Abstract
Three hundred fourteen cases of glomerulonepbritis were admitted to The 2nd Tokyo National Hospital from 1955 to 1964. By the follow up study, clinical courses of 81 cases after the retirement were clarified.
The patients were devided into two groups; group A-the onset was clear after the preceding infection, group B-the onset was obscure without precedingg infection.
In group A, results of the follow up study were as follows: cure 29 cases (50.9%) latent stage 13 cases (22.8%), chronic progressive stage .5 cases (8.8%), renal failure 4 cases (7.0%) death from uremia 2 cases (3.5%), death from another cause 4 cases (7.0%). In the cases of cure, recovery was recognized within 6 months in more than half of cases, and more longer terms were necessary in the other cases. Even in the cases considering to pass into chronic stage by lasting albuminuria for over 6 months, 36% of cases were recovered.
In group B, cure 8 cases (33.8%), latent stage 5 cases (20.8%), chronic progressive stage 0, nephrotic stage 2 cases (8.3%), renal failure 1 case (4.2%), death from uremia 5 cases (20.8%), death from another cause 3 cases (12.5%) were found. The two courses were observed in chronic nephritis; the one stayed in the latent stage for a long time without progress, the other was progressive from the onset, lasted hypertension and microscopic hematuria, and passed into renal failure within a short lapse of time.
The percentage of cure in nephrotic syndrome was only 24%.
