Pediatric emergency medicine trisk 2890 2890
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The differential diagnosis is broad. Table 100.14 lists some of the more
common forms of glomerular disease in the pediatric population.
TABLE 100.14
GLOMERULAR DISEASES IN CHILDHOOD
Primary
IgA nephropathy
Goodpasture syndrome (Antiglomerular basement membrane disease)
Idiopathic crescentic glomerulonephritis
Membranoproliferative glomerulonephritis
Membranous glomerulonephritis
Secondary
Henoch–Schönlein purpura
Hemolytic uremic syndrome
Goodpasture syndrome
Microscopic polyarteritis
Systemic lupus erythematosus
Granulomatosis with polyangiitis
Infectious
Poststreptococcal glomerulonephritis
Hepatitis B and C–associated nephritis
Shunt nephritis
Subacute bacterial endocarditis
Inherited
Alport syndrome
Benign familial hematuria
Thin basement membrane disease
Hemolytic Uremic Syndrome
Goals of Treatment
The goals of treatment include hydration, supportive care, and managing
the consequences of microvascular endothelial cell injury in affected
organs. Fluid balance, electrolyte abnormalities, and severe anemia may
necessitate medical management and possible RRT. Pancreatic and hepatic
