Clinical Study of Post Streptococcal Acute Glomerulonephritis in Children with Special reference to Presentation

Acute glomerulonephritis, essentially a disease of child hood that accounts for 90% of renal disorders in children. Acute glomerulonephritis (AGN) is a disease characterized by the sudden appearance of edema, hematuria, proteinuria, and hypertension. There is wide vari-ability in manifestations and course of the disease where they do not predict the out come. Hence this study was undertaken to analyze the various types of clinical presentations of both typical and atypical post streptococcal glomerulonephrits. This study included 50 cases of acute glomerulonephritis admitted to the pediatric wards. Detailed history and clinical ex-amination was performed. Routine blood analysis, serum urea and creatinine and urine analysis were done. It was observed that odema, oliguria and hematuria were present in all patients. In 80% of the cases which had hypertension were associated with oedema. Pallor was seen in 20% of cases Z = 0.35 < 1.96. CCF, hepatomegaly and ascites were seen in 5% of cases. ASO titre and ESR were non specific.