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Acute Glomerulonephritis with Prolonged Oliguria: An Analysis of 29 Cases

CHARLES D. LEONARD, M.D.; RAYMOND B. NAGLE, M.D.; GARY E. STRIKER, M.D.; RALPH E. CUTLER, M.D., F.A.C.P.; and BELDING H. SCRIBNER, M.D.
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Dr. Leonard was supported by training grant T01AM5221 and Dr. Nagle, by training grant 2-T01GM00100, U.S. Public Health Service.

▸Requests for reprints should be addressed to Gary E. Striker, M.D., Department of Pathology, F517 Health Sciences Bldg., University of Washington School of Medicine, Seattle, Wash. 98105


Seattle, Washington


Ann Intern Med. 1970;73(5):703-711. doi:10.7326/0003-4819-73-5-703
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Clinical and pathological features of oliguric acute glomerulonephritis were reviewed in 29 patients who required temporary or permanent dialysis; they were divided into two groups on the basis of antistreptolysin (ASO) titers. Group A (ASO, 200 or above) contained 10 patients with a mean age of 16. Group B (ASO, less than 200) consisted of 19 patients with a mean age of 53. Strong evidence for a recent streptococcal infection was present in each patient in group A and in no group B patients. Diuresis occurred in nine patients in group A and in only two patients in group B. A proliferative exudative glomerular lesion with or without crescents was present in most group A patients, whereas extensive crescent formation with minimal proliferation of glomerular tufts occurred in most group B patients. Oliguric acute glomerulonephritis appears to be a disorder of varying etiology. The prognosis of patients with proved streptococcal infection was much better than has been thought; for the other patients irreversible renal failure was the rule.

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