Acute nephritis easily confused with the diseases

Early acute nephritis easily confused with the disease, should arouse attention. (1) fever proteinuria may appear in any febrile illness. In the heat during the protein in urine and to identify the type, but very few red blood cells, or edema and hypertension. Heat Forward, urine abnormal rapid recovery. (2) any abnormal urinary infection caused infection, including bacteria, virus, particularly the B hemolytic Streptococcus infection, about 1 / 3 of patients can appear mild microscopic hematuria, a small amount of urine protein and the type, However, no edema and hypertension, when the infection control, urine check is back to normal. (3) focal glomerulonephritis in general during the infection (acute nephritis occurred in about two weeks after infection); focal to glomerulonephritis Hematuria based, very light Albuminuria; infection cured, Patients resume normal urine checks, prognosis good. Light and acute nephritis only urine changes, without edema and hypertension similar. (4) movement urine abnormal strenuous exercise (for example, long-distance running, swimming, radical march……) or overworked, in the urine within a few hours to appear abnormal - hematuria, proteinuria and the type of urine, but the rest 1-2 days (By less than seven days) is back to normal. In the event of abnormal urine while no edema and hypertension (individual may have temporarily hypertension). (5) lupus nephritis systemic lupus erythematosus cause kidney damage, sometimes performance similar to acute nephritis, frequently have rashes, hair loss, light allergies, joint pain and heart, liver, lung, brain and other organs of the disease, And more than a fever, reduce the WBC, anti-SM antibody tests or DNA antibodies and anti-nuclear antibody positive. (6) toxemia of pregnancy occurs in late pregnancy, patients edema, hypertension, proteinuria and the type of urine, severe hypertension may occur encephalopathy, especially in the last 12 months of pregnancy when the more obvious symptoms. However, hematuria lack of its main features, and kidney function are normal, eyes visible retinal artery spasm, bleeding, leakage and other changes, post-natal vast majority of patients return to normal. (7) primary nephrotic syndrome acute nephritis with nephrotic syndrome, and easy to Nephropathy confused. The latter to a large number albuminuria (≥ 3.5 g / day) Hyperlipidemia protein and low for the features, no hematuria, a former hematuria, have no hypoproteinemia, differential points for kidney check, to diffuse the former capillary Proliferative glomerulonephritis, which can be a minimal change or other damage to glomerulonephritis chronic pathological changes. (8) of acute renal Bangladesh nephritis acute nephritis occurred if the urethra, bladder and kidney mucosa can cause congestion and edema bladder irritation, similar acute pyelonephritis. However, pyelonephritis fever, hematuria, interleukin are more positive urine culture, effective antibiotic treatment, and no edema, hypertension, and other performance, nor red blood cells in the urinary tube. Acute Pyelonephritis is still easy to acute and chronic nephritis confused.