Latent glomerulonephritis: causes of development and manifestations of the disease

  • Latent glomerulonephritis: causes of development and manifestations of the disease

    Latent glomerulonephritis is the most common form of chronic disease, which is manifested by changes in urine tests and a slight increase in blood pressure. This type of glomerulonephritis only manifests itself through changes in the urine, namely, the detection in it of impurities of proteins, blood, leukocytes. The disease is characterized by slow progression, and the prognosis remains more stable with isolated proteinuria and worsens with simultaneous manifestation of hematuria and proteinuria. Survival in the course of ten years in patients with this diagnosis is 88%.

    As such, latent glomerulonephritis is not recognized by patients, as it is not accompanied by increased pressure, development of puffiness, and pronounced discharge of blood in the urine. People who have suffered from this nosological form remain able-bodied for many years, do not feel their own inferiority, thus pushing back the inevitable catastrophe, provided there is no timely treatment.

    Pathology is usually diagnosed during medical examination or in case of accidental examination of the patient and manifests itself as an isolated hematuria or proteinuria. Sometimes only a biopsy examination of the kidneys makes it possible to make the right diagnosis. Also to latent varieties should be attributed to chronic glomerulonephritis in children and adolescents, which is clinically manifested only by anemia syndrome. The average life expectancy of the patient with the time of the detected disease and with proper treatment is 10 to 15 years, and the main cause of death is kidney failure.

    Disease manifestations of

    Most latent cases of glomerulonephritis occur during the secondary period of the disease and the state of remission, when the main task is to identify the degree of activation of the pathogen process in order to establish the prognosis of subsequent progression and the presence of residual events.

    Often, patients develop a peculiar latent flow of chronic glomerulonephritis, which is not recognized by them and therefore can not be detected by physicians until the last weeks of the terminal form of uremia, in the absence of increased pressure, swelling and severe hematuria. When the autopsy is performed, a nephrotic secondary wrinkled kidney is found. Such people, as a rule, are able to maintain their capacity for work for many years and do not consider themselves to be a group of patients, which means they are not aware of their vulnerability.

    Nephrotic glomerulonephritis also often has a latent course, and swelling and other symptoms of the lesion are manifested much later than the onset of the disease, sometimes only a few months later. In half of the cases, the development of puffiness is preceded by strong proteinuria for 2 months - four years. When organizing a dispensary examination, doctors can diagnose an early stage without edema due to the detection of proteinuria and an increase in the rate of erythrocyte sedimentation.

    Diagnosis of pathology

    The disease can be diagnosed at any stage of development when the patient undergoes a dispensary or accidental examination. Usually, the doctor notes a separate development of hematuria or proteinuria. But sometimes only with the help of kidney biopsy can you identify an accurate diagnosis, which entails severe restrictions on the patient's day regimen.

    Treatment of pathology

    The organization of treatment of latent glomerulonephritis is carried out only in a hospital. An integral part of any organized therapy of treatment is strict adherence to the regime of the day and diet. When detecting and diagnosing various forms of glomerulonephritis, it is required to restrict the patient's motor activity, it is also important to prevent hypothermia and avoid mental overstrain.

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