Diagnosis of the Week
Dx:Glomerulonephritis: When the tiny filters in the kidneys, known as glomeruli, become
inflamed. This inflammation impairs the kidneys' ability to properly filter waste, electrolytes, and
excess fluid from the blood into the urine.
Etiology:
- Post-infectious: Often follows a bacterial infection, most commonly strep throat or skin
infections (impetigo), where the immune system’s response accidentally triggers kidney
inflammation.
- Autoimmune: Conditions like Lupus or IgA nephropathy where the body’s immune
system mistakenly attacks the kidney tissues.
- Genetic: Certain inherited conditions can cause chronic inflammation of the glomeruli,
often seen in children with a strong family history of renal issues.
- Lifestyle/Systemic: While less common in children than adults, systemic issues like high
blood pressure or vasculitis can contribute to glomerular damage.
Treatment:
Medications: Corticosteroids or other immunosuppressants are used to reduce inflammation.
Diuretics may be given to help the body get rid of excess fluid.
Blood Pressure Management: Antihypertensive medications (like ACE inhibitors) are often used
to protect kidney function and manage high blood pressure.
