الفهرس 
Renal Structure and Minute Anatomy
Thin basement membrane diseaseOnly 14 pages are availabe for public view
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Abstract
Delay in diagnosis of acute post streptococcal glomerulonephritis has many explanations such as absence of a history of preceding infection or a culture-documented streptococcal infection, volume overload is relatively uncommon in children may be missed or misinterpreted. The most common cause of a delay in diagnosis of APSGN is absence of visible hematuria as a chief complaint. The delay in diagnosis ranged from 1 to 8 days Acute post streptococcal glomerulonephritis remains frequent worldwide except in United States is declining. Despite declining incidence of APSGN in many developed countries, there is still a significant global burden of the disease. It has been estimated that there are more than 470,000 cases of APSGN worldwide annually with ~5,000 deaths, with 97% occurring in less developed countries The majority of these cases are related to pyoderma caused by infection with Streptococcus pyogenes (Group A Streptococcus [GAS]). Internationally APSGN replaced diabetes and hypertension as a leading cause of end-stage renal disease due to high rate of acute glomerulonephritis after infection.