{"id":245,"date":"2018-04-23T13:32:55","date_gmt":"2018-04-23T13:32:55","guid":{"rendered":"http:\/\/edren.org\/ren\/?page_id=245"},"modified":"2024-07-01T13:35:52","modified_gmt":"2024-07-01T13:35:52","slug":"crescentic-nephritis-rpgn","status":"publish","type":"page","link":"https:\/\/edren.org\/ren\/edren-info\/crescentic-nephritis-rpgn\/","title":{"rendered":"Crescentic nephritis (RPGN)"},"content":{"rendered":"<p><span style=\"font-family: Verdana;\">Crescentic nephritis is also known as <strong><span style=\"color: #993300;\">R<\/span><\/strong>apidly <strong><span style=\"color: #993300;\">P<\/span><\/strong>rogressive <strong><span style=\"color: #993300;\">G<\/span><\/strong>lomerulo<strong><span style=\"color: #993300;\">N<\/span><\/strong>ephritis, or <strong><span style=\"color: #993300;\">RPGN<\/span><\/strong>. It is a severe and usually very acute type of kidney inflammation that can cause loss of kidney function within days to weeks. \u00a0We have more detailed info on <a href=\"http:\/\/edren.org\/ren\/edren-info\/glomerulonephritis\/\">glomerulonephritis<\/a> on another page<\/span><\/p>\n<p><span style=\"font-family: Verdana;\">As many causes of crescentic nephritis are treatable, it is important to make the diagnosis quickly so that kidney function can be saved.<\/span><\/p>\n<h5><strong><span style=\"font-family: Verdana; color: #993300;\">What is crescentic nephritis?<\/span><\/strong><\/h5>\n<p><span style=\"font-family: Verdana;\">Very severe inflammation inside the filtering units breaks the filtering membrane (the glomerular basement membrane, GBM), causing leakage of blood proteins into the urinary space. This makes the cells in the urinary space multiply to form the crescent.<\/span><\/p>\n<table style=\"height: 449px; width: 90%px;\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td style=\"background-color: #f7f6c8; height: 174px; width: 86%;\" colspan=\"2\" bgcolor=\"#000000\" height=\"174\"><center><span style=\"font-family: Verdana;\"><br \/>\n<a href=\"http:\/\/edren.org\/ren\/wp-content\/uploads\/2018\/05\/CrescNEPHRITIS.jpg\"><img decoding=\"async\" class=\"wp-image-597 aligncenter\" src=\"http:\/\/edren.org\/ren\/wp-content\/uploads\/2018\/05\/CrescNEPHRITIS-300x113.jpg\" alt=\"\" width=\"80%\" height=\"204\" srcset=\"https:\/\/edren.org\/ren\/wp-content\/uploads\/2018\/05\/CrescNEPHRITIS-300x113.jpg 300w, https:\/\/edren.org\/ren\/wp-content\/uploads\/2018\/05\/CrescNEPHRITIS-150x56.jpg 150w, https:\/\/edren.org\/ren\/wp-content\/uploads\/2018\/05\/CrescNEPHRITIS.jpg 494w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/span><\/center><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 388.45px;\" height=\"16\"><center><span style=\"font-family: Verdana;\"><b>Normal<\/b><\/span><\/center><\/td>\n<td style=\"width: 423.55px;\" height=\"16\"><center><span style=\"font-family: Verdana;\"><b>Crescent<\/b><\/span><\/center><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 860px;\" colspan=\"2\"><span style=\"font-family: Verdana;\">The photos (above) and diagrams below them illustrate a normal glomerulus on the left, and one with a crescent on the right. The TUFT which contains the blood that is being filtered (the tiny blood vessels show up as white spaces in the normal glomerulus) has been crushed by the crescent on the right. US = urinary space in the normal glomerulus (shaded yellow).<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><strong><span style=\"font-family: Verdana; color: #993300;\">What can cause crescentic nephritis?<\/span><\/strong><\/h5>\n<p><span style=\"font-family: Verdana;\">Some important causes of severe crescentic nephritis are:<\/span><\/p>\n<ul style=\"list-style-type: disc;\">\n<li><span style=\"font-family: Verdana;\"><a href=\"http:\/\/edren.org\/ren\/edren-info\/vasculitis\/\">Vasculitis<\/a>\u00a0<\/span>&#8211; usually responds well to treatment<\/li>\n<li><span style=\"font-family: Verdana;\"><a href=\"http:\/\/edren.org\/ren\/edren-info\/sle-lupus\/\">SLE (Lupus)<\/a>\u00a0<\/span>&#8211; response to treatment usually good<\/li>\n<li><span style=\"font-family: Verdana;\"><a href=\"http:\/\/edren.org\/ren\/edren-info\/goodpastures-anti-gbm-disease\/\">Goodpasture&#8217;s disease<\/a><\/span>\u00a0&#8211; response can be good if treated early<\/li>\n<li><span style=\"font-family: Verdana;\"><a href=\"http:\/\/edren.org\/ren\/edren-info\/iga-nephropathy\/\">IgA nephropathy<\/a>\u00a0<\/span>&#8211; response uncertain<\/li>\n<\/ul>\n<h5><strong><span style=\"font-family: Verdana; color: #993300;\">What is the treatment?<\/span><\/strong><\/h5>\n<p><span style=\"font-family: Verdana;\">The initial treatment for most forms of crescentic nephritis is quite similar, although the details and follow-on treatment vary according to the cause. <\/span><a href=\"[wblink148]\"><span style=\"font-family: Arial;\"><span style=\"font-family: Verdana;\">Immunosuppressive drugs<\/span><\/span><\/a><span style=\"font-family: Verdana;\"> are commonly used &#8211; these reduce the activity of your immune system.<\/span><\/p>\n<h5><strong><span style=\"font-family: Verdana; color: #993300;\">Further information<\/span><\/strong><\/h5>\n<p>Further information on <a style=\"font-family: Verdana;\" href=\"http:\/\/edren.org\/ren\/edren-info\/glomerulonephritis\/\">glomerulonephritis<\/a><span style=\"font-family: Verdana;\">\u00a0<\/span>is available on another page.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 12pt;\"><strong><span style=\"color: #999999;\">Acknowledgements:<\/span><\/strong><span style=\"color: #999999;\">\u00a0 The author of this page was Neil Turner. It was first published in October 2000. The date it was last modified is shown in the footer.<\/span><\/span><span style=\"color: #999999;\"><span style=\"font-size: 12pt;\">\u00a0<\/span> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Crescentic nephritis is also known as Rapidly Progressive GlomeruloNephritis, or RPGN. It is a severe and usually very acute type of kidney inflammation that can cause loss of kidney function within days to weeks. \u00a0We have more detailed info on glomerulonephritis on another page As many causes of crescentic nephritis\u2026<\/p>\n<p> <a class=\"continue-reading-link\" href=\"https:\/\/edren.org\/ren\/edren-info\/crescentic-nephritis-rpgn\/\"><span>Continue reading<\/span><i class=\"crycon-right-dir\"><\/i><\/a> <\/p>\n","protected":false},"author":2,"featured_media":0,"parent":220,"menu_order":144,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"class_list":["post-245","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/comments?post=245"}],"version-history":[{"count":12,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/245\/revisions"}],"predecessor-version":[{"id":1229,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/245\/revisions\/1229"}],"up":[{"embeddable":true,"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/pages\/220"}],"wp:attachment":[{"href":"https:\/\/edren.org\/ren\/wp-json\/wp\/v2\/media?parent=245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}