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Changing perspectives in children hospitalized with poststreptococcal acute glomerulonephritis
Authors:Shane Roy III  F. Bruder Stapleton
Affiliation:(1) Section of Pediatric Nephrology, LeBonheur Children's Medical Center, University of Tennesse, 848 Adams Avenue Memphis, 38 103 Memphis, TN, USA;(2) Department of Pediatrics Children's Hospital of Buffalo and State University of New York at Buffalo, 14 222, NY, USA
Abstract:
Changing perspectives in 95 children with poststreptococcal acute glomerulonephritis (PSAGN) in our hospital between 1979 and 1988 are reported. Between 1961 and 1970 an average of 31±6.3 patients/year with PSAGN were treated and 70% had antecedent pyoderma. In the present study antecedent pharyngitis was observed in 59 children und pyoderma in 36. In comparison to the decade ending in 1970 our data show: (1) a marked decline in the prevalence of PSAGN (P=<0.0005), (2) a predominance of antecedent pharyngeal infection (P=0.044), (3) a decline in urban and an increase in rural patients with PSAGN (P=0.0483); and in the last decade: (1) a predominance of antecedent pharyngeal infection in children over 6 years of age (P=0.0009) and (2) a predominance of antecedent pyoderma in black children (P=0.0004).
Keywords:Poststreptococcal acute glomerulonephritis  Pyoderma  Pharyngitis
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