2015年9月29日星期二

Diagnosis of IgA Nephropathy (Berger's Disease)

IgA Nephropathy, or Berger's disease, is recognized as the most common type of glomerulonephritis throughout the world. Patients may preset at any age, but there is a peak incidence in the second and third decades of life and has male predominance. Up to 40% of patients with IgA Nephropathy progress to end-stage renal disease (ESRD) within 25 years. However, with an early diagnosis, the further development of IgA Nephropathy can be prevented. Then, how to diagnosis of IgA Nephropathy?

IgA Nephropathy can be divided into two types: primary and secondary. Both of types are characterized by mesangial deposition of IgA. Secondary IgA Nephropathy may occur in patients with systemic autoimmune diseases, mucosal diseases, cirrhosis, and hematologic diseases. The following is an introduction of diagnostic approach of IgA Nephropathy.

When diagnosing IgA Nephropathy, the doctor will ask about your symptoms and medical history. The history often includes the recent occurrence of an upper respiratory tract infection. A physical exam is also conducted to check blood pressure, edema, etc.

Urine tests will be ordered. Blood or protein in the urine may be the first sign of IgA Nephropathy. The doctor dips a special strip with chemicals into the urine sample. The strip changes color if blood or protein exists in the urine.

A blood test shows if there's a build up of body metabolic wastes in the bloodstream, such as blood urine nitrogen (BUN) and serum creatinine.

The definite diagnosis of IgA Nephropathy can only be made by a kidney biopsy. In this procedure, a fine needle is inserted into the kidney using ultrasound as a guide and taking a tiny tissue sample that is then checked for protein deposits using a microscope.


The above is an introduction of diagnosis of IgA Nephropathy. No matter what kind of disease, early diagnosis and prompt treatment are both helpful for your recovery. Therefore, once diagnosed, patients need to receive standard treatment as early as possible. Immunotherapy is the best treatment of IgA Nephropathy, which has brought new hope to many patients with kidney disease. You can browse more associated articles in our website.

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