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Study Suggests Additional Variables for Renal Risk Stratification in IgA Nephropathy

Findings showed the light microscopy pattern of glomerular injury and the intensity of mesangial C3 deposition may refine the histological assessment of IgAN. ....

Bogdan Obri , Carol Davila University Of Medicine , International Igan Prediction Tool , Carol Davila University , Oxford Classification ,

"To evaluate the utility of Oxford classification in predicting renal o" by Nida Saleem, Humaira Nasir et al.

Background: Immunoglobulin A Nephropathy (IgAN) is a heterogeneous disorder. Multiple ethnicities conducted studies to assess the effectiveness of the Oxford classification of IgAN in prognostication. However, there is no study on the Pakistani population. We aim to identify its prognostic effectivity in our patients. Methods: We retrospectively reviewed the medical records of 93 biopsy-proven cases of primary IgAN. We collected the clinical and pathological data at baseline and on follow-ups. The median follow-up period was 12 months. We defined the renal outcome as a ≥ 50% decline in eGFR or end-stage renal disease (ESRD). Results: Of 93 cases, 67.7% were males with a median age of 29. Glomerulosclerosis was the most prevalent lesion (71%). The median MEST-C was 3. On follow-up, median serum creatinine worsened from 1.92 to 2.2 mg/dL, and median proteinuria reduced from 2.3 g/g to 1.072 g/g. The reported renal outcome was 29%. T and C scores and MEST-C scores above 2 were significa ....

End Stage Renal Disease , Iga Nephropathy , Oxford Classification , Enal Biopsy ,