Overview
Definition
Most common cause of primary glomerulonephritis globally.
Epidemiology
Most common in Asians and Caucasians, affects males more than females.
Etiology & Risk Factors
- Deposition of IgA immune complexes in the mesangium
Clinical Symptoms
- Gross hematuria concurrent with respiratory/GI infections
- Mild proteinuria
Clinical Approach
Diagnosis
- Renal biopsy (mesangial IgA deposits on immunofluorescence)
Management
- ACE inhibitors/ARBs
- Fish oil
- Immunosuppressants if progressive
Complications
- Chronic kidney disease
- End-stage renal disease (in 20-40% over 20 years)