糸球体腎炎の予後に関する臨床的研究

第1編 糸球体腎炎の発病要因と症状及びそれ等と予後との関係について

抄録

187 cases of glomerulonephritis hospitalized in the 2nd Department of Internal Medicine, Okayama University Medical School in the period from 1953 to 1965 were statistically analysed with respect to pathogenetic and etiological aspects.
1) In acute glomerulonephritis 17.6% of patients showed progression to the chronic state. Subacute glomerulonephritis amounded to 8% of all the cases and occurred at the rate of one patient per year.
2) Acute glomerulonephritis was observed more frequently among young people and 83.3% of the affected were under 34 years of age. The prognosis tended to be better as the patient age became younger.
3) Many cases of acute glomerulonephritis which was preceded by obvious infection occurred in winter.
4) The occupation of patients had no relation to the occurrence of glomerulonephritis.
5) Glomerulonephritis which had no subjective complaints and was found accidentally by physical examination was either mild nephritis or latent type of chronic glomerulonephritis. In order to prevent progression to a chronic form, it is most important to detect the early stage of glomerulonephritis by frequent urinalysis. The prognosis of patients whose initial symptoms included headache was poor.
6) In 34.8% of total cases an upper respiratory infection was considered to have played a trigger.
7) The prognosis of glomerulonephritis which had a clear-cut previous infection tented to be good. But in acute glomerulonephritis without known previous infections the curability was higher than in other types.
8) The prognosis of infant glomerulonephritis was almost equal to that of adult one. Those who had a history of infant glomerulonephritis were more liable to suffer from glomerulonephritis in adults.