Differential diagnosis of synpharyngitic hematuria

What is the differential diagnosis of synpharyngitic hematuria?

The onset of hematuria shortly after a respiratory infection is common to both immunoglobulin a nephropathy and poststreptococcal Glomerulonephritis.

However, the latent period from infection to gross hematuria averages 1 to 3 days in immunoglobulin a nephropathy versus 10 to 14 days in poststreptococcal Glomerulonephritis .

Poststreptococcal Glomerulonephritis can also be distinguished from immunoglobulin a nephropathy by the presence of hypocomplementemia, which is rarely seen in immunoglobulin a nephropathy, and the elevation of antistreptococcal antibodies in the early phase of infection.


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