisheng clinicopathologicalanalysisofiganephropathycombinedwithhyperuricemia
AT liujunlan clinicopathologicalanalysisofiganephropathycombinedwithhyperuricemia
AT guantianjun clinicopathologicalanalysisofiganephropathycombinedwithhyperuricemia