[Bronchitis, pregnancy test and hematuria--an atypical algorithm for diagnosis].
A 42-year old housewife presented herself with flu symptoms and dry cough. Because of pregnancy test (chest x-ray) we accidentally detected a hematuria. Exact medical history revealed the presence of a known IgA-Nephropathy. Banal respiratory infections can exacerbate IgA Nephropathy. In addition, medical history and further investigations are important because of possible secondary IgA-Glomerulonephritis. Treatment of IgA glomerulopathy depends on blood pressure, renal function and degree of proteinuria. An acute renal insufficancy is uncommon (< 5%), but 25% patients develop during 20-25 years a terminal insufficandy.
Sawatzki
M
M
Medizinische Poliklinik, Nephrologie, Universitätsspital Basel. sawatzkim@uhbs.ch
Kalbermatter
S
S
Ramseier
E
E
D000328:Adult; D000465:Algorithms; D001991:Bronchitis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005919:Glomerular Filtration Rate; D005922:Glomerulonephritis, IGA / Q000175:diagnosis*; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D011247:Pregnancy; D011258:Pregnancy Tests; D011379:Prognosis