Characteristics of primary glomerular diseases patients with hematuria in Turkey: the data from TSN-GOLD Working Group.
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Sumnu Abdullah, Turkmen Kultigin, Cebeci Egemen, Turkmen Aydin, Eren Necmi, Seyahi Nurhan, Oruc Aysegul, Dede Fatih, Derici Ülver, Basturk Taner, Şahin Garip, Sipahioglu Murat, Sahin Gulizar Manga, Tatar Erhan, Dursun Belda, Sipahi Savas, Yılmaz Mürvet, Suleymanlar Gultekin, Ulu Sena, Gungor Ozkan, Kutlay Sim, Bahçebaşı Zerrin Bicik, Sahin İdris, Kurultak Ilhan, Sevinc Can, Yilmaz Zulfikar, Kazancioglu Rumeyza Turan, Cavdar Caner, Candan Ferhan, Aydin Zeki, Oygar Deren, Gul Bulent, Altun Bulent, Paydas Saime, Uzun Sami, Istemihan Zulal, Ergul Metin, Dincer Mevlut Tamer, Gullulu Mustafa, Piskinpasa Serhan, Akcay Omer Faruk, Unsal Abdulkadir, Koyuncu Sumeyra, Gok Mahmut, Ozturk Savas
Аннотация
METHODS: Data were obtained from national multicenter (47 centers) data entered into the Turkish Society of Nephrology Glomerular Diseases (TSN-GOLD) database between May 2009 and June 2019. The data of all PGD patients over the age of 16 years who were diagnosed with renal biopsy and had hematuria data were included in the study. Demographic characteristics, laboratory and biopsy findings were also recorded.
RESULTS: Data of 3394 PGD patients were included in the study. While 1699 (50.1%) patients had hematuria, 1695 (49.9%) patients did not have hematuria. Patients with hematuria had statistically higher systolic blood pressure, serum blood urea nitrogen, creatinine, albumin, levels and urine pyuria. However, these patients had statistically lower age, body mass index, presence of hypertension and diabetes, eGFR, 24-h proteinuria, serum total, HDL and LDL cholesterol, and C3 levels when compared with patients without hematuria. Hematuria was present 609 of 1733 patients (35.8%) among the patients presenting with nephrotic syndrome, while it was presented in 1090 of 1661 (64.2%) patients in non-nephrotics (p < 0.001).
CONCLUSION: This is the first multicenter national report regarding the demographic and histopathologic data of PGD patients with or without hematuria. Hematuria, a feature of nephritic syndrome, was found at a higher than expected in the PGDs presenting with nephrotic syndrome in our national database.