Renal & UrologyPending review

Glomerulonephritis

Immune-mediated inflammation of the glomerulus that damages the filtration barrier in a pattern-specific way, producing either a nephritic picture of blood and inflammation or a nephrotic picture of protein leak, depending on where and how the immune injury occurs.

First principles

Glomerulonephritis is immune injury to the filtration barrier, not infection of it

Glomerulonephritis describes a group of conditions in which the glomerulus is damaged by an immune process: deposition of circulating immune complexes, in-situ immune complex formation, direct antibody attack on glomerular structures, or ANCA-associated vasculitic injury to the vessel wall, rather than direct infection. The immune trigger can be a preceding infection (as in post-streptococcal glomerulonephritis), a systemic autoimmune disease, or a primary renal-limited process (as in IgA nephropathy), but in every case the final common pathway is inflammation within the glomerular tuft that disrupts its normal filtering function.

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Educational content pending clinical review. Not medical advice.