Primary IgA nephropathy is an immune-complex-mediated glomerulonephritis defined immunohistologically by the presence of glomerular IgA deposits accompanied by a variety of histopathologic lesions. It is known to be the most prevalent primary chronic glomerular disease worldwide. Because of the critical interaction between an intrinsic antigen (galactose-deficient IgA1) and circulating anti-glycan antibodies, IgA nephropathy can be considered an autoimmune disease. Since the features of IgA nephropathy identified by light microscopy are nonspecific, immunofluorescence or immunoperoxidase studies demonstrating a predominant deposition of IgA are essential to establish a definitive diagnosis of IgA nephropathy. Genetic factors undoubtedly influence the pathogenesis of IgA nephropathy. Genomewide association studies have identified common susceptibility loci in the absence of a priori mechanistic hypotheses.
Category
Immune system disease; Urinary system disease
Brite
Human diseases [BR:br08402]
Immune system diseases
Allergies and autoimmune diseases
H01581 IgA nephropathy
Urinary system diseases
Kidney diseases
H01581 IgA nephropathy
Human diseases in ICD-11 classification [BR:br08403]
21 Symptoms, signs or clinical findings, not elsewhere classified
Symptoms, signs or clinical findings of the genitourinary system
Clinical findings in specimens from the urinary system
MF8Y Other specified clinical findings in specimens from the urinary system
H01581 IgA nephropathy
Other DBs
ICD-11:
MF8Y
ICD-10:
N02.8
MeSH:
D005922
Reference
PMID:12213946
Authors
Donadio JV, Grande JP
Title
IgA nephropathy.
Journal
N Engl J Med 347:738-48 (2002) DOI:10.1056/NEJMra020109
Reference
PMID:23782179
Authors
Wyatt RJ, Julian BA
Title
IgA nephropathy.
Journal
N Engl J Med 368:2402-14 (2013) DOI:10.1056/NEJMra1206793
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