Abstract

Introduction: Acute glomerulonephritis is the most common reversible cause of kidney disease in children. Although most common presentations are oedema, hypertension, haematuria and oliguria, glomerulonephritis may manifest with atypical features. Aims and objectives: The aim of the study was to evaluate the frequency of various clinical manifestations of glomerulonephritis and to identify various abnormalities in laboratory prole in children with glomerulonephritis. Materials and methods: 30 children admitted in paediatric department, King George Hospital, Visakhapatnam with clinical features of glomerulonephritis were enrolled into the study . Data on clinical features, laboratory parameters and outcome was recorded. Results: Males were more commonly affected. Majority were in the age group of 9-12 years. Most common presentation was facial pufness. Atypical presentations were observed in 40% cases. Anaemia was observed in 50% cases. Hypertension was seen in 56% of cases. PSGN was commonest cause of AGN. Hypocomplementemia was seen in 80% cases. Conclusion: Even though most children with acute glomerulonephritis present with common clinical features, early identication of atypical presentations of acute glomerulonephritis should be emphasised as their prompt recognition can lead to reduction in mortality.

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