Clinical and Pathologic Analysis of 56 Armymen with IgA Nephropathy

Objective To investigate the clinic presentation and pathologic feature from 56 armymen with IgA nephropathy. Methods 56 attempts of percutaneous renal biopsy were performed in armyman patients. In this report, the clinic presentation and pathological features of IgA nephropathy in 56 armymen were analyzed retrospectively. Results The clinical type of 56 patients, including 31 patients with chronic nephritis (55.3%), 22 patients with dormant nephritis (39.3%) and 3 patients with nephrotic syndrome (5.4%), respectively. The classification of renal pathology of 56 patients consisted of 32 patients with mild mesangial proliferative glomerulonephritis (57.1%), 18 patients with moderate mesangial proliferative glomerulonephritis (32.1%), 2 patients with severe mesangial proliferative glomerulonephritis (7.2%), 2 patients with proliferative selerosing glomerulonephritis (7.2%), 1 patient with focal segmental glomerular sclerosis (3.6%) and 1 patient with selerosing glomerulonephritis (3.6%), respectively. The curative effect: The complete remission rate at dormant nephritis, nephritic syndrome and chronic nephritis were 95.5%, 100%, 38.7%, respectively. The complete remission rate at mild mesangial proliferative glomerulonephritis, moderate mesangial proliferative glomerulonephritis, severe mesangial proliferative glomerulonephritis and selerosing glomerulonephritis were 90.6%, 38.9%, 0%, respectively. Conclusion The clinical type of IgA nephropathy was related to the Classification of pathologic change. The curative effect of clinic of IgA nephropathy was closely correlate with the degree of pathologic change.