[A comparative study of the clinicopathological features in patients with IgA nephropathy with elevated uric acid level].
OBJECTIVE
To explore the changes in the clinicopathological features of patients with IgA nephropathy with elevated uric acid level.


METHODS
A total of 171 patients with IgA nephropathy diagnosed at biopsy were classified into 3 groups, namely normotensive group with normal level uric acid (group 1), normotensive group with elevated uric acid level (group 2), and hypertensive group with elevated uric acid level (group 3). The clinicopathological features were compared between the 3 groups.


RESULTS
From group 1 to group 3, the disease duration became elongated, body weight increased, systolic and diastolic pressures elevated, blood urea nitrogen and serum creatinine increased, glomerular filtration rate decreased, and 24-h urine protein increased; the apolipoprotein A, high-density lipoprotein and albumin levels decreased, while apolipoprotein B100, triglyceride, cholesterol and low-density lipoprotein increased. The glomerular damage, tubulointerstitial lesions and arteriole hypertrophy worsened, and Lee's grade III changes were predominant in group 1, grade III or IV in group 2 and grades III-V in group 3. Mesangial proliferative glomerulonephritis was the major pathological type in groups 1 and 2, as compared with focal segmental glomerulonephritis or sclerosing glomerulonephritis in group 3.


CONCLUSIONS
Patients with IgA nephropathy and elevated uric acid level have greater clinicopathological damage than those with normal uric acid level, and hypertension further aggravates such damages.
Li
Shen-heng
SH
Department of Nephropathy, Guangdong Provincial People's Hospital, Guangzhou 510080, China. lish121812@sina.com
Shi
Wei
W
Xia
Yun-feng
YF
Liang
Xin-ling
XL
Wang
Wen-jian
WJ
Ma
Jian-chao
JC
Wu
Dan
D
D000293:Adolescent; D000328:Adult; D003404:Creatinine / Q000097:blood; D005260:Female; D005922:Glomerulonephritis, IGA / Q000150:complications* / Q000473:pathology*; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000473:pathology; D033461:Hyperuricemia / Q000209:etiology* / Q000473:pathology; D007668:Kidney / Q000473:pathology; D008297:Male; D008875:Middle Aged; D055815:Young Adult
D003404:Creatinine