The relationship between the results of the tonsillar provocation test by tonsil massage and the postoperative prognosis of tonsillectomy in patients with IgA nephropathy wereexamined.
1) In 70% (24/34) of patients with IgA nephropathy, the tonsillar provocation test by tonsil massage was positive.
2) Within one week after tonsillectomy, urine test results were worse in 5/24 of the patients with positive results and 1/10 of those with negative results of the provocation test.
3) Six months after tonsillectomy, proteinuria and hematuria were reduced in 68% and 32% respectively, of the 34 patients.
4) The tonsillar provocation test was effective in 71% for proteinuria and in 62% for hematuria.
5) Of the abnormal findings, hematuria was changed most, followed in order by pro-teinuria, number of leukocytes, ESR and fever.
6) The size, core of the abscess and redness of the tonsil were not related to the rate of improvement.
