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Table 3 Comparison of clinical and laboratory parameters between children with mild and severe renal histological lesions

From: Urinary protein markers predict the severity of renal histological lesions in children with mesangial proliferative glomerulonephritis

 

Mesangial cellularity

Glomerulosclerosis

Tubule‒interstitial damage

 

Mild

Severe

P

Mild

Severe

P

Mild

Severe

P

Number of patients

64

34

 

81

17

 

78

20

 

Age, years

9.5 [2.8‒15]

9.8 [3.9‒15]

NS

9.1 [2.8‒15]

10.4 [4.1‒14.3]

NS

8.5 [2.8‒15]

11.7 [3.1‒15]

.001

Sex (male/ female)

36/28

22/12

NS

48/33

10/7

NS

43/35

15/5

NS

Body weight, kg

30 [14‒71]

31.5 [15‒65]

NS

27.5 [14‒71

32 [15.5‒57]

NS

27 [14‒65]

37 [17‒71]

.003

Histological diagnosis, n (%)

 IgAN

20 (31)

20 (59)

.008

31 (38)

9 (53)

NS

29 (37)

11 (55)

NS

 IgMN

28 (44)

9 (26)

NS

32 (40)

5 (29)

NS

32 (41)

5 (25)

NS

MesPGN(IgA‒ IgM‒)

16 (25)

5 (15)

NS

18 (22)

3 (18)

NS

17 (22)

4 (20)

NS

Clinical features* n (%)

 Mild

55 (86)

21 (62)

.006

65 (80)

11 (65)

NS

61 (78)

15 (75)

NS

 Severe

9 (14)

13 (38)

.006

16 (20)

6 (35)

NS

17 (22)

5 (25)

NS

Hematuria n (%)

 5‒10RBC/HPF

11 (17)

2 (6)

NS

12 (15)

1 (6)

NS

10 (13)

3 (15)

NS

 10‒30RBC/HPF

36 (56)

23 (68)

NS

47 (58)

12 (71)

NS

43 (55)

16 (80)

NS

 > 30RBC/HPF

16 (25)

8 (24)

NS

21 (26)

3 (18)

NS

23 (29)

1 (5)

.021

Proteinuria, n (%)

 > 4mg/m2/h

29 (45)

27 (79)

.001

42 (52)

14 (82)

.021

44 (56)

12 (60)

NS

 > 40mg/m2/h

11 (17)

17 (50)

.001

18 (22)

10 (59)

.002

19 (24)

9 (45)

NS

Prednisone, n (%)

18 (28)

21 (62)

.001

27 (33)

12 (71)

.004

28 (36)

11 (55)

NS

Cyclophosphamide

4 (6)

6 (18)

NS

5 (6)

5 (29)

.013

6 (8)

4 (20)

NS

  1. Values are median [range]; NS, not significant.
  2. Mild mesangial cellularity is defined as 4–5 mesangial cells on per mesangial area (score < 2); severe is defined as > 5 mesangial cells on per mesangial area (score ≥ 2).
  3. Mild glomerulosclerosis is defined as absent or less than 10 % of all biopsied glomeruli showing segmental adhesions or sclerosis (score < 2); severe is defined as ≥ 10 % glomeruli showing segmental adhesions or sclerosis (score ≥ 2).
  4. Mild tubule‒interstitial damage is defined as tubular and interstitial lesions absent or very mildly focal (score < 2); severe is defined as focal or diffuse tubular and interstitial lesions (score ≥ 2).
  5. *Clinical features: the patients were classified into five categories according to their renal manifestations at the time of biopsy: (1) micro‒ or macroscopic hematuria; (2) asymptomatic proteinuria with or without hematuria; (3) acute nephritic syndrome; (4) nephrotic syndrome; (5) Acute kidney injury. Classes 1 and 2 were considered as mild clinical features, and classes 3–5 as severe.